BACKGROUND: Total hip arthroplasty (THA) has evolved over the years to be a reliable, reproducible, and successful orthopedic procedure. Nowadays, THA is increasingly performed on patients using less invasive, tissue-preserving techniques. Accordingly, the use of computer navigation in total joint arthroplasty has become more prevalent. However, there is still lack of high-quality evidence to verify the most effective technique for THA. METHODS: A search was conducted in PubMed, Medline, Embase, Cochrane Central Register of Controlled Trials, and Google Scholar databases. Clinical trials published from 1966 to Feb 2012 that assess conventional techniques THA or computer-navigated techniques THA for placing the acetabular component. The main outcome measures included abduction angles, anteversion angles, percentage of acetabular outliers, operation time, decrease in Hb/24 h, and wound secretion/48 h. RESULTS: The pooled analysis across all studies showed a significant difference in anteversion angles and acetabular outliers (difference -0.22, 95% CI -0.67, 0.24; p = 0.346, I (2) = 71.9%) and (difference 8.34, 95% CI 4.15, 16.74; p = 0.000, I (2) = 0.0%). However, no significant difference in abduction angle and decrease in Hb/24 h (difference -0.22, 95% CI -0.67, 0.24; p = 0.346, I (2) = 71.9%) and (difference 0.03, 95% CI -0.36, 0.41; p = 0.888, I (2) = 0.0%). For the operation time, computer-navigated THA was longer (difference -0.73, 95% CI -1.32, -0.15; p = 0.014, I (2) = 74.4%). CONCLUSIONS: This meta-analysis demonstrated computer-navigated THA was a more favorable method for placing the acetabular component and decreased the number of acetabular cups implanted outside the desired range of alignment. More high-quality RCTs were needed to support the evidence.
BACKGROUND:Total hip arthroplasty (THA) has evolved over the years to be a reliable, reproducible, and successful orthopedic procedure. Nowadays, THA is increasingly performed on patients using less invasive, tissue-preserving techniques. Accordingly, the use of computer navigation in total joint arthroplasty has become more prevalent. However, there is still lack of high-quality evidence to verify the most effective technique for THA. METHODS: A search was conducted in PubMed, Medline, Embase, Cochrane Central Register of Controlled Trials, and Google Scholar databases. Clinical trials published from 1966 to Feb 2012 that assess conventional techniques THA or computer-navigated techniques THA for placing the acetabular component. The main outcome measures included abduction angles, anteversion angles, percentage of acetabular outliers, operation time, decrease in Hb/24 h, and wound secretion/48 h. RESULTS: The pooled analysis across all studies showed a significant difference in anteversion angles and acetabular outliers (difference -0.22, 95% CI -0.67, 0.24; p = 0.346, I (2) = 71.9%) and (difference 8.34, 95% CI 4.15, 16.74; p = 0.000, I (2) = 0.0%). However, no significant difference in abduction angle and decrease in Hb/24 h (difference -0.22, 95% CI -0.67, 0.24; p = 0.346, I (2) = 71.9%) and (difference 0.03, 95% CI -0.36, 0.41; p = 0.888, I (2) = 0.0%). For the operation time, computer-navigated THA was longer (difference -0.73, 95% CI -1.32, -0.15; p = 0.014, I (2) = 74.4%). CONCLUSIONS: This meta-analysis demonstrated computer-navigated THA was a more favorable method for placing the acetabular component and decreased the number of acetabular cups implanted outside the desired range of alignment. More high-quality RCTs were needed to support the evidence.
Authors: Fang Lin; Dohyung Lim; Richard L Wixson; Steven Milos; Ronald W Hendrix; Mohsen Makhsous Journal: J Arthroplasty Date: 2010-09-03 Impact factor: 4.757
Authors: Ernst Sendtner; Tibor Schuster; Michael Wörner; Thomas Kalteis; Joachim Grifka; Tobias Renkawitz Journal: Int Orthop Date: 2010-05-21 Impact factor: 3.075
Authors: G Saxler; A Marx; D Vandevelde; U Langlotz; M Tannast; M Wiese; U Michaelis; G Kemper; P A Grützner; R Steffen; M von Knoch; T Holland-Letz; K Bernsmann Journal: Z Orthop Ihre Grenzgeb Date: 2004 May-Jun
Authors: Akash Chaurasia; Jerry Yan; Robert Li; Kate McCarren; Claire State; Hannah Takasuka; Evan Bender; Aditi Jithendra; Julius K Oni; Amir Manbachi Journal: Des Med Devices Conf (2020) Date: 2020-07-27
Authors: Shane Korber; Joseph K Antonios; Lakshmanan Sivasundaram; Cory K Mayfield; Hyunwoo Paco Kang; Brian C Chung; Daniel A Oakes; Nathanael D Heckmann Journal: Arthroplast Today Date: 2021-10-29