APPLICATION OF DIGITAL PLANNING WITH BONE PARAMETERS IN DETERMINING OPTIMAL SIZE OF PROSTHESIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

HEJinpeng , HAOYun , WANGXiaolin , SHAOJingfan , YANGXiaojin , GUOFengjing ,  FENGJiexiong

Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei, 430030, P. R. China;

Corresponding author：

FENGJiexiong, Email: fengjiexiong@126.com

Keywords：

Total hip arthroplasty; Digital planning; Bone parameter; Prosthesis selection

DOI：

10.7507/1002-1892.20150149

Video：

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Objective To investigate the accuracy and value of digital planning with bone parameters in determining the appropriate prosthesis for total hip arthroplasty (THA). Methods The preoperative radiographs was taken in 13 cases scheduled for THA between September 2012 and June 2013; the bone parameters were measured by digital template, and the prosthesis was selected and preoperative plan was made. There were 4 males and 9 females with an average age of 54.08 years (range, 41-79 years), including 8 left hips and 5 right hips. The causes were osteonecrosis of the femoral head in 8 cases and femoral neck fracture in 5 cases (3 cases had osteonecrosis of the femoral head). Results The operation time was 140-254 minutes (mean, 191.8 minutes). Two cases received blood transfusion, and 6 patients received plasma substitutes transfusion. There was no intraoperative fractures or postoperative thrombosis; atherosclerotic plaque occurred in 2 cases. Thirteen cases were followed up 12-24 months with an average of 17.3 months. The pain was relieved and limb function was improved in all patients. Harris score was significantly improved from preoperative 54.0±12.9 to 91.1±4.1 at 3 months after operation (t=7.259, P=0.000). Compared with the actual implants, the appropriate sizes of femoral stem was selected in 12 cases (92.31%) (excellent in 9 cases, good in 3 cases, and poor in 1 case), and the appropriate sizes of acetabular cup was selected in 11 cases (84.62%) (excellent in 7 cases, good in 4 cases, and poor in 2 cases). Conclusion Digital planning could increase the accuracy in choosing the size of prosthesis for THA.

Citation： HEJinpeng, HAOYun, WANGXiaolin, SHAOJingfan, YANGXiaojin, GUOFengjing, FENGJiexiong. APPLICATION OF DIGITAL PLANNING WITH BONE PARAMETERS IN DETERMINING OPTIMAL SIZE OF PROSTHESIS. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(6): 688-692. doi: 10.7507/1002-1892.20150149 Copy

1.	Eggli S, Pisan M, Müller ME. The value of preoperative planning for total hip arthroplasty. J Bone Joint Surg (Br), 1998, 80(3):382-390.
2.	Gallo J, Goodman SB, Konttinen YT, et al. Particle disease:biologic mechanisms of periprosthetic osteolysis in total hip arthroplasty. Innate Immun, 2013, 19 (2):213-224.
3.	Jiang Y, Jia T, Gong W, et al. Titanium particle-challenged osteoblasts promote osteoclastogenesis and osteolysis in a murine model of periprosthestic osteolysis. Acta Biomater, 2013, 9(7):7564-7572.
4.	Gallo J, Vaculova J, Goodman SB, et al. Contributions of human tissue analysis to understanding the mechanisms of loosening and osteolysis in total hip replacement. Acta Biomater, 2014, 10(6):2354-2366.
5.	Kiernan S, Hermann KL, Wagner P, et al. The importance of adequate stem anteversion for rotational stability in cemented total hip replacement:a radiostereometric study with ten-year follow-up. Bone Joint J, 2013, 95-B(1):23-30.
6.	Shaarani SR, McHugh G, Collins DA. Accuracy of digital preoperative templating in 100 consecutive uncemented total hip arthroplasties:a single surgeon series. J Arthroplasty, 2013, 28(2):331-337.
7.	Mittag F, Ipach I, Schaefer R, et al. Predictive value of preoperative digital templating in THA depends on the surgical experience of the performing physician. Orthopedics, 2012, 35(2):e144-147.
8.	李超雄, 李炜明, 李坚, 等. 股骨近端形态改变在全髋关节置换术中的策划和处理. 中华损伤与修复杂志(电子版), 2008, 3(5):625-631.
9.	Schmidutz F, Steinbrück A, Wanke-Jellinek L, et al. The accuracy of digital templating:a comparison of short-stem total hip arthroplasty and conventional total hip arthroplasty. Int Orthop, 2012, 36(9):1767-1772.
10.	Olsen M, Gamble P, Chiu M, et al. Assessment of accuracy and reliability in preoperative templating for hip resurfacing arthroplasty. J Arthroplasty, 2010, 25(3):445-449.
11.	González Della Valle A, Slullitel G, Piccaluga F, et al. The precision and usefulness of preoperative planning for cemented and hybrid primary total hip arthroplasty. J Arthroplasty, 2005, 20(1):51-58.
12.	Knight JL, Atwater RD. Preoperative planning for total hip arthroplasty. Quantitating its utility and precision. J Arthroplasty, 1992, 7 Suppl:403-409.
13.	Carter LW, Stovall DO, Young TR. Determination of accuracy of preoperative templating of noncemented femoral prostheses. J Arthroplasty, 1995, 10(4):507-513.
14.	李建龙, 李毅中, 林金矿, 等. 全髋关节置换术CT峡部测量法术前选择股骨假体型号的可行性研究.中华关节外科杂志(电子版), 2010, 4(1):86-92.
15.	Viceconti M, Lattanzi R, Antonietti B, et al. CT-based surgical planning software improves the accuracy of total hip replacement preoperative planning. Med Eng Phys, 2003, 25(5):371-377.
16.	李毅中, 李建龙, 林金矿, 等. 股骨峡部在非骨水泥型全髋关节置换中的作用. 中国组织工程研究与临床康复, 2010, 14(9):1586-1590.
17.	White SP, Bainbridge J, Smith EJ. Assessment of magnification of digital pelvic radiographs in total hip arthroplasty using templating software. Ann R Coll Surg Engl, 2008, 90(7):592-596.
18.	Crooijmans HJ, Laumen AM, van Pul C, et al. A new digital preoperative planning method for total hip arthroplasties. Clin Orthop Relat Res, 2009, 467(4):909-916.
19.	Pullen WM, Whiddon DR. Accuracy and reliability of digital templating in primary total hip arthroplasty. J Surg Orthop Adv, 2013, 22(2):148-151.
20.	Pourmoghaddam A, Dettmer M, Freedhand AM, et al. A patient-specific Predictive model increases preoperative templating accuracy in hip arthroplasty. J Arthroplasty, 2014.[Epub ahead of print].
21.	Kniesel B, Konstantinidis L, Hirschmüller A, et al. Digital templating in total knee and hip replacement:an analysis of planning accuracy. Int Orthop, 2014, 38(4):733-739.
22.	Zeng Y, Lai OJ, Shen B, et al. Three-dimensional computerized preoperative planning of total hip arthroplasty with high-riding dislocation developmental dysplasia of the hip. Orthop Surg, 2014, 6(2):95-102.
23.	Inoue D, Kabata T, Maeda T, et al. Value of computed tomography-based three-dimensional surgical preoperative planning software in total hip arthroplasty with developmental dysplasia of the hip. J Orthop Sci, 2015, 20(2):340-346.
24.	秦勉, 刘亚雄, 贺健康, 等. 数字化设计与3-D打印技术在个性化医疗中的应用. 中国修复重建外科杂志, 2014, 28(3):286-291.

1. Eggli S, Pisan M, Müller ME. The value of preoperative planning for total hip arthroplasty. J Bone Joint Surg (Br), 1998, 80(3):382-390.
2. Gallo J, Goodman SB, Konttinen YT, et al. Particle disease:biologic mechanisms of periprosthetic osteolysis in total hip arthroplasty. Innate Immun, 2013, 19 (2):213-224.
3. Jiang Y, Jia T, Gong W, et al. Titanium particle-challenged osteoblasts promote osteoclastogenesis and osteolysis in a murine model of periprosthestic osteolysis. Acta Biomater, 2013, 9(7):7564-7572.
4. Gallo J, Vaculova J, Goodman SB, et al. Contributions of human tissue analysis to understanding the mechanisms of loosening and osteolysis in total hip replacement. Acta Biomater, 2014, 10(6):2354-2366.
5. Kiernan S, Hermann KL, Wagner P, et al. The importance of adequate stem anteversion for rotational stability in cemented total hip replacement:a radiostereometric study with ten-year follow-up. Bone Joint J, 2013, 95-B(1):23-30.
6. Shaarani SR, McHugh G, Collins DA. Accuracy of digital preoperative templating in 100 consecutive uncemented total hip arthroplasties:a single surgeon series. J Arthroplasty, 2013, 28(2):331-337.
7. Mittag F, Ipach I, Schaefer R, et al. Predictive value of preoperative digital templating in THA depends on the surgical experience of the performing physician. Orthopedics, 2012, 35(2):e144-147.
8. 李超雄, 李炜明, 李坚, 等. 股骨近端形态改变在全髋关节置换术中的策划和处理. 中华损伤与修复杂志(电子版), 2008, 3(5):625-631.
9. Schmidutz F, Steinbrück A, Wanke-Jellinek L, et al. The accuracy of digital templating:a comparison of short-stem total hip arthroplasty and conventional total hip arthroplasty. Int Orthop, 2012, 36(9):1767-1772.
10. Olsen M, Gamble P, Chiu M, et al. Assessment of accuracy and reliability in preoperative templating for hip resurfacing arthroplasty. J Arthroplasty, 2010, 25(3):445-449.
11. González Della Valle A, Slullitel G, Piccaluga F, et al. The precision and usefulness of preoperative planning for cemented and hybrid primary total hip arthroplasty. J Arthroplasty, 2005, 20(1):51-58.
12. Knight JL, Atwater RD. Preoperative planning for total hip arthroplasty. Quantitating its utility and precision. J Arthroplasty, 1992, 7 Suppl:403-409.
13. Carter LW, Stovall DO, Young TR. Determination of accuracy of preoperative templating of noncemented femoral prostheses. J Arthroplasty, 1995, 10(4):507-513.
14. 李建龙, 李毅中, 林金矿, 等. 全髋关节置换术CT峡部测量法术前选择股骨假体型号的可行性研究.中华关节外科杂志(电子版), 2010, 4(1):86-92.
15. Viceconti M, Lattanzi R, Antonietti B, et al. CT-based surgical planning software improves the accuracy of total hip replacement preoperative planning. Med Eng Phys, 2003, 25(5):371-377.
16. 李毅中, 李建龙, 林金矿, 等. 股骨峡部在非骨水泥型全髋关节置换中的作用. 中国组织工程研究与临床康复, 2010, 14(9):1586-1590.
17. White SP, Bainbridge J, Smith EJ. Assessment of magnification of digital pelvic radiographs in total hip arthroplasty using templating software. Ann R Coll Surg Engl, 2008, 90(7):592-596.
18. Crooijmans HJ, Laumen AM, van Pul C, et al. A new digital preoperative planning method for total hip arthroplasties. Clin Orthop Relat Res, 2009, 467(4):909-916.
19. Pullen WM, Whiddon DR. Accuracy and reliability of digital templating in primary total hip arthroplasty. J Surg Orthop Adv, 2013, 22(2):148-151.
20. Pourmoghaddam A, Dettmer M, Freedhand AM, et al. A patient-specific Predictive model increases preoperative templating accuracy in hip arthroplasty. J Arthroplasty, 2014.[Epub ahead of print].
21. Kniesel B, Konstantinidis L, Hirschmüller A, et al. Digital templating in total knee and hip replacement:an analysis of planning accuracy. Int Orthop, 2014, 38(4):733-739.
22. Zeng Y, Lai OJ, Shen B, et al. Three-dimensional computerized preoperative planning of total hip arthroplasty with high-riding dislocation developmental dysplasia of the hip. Orthop Surg, 2014, 6(2):95-102.
23. Inoue D, Kabata T, Maeda T, et al. Value of computed tomography-based three-dimensional surgical preoperative planning software in total hip arthroplasty with developmental dysplasia of the hip. J Orthop Sci, 2015, 20(2):340-346.
24. 秦勉, 刘亚雄, 贺健康, 等. 数字化设计与3-D打印技术在个性化医疗中的应用. 中国修复重建外科杂志, 2014, 28(3):286-291.

Chinese Journal of Reparative and Reconstructive Surgery

APPLICATION OF DIGITAL PLANNING WITH BONE PARAMETERS IN DETERMINING OPTIMAL SIZE OF PROSTHESIS

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