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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 4/2010

01-04-2010 | Clinical Research

Tailor-made Surgical Guide Reduces Incidence of Outliers of Cup Placement

Authors: Takehito Hananouchi, MD, PhD, Masanobu Saito, MD, PhD, Tsuyoshi Koyama, MD, PhD, Nobuhiko Sugano, MD, PhD, Hideki Yoshikawa, MD, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 4/2010

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Abstract

Malalignment of the cup in total hip arthroplasty (THA) increases the risks of postoperative complications such as neck cup impingement, dislocation, and wear. We asked whether a tailor-made surgical guide based on CT images would reduce the incidence of outliers beyond 10° from preoperatively planned alignment of the cup compared with those without the surgical guide. We prospectively followed 38 patients (38 hips, Group 1) having primary THA with the conventional technique and 31 patients (31 hips, Group 2) using the surgical guide. We designed the guide for Group 2 based on CT images and fixed it to the acetabular edge with a Kirschner wire to indicate the planned cup direction. Postoperative CT images showed the guide reduced the number of outliers compared with the conventional method (Group 1, 23.7%; Group 2, 0%). The surgical guide provided more reliable cup insertion compared with conventional techniques.
Level of Evidence: Level II, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
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Metadata
Title
Tailor-made Surgical Guide Reduces Incidence of Outliers of Cup Placement
Authors
Takehito Hananouchi, MD, PhD
Masanobu Saito, MD, PhD
Tsuyoshi Koyama, MD, PhD
Nobuhiko Sugano, MD, PhD
Hideki Yoshikawa, MD, PhD
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 4/2010
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-009-0994-4

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