A custom-made guide-wire positioning device for hip surface replacement arthroplasty: description and first results.

BMC Musculoskeletal Disorders
Martijn RaaijmaakersMichiel Mulier

Abstract

Hip surface replacement arthroplasty (SRA) can be an alternative for total hip arthroplasty. The short and long-term outcome of hip surface replacement arthroplasty mainly relies on the optimal size and position of the femoral component. This can be defined before surgery with pre-operative templating. Reproducing the optimal, templated femoral implant position during surgery relies on guide wire positioning devices in combination with visual inspection and experience of the surgeon. Another method of transferring the templated position into surgery is by navigation or Computer Assisted Surgery (CAS). Though CAS is documented to increase accurate placement particularly in case of normal hip anatomy, it requires bulky equipment that is not readily available in each centre. A custom made neck jig device is presented as well as the results of a pilot study. The device is produced based on data pre-operatively acquired with CT-scan. The position of the guide wire is chosen as the anatomical axis of the femoral neck. Adjustments to the design of the jig are made based on the orthopedic surgeon's recommendations for the drill direction. The SRA jig is designed as a slightly more-than-hemispherical cage to fit the anterior part of the...Continue Reading

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Citations

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Oct 24, 2019·Journal of Hip Preservation Surgery·Stephan H WirthPatrick O Zingg

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Methods Mentioned

BETA
total hip arthroplasty
Replacement

Software Mentioned

matic
Mimics

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