KingMark’s dual-marker versus a conventional single-marker templating system: is there a difference in accuracy of predicting final implant sizes and ... View Full Text


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Article Info

DATE

2021-11-29

AUTHORS

Mohammad Al-Ashqar, Nayef Aslam, Muhammad Saad Azhar, James Grayston, James Hahnel

ABSTRACT

AimsPre-operative templating for total hip replacement (THR) surgery leads to more accurate implant sizing and positioning. This study aimed to compare the KingMark™ dual-marker system for magnification calibration to the current gold standard single-marker system in accuracy of predicting implant size and restoration of leg length post-operatively.MethodsThis is a retrospective analysis of patients who had primary THR surgery from 2013 to 2019 by a single surgeon. Patients were in two cohorts whose operations were completed at separate healthcare facilities. Patients in the first cohort had pre-operative templating using the KingMark system; patients in the second cohort had templating using a single-marker. For all patients, pre-operative radiographs were reviewed; predicted implants noted; and leg length discrepancies calculated. These were compared to post-operative data. We then tested the null hypothesis that there was no difference between the templating methods for prediction accuracy of implant size and achieving restoration of leg length.ResultsA total of 121 patients were included in the KingMark cohort, and 104 were included in the single-marker cohort. In the KingMark cohort, 83.5% of patients had implantation of a cup within one size of that predicted, compared to 71.2% of the single-marker cohort. This superiority was statistically significant. There was a greater proportion of exact cup size predictions in the KingMark cohort, but this was not statistically significant. We did not find any significant difference between the cohorts for stem size, or stem placement, or reduction of leg length discrepancy.ConclusionWe have demonstrated statistically significant superiority of the KingMark over a single-marker templating system for predicting cup size in primary THR surgery. For post-operative restoration of leg length, our study did not show any advantage of KingMark templating compared to single-marker templating. More... »

PAGES

1-9

References to SciGraph publications

  • 2007-04-03. The utility and precision of analogue and digital preoperative planning for total hip arthroplasty in INTERNATIONAL ORTHOPAEDICS
  • 2018-08-21. Influence of calibration on digital templating of hip arthroplasty in INTERNATIONAL ORTHOPAEDICS
  • 2013-07-31. Leg length discrepancy after total hip arthroplasty: a review of literature in CURRENT REVIEWS IN MUSCULOSKELETAL MEDICINE
  • 2006-03-30. Surgical planning of total hip arthroplasty: accuracy of computer-assisted EndoMap software in predicting component size in SKELETAL RADIOLOGY
  • 2007-05-24. Preoperative templating of femoral components on plain X-rays in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2012-05-16. Validity and reliability of preoperative templating in total hip arthroplasty using a digital templating system in SKELETAL RADIOLOGY
  • 2020-08-13. The accuracy of external calibration markers in digital templating using the double marker and single marker method: a comparative study in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2018-12-06. The accuracy of digital templating in uncemented total hip arthroplasty in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2008-09-10. A New Digital Preoperative Planning Method for Total Hip Arthroplasties in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2010-01-13. Preoperative planning of total hip replacement using the TraumaCad™ system in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2007-11-10. Digital templating in total hip arthroplasty with the Mayo stem in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00590-021-03174-y

    DOI

    http://dx.doi.org/10.1007/s00590-021-03174-y

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34842990


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