Pin Site Complications Associated With Computer-Assisted Navigation in Hip and Knee Arthroplasty

The Journal of Arthroplasty
Eli KamaraH John Cooper

Abstract

There has been a great increase in the use of navigation technology in joint arthroplasty. In most types of navigation-assisted surgery, several temporary navigation pins are placed in the patient. Goals of this study are (1) to identify complications and (2) risk factors associated with placement of these pins. This is a retrospective cohort study of all navigation-assisted hip and knee arthroplasty performed a single institution over a 3-year period. Records were reviewed and outcome measures were tabulated in a database. Complications included in the database were pin site infection, deep prosthetic joint infection, neurologic injury, vascular injury, and fracture through a pin site. A total of 3136 pin sites in 839 patients were included in the study. Five pin site complications were reported with a complication rate of 0.16% per pin site and 0.60% per patient. The complications-per-procedure were slightly higher for unicondylar knee arthroplasty (0.64%) compared with patellofemoral arthroplasty (0%) and total hip arthroplasty (0.46%), but not statistically significant. There were three infections, one neuropraxia, and one suture abscess. No periprosthetic fractures through a pin site were reported. All complications were r...Continue Reading

Citations

Jan 29, 2019·Journal of Comparative Effectiveness Research·Christina L CoolMichael A Mont
Feb 6, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Alexa J KarkennyJaime A Gomez
May 12, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Guillaume MergenthalerSébastien Lustig
May 4, 2018·Current Reviews in Musculoskeletal Medicine·Sabrina M StricklandAlexander B Christ
May 2, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Daisuke InoueHiroyuki Tsuchiya
May 8, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michael B HeldJeffrey A Geller

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