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Open Access 05-08-2023 | Osteoarthritis of the Hip | Original Paper

“Single-use peripheral” vs “conventional” reaming in total hip arthroplasty: how to respect native centre of rotation and acetabular offset? A CT study

Authors: Edoardo Viglietta, Leonardo Previ, Veronica Giuliani, Giulia Rescigno, Yuri Gugliotta, Andrea Redler, Raffaele Iorio

Published in: International Orthopaedics | Issue 11/2023

Abstract

Purpose

The respect of native hip offset represents a mainstay for satisfying results in total hip arthroplasty (THA). Historically, a great interest has been focused on restoration of femoral offset, while only in recent years, acetabular offset (AO) has been considered. The purpose of the current study was to compare the “single-use peripheral” reaming technique with the “conventional” one for the maintenance of the native COR of the hip and AO in patients undergoing to primary THA.

Methods

Eighty patients affected from primary hip osteoarthritis were prospectively enrolled in the study and were divided in two groups (Group A “single-use peripheral” and Group B “conventional” reaming technique). Pre- and post-operatively, AO, acetabular floor distance (AFd) and acetabular version (AV) were assessed through a CT scan. A comparison between groups for the radiological parameters, surgical time and complications was performed.

Results

The demographic data were similar in both groups. The complications rate and the AV did not differ statistically between groups. Group A presented a statistically significant shorter surgical time and lower variation between pre- and post-operative AO and AFd. Statistical significance was defined as p < 0.05.

Conclusions

The “single-use peripheral” reaming technique demonstrated to be more reliable in reproducing the native COR and AO of patients undergoing to primary THA than the “conventional” one. The operative time was significantly reduced, and it may lead to a reduction in the infection risk even though it was not observed in the current study. Further research could be useful to validate such findings and to assess clinical impact and long-term survival of the implant.

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Title: “Single-use peripheral” vs “conventional” reaming in total hip arthroplasty: how to respect native centre of rotation and acetabular offset? A CT study
Authors: Edoardo Viglietta
Leonardo Previ
Veronica Giuliani
Giulia Rescigno
Yuri Gugliotta
Andrea Redler
Raffaele Iorio
Publication date: 05-08-2023
Publisher: Springer Berlin Heidelberg
Keywords: Osteoarthritis of the Hip
Osteoarthritis of the Hip
Hip-TEP
Hip-TEP
Published in: International Orthopaedics / Issue 11/2023
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-023-05899-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

“Single-use peripheral” vs “conventional” reaming in total hip arthroplasty: how to respect native centre of rotation and acetabular offset? A CT study

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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