Error range in proximal femoral osteotomy using computer tomography-based navigation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-12

AUTHORS

Masaki Takao, Takashi Sakai, Hidetoshi Hamada, Nobuhiko Sugano

ABSTRACT

PURPOSE : The purpose of this preliminary study was to determine the error range compared with preoperative plans in proximal femoral osteotomy conducted using a computed tomography (CT)-based navigation system. METHODS : Four patients (four hips) underwent transtrochanteric rotational osteotomy (TRO), and three patients (four hips) underwent curved varus osteotomy (CVO) using CT-based navigation. Volume registration of pre- and postoperative CT was performed for error assessment. RESULTS : In TRO, the mean osteotomy angle error was [Formula: see text] (range [Formula: see text]) in the valgus direction and [Formula: see text] (range [Formula: see text]) in the retroversion direction. The mean osteotomy position error, with the femoral head side as positive, was -0.4 mm (range -1.4 to 0 mm). The bone fragment rotational movement error was [Formula: see text] (range [Formula: see text]). In CVO, the mean osteotomy position error, with the femoral head side as positive, was -0.2 mm (range -2.0 to 1.7 mm) at the level of the lesser trochanter and 0.8 mm (range 0-3.2 mm) at the level of the greater trochanter. Bone fragment varus accuracy was [Formula: see text] (range [Formula: see text]). CONCLUSIONS : In proximal femoral osteotomy using CT-based navigation, the angle error of osteotomy was within [Formula: see text] and the positional error was within 4 mm. The rotational movement error of the proximal fragment was within [Formula: see text]. These margins of error should be considered in preoperative planning. To improve surgical accuracy, it would be necessary to develop a computer-assisted device which can track the osteotomized fragment. More... »

PAGES

2087-2096

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11548-017-1577-6

    DOI

    http://dx.doi.org/10.1007/s11548-017-1577-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1084031864

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/28365906


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