سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Khalifa, Ahmed, Abdelnasser, Mohammad, Ahmed, Ahmed M., Shetty, Gautum, Abdelaal, Ahmed. (1400). Smartphone Application Helps Improve the Accuracy of Cup Placement by Young, Less-Experienced Surgeons during Primary Total Hip Arthroplasty. , 10(3), 278-285. doi: 10.22038/abjs.2021.52402.2587
Ahmed A. Khalifa; Mohammad K. Abdelnasser; Ahmed M. Ahmed; Gautum M. Shetty; Ahmed M. Abdelaal. "Smartphone Application Helps Improve the Accuracy of Cup Placement by Young, Less-Experienced Surgeons during Primary Total Hip Arthroplasty". , 10, 3, 1400, 278-285. doi: 10.22038/abjs.2021.52402.2587
Khalifa, Ahmed, Abdelnasser, Mohammad, Ahmed, Ahmed M., Shetty, Gautum, Abdelaal, Ahmed. (1400). 'Smartphone Application Helps Improve the Accuracy of Cup Placement by Young, Less-Experienced Surgeons during Primary Total Hip Arthroplasty', , 10(3), pp. 278-285. doi: 10.22038/abjs.2021.52402.2587
Khalifa, Ahmed, Abdelnasser, Mohammad, Ahmed, Ahmed M., Shetty, Gautum, Abdelaal, Ahmed. Smartphone Application Helps Improve the Accuracy of Cup Placement by Young, Less-Experienced Surgeons during Primary Total Hip Arthroplasty. , 1400; 10(3): 278-285. doi: 10.22038/abjs.2021.52402.2587

Smartphone Application Helps Improve the Accuracy of Cup Placement by Young, Less-Experienced Surgeons during Primary Total Hip Arthroplasty

The Archives of Bone and Joint Surgery
مقاله 8، دوره 10، شماره 3، خرداد 2022، صفحه 278-285    اصل مقاله (2.04 M)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2021.52402.2587
نویسندگان
Ahmed A. Khalifa* 1؛ Mohammad K. Abdelnasser2؛ Ahmed M. Ahmed1؛ Gautum M. Shetty3؛ Ahmed M. Abdelaal2
1Orthopaedic Department, Qena Faculty of Medicine and University Hospital, South Valley University, Qena, Egypt
2Orthopaedic and Traumatology Department, Assiut University Hospital, Assiut, Egypt
3Knee & Orthopaedic Clinic, Powai, Mumbai Head of Research, AIMD Research
چکیده
Background: Dislocation after total hip arthroplasty (THA) partly under the surgeon’s control, by appropriate placement 
of the components. We aimed in this study to determine the accuracy of using intra-operative smartphone applications 
(Apps) to place the acetabular cup within the safe abduction angle by less experienced surgeons during THA surgery 
when compared to the conventional freehand technique for cup placement.
Methods: Sixty primary THAs were performed, 30 using the conventional freehand technique (control group) and 30 
using the smartphone app technique (study group) to determine the acetabular cup abduction angle by the same young 
surgeon with less than one year of experience. Postoperative mean cup abduction angle, mean cup anteversion angle, 
and the percentage of cups within the safe abduction zone as measured on radiographs were compared between the 
two groups.
Results: In the study group, the mean cup abduction angle was significantly lower (P=0.0008), and the acetabular 
cup was placed within the safe zone in a significantly higher (P<0.001) percentage of patients (93% vs 63%) when 
compared to the control group. However, there was no significant difference (P=0.40) between the two groups when 
the mean cup anteversion angle was compared.
Conclusion: The smartphone app technique may help achieve an accurate acetabular cup abduction angle and a 
higher percentage of cups placed within the safe zone of abduction by a less experienced surgeon when compared to 
the conventional freehand technique. Using tools such as the smartphone app to measure the acetabular cup position
can reduce intraoperative errors by young and less experienced surgeons during THA surgery.
Level of evidence: IV
کلیدواژه‌ها
Acetabular cup؛ Lewinnek safe zone؛ Total hip arthroplasty؛ Total hip replacement؛ Smartphone
مراجع
  1. Delaunay C, Hamadouche M, Girard J, Duhamel A. What are the causes for failures of primary hip arthroplasties in France? Clinical orthopaedics and related research. 2013;471(12):3863-9.
  2. Hailer NP, Weiss RJ, Stark A, Kärrholm J. The risk of revision due to dislocation after total hip arthroplasty depends on surgical approach, femoral head size, sex, and primary diagnosis. Acta Orthopaedica. 2012;83(5):442-8.
  3. Noticewala M, Murtaugh TS, Danoff J, Cunn GJ, Shah RP, Geller J. Has the risk of dislocation after total hip arthroplasty performed for displaced femoral neck fracture improved with modern implants? Journal of clinical orthopaedics and trauma. 2018;9(4):281-4.
  4. Ha Y-C, Yoo JJ, Lee Y-K, Kim JY, Koo K-H. Acetabular Component Positioning Using Anatomic Landmarks of the Acetabulum. Clinical Orthopaedics and Related Research®. 2012;470(12):3515-23.
  5. Patil S, Bergula A, Chen PC, Colwell CWJ, D’Lima DD. Polyethylene Wear and Acetabular Component Orientation. JBJS. 2003;85(suppl_4):56-63.
  6. Little NJ, Busch CA, Gallagher JA, Rorabeck CH, Bourne RB. Acetabular polyethylene wear and acetabular inclination and femoral offset. Clinical Orthopaedics and Related Research®. 2009; 467(11):2895-900.
  7. Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am. 1978;60(2):217-20.
  8. Callanan MC, Jarrett B, Bragdon CR, Zurakowski D, Rubash HE, Freiberg AA, et al. The John Charnley Award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital. Clinical orthopaedics and related research. 2011;469(2):319-29.
  9. Beverland DE, O’Neill CK, Rutherford M, Molloy D, Hill JC. Placement of the acetabular component. Bone Joint J. 2016;98-b(1 Suppl A):37-43.
  10. Archbold HA, Mockford B, Molloy D, McConway J, Ogonda L, Beverland D. The transverse acetabular ligament: an aid to orientation of the acetabular component during primary total hip replacement: a preliminary study of 1000 cases investigating postoperative stability. The Journal of bone and joint surgery. British volume. 2006; 88(7):883-6.
  11. Gandhi R, Marchie A, Farrokhyar F, Mahomed N. Computer navigation in total hip replacement: a meta-analysis. International Orthopaedics. 2009;33(3):593-7.
  12. Tagomori H, Kaku N, Tabata T, Kubota Y, Tsumura H. Comparison of cementless and cemented cups in revision total hip arthroplasty using a computed tomography-based navigation system. Journal of clinical orthopaedics and trauma. 2020;11(Suppl 2):S206-s10.
  13. Morgenstern R, Su EP. Handheld navigation for direct anterior total hip arthroplasty. Seminars in Arthroplasty. 2018;29(3):153-6.
  14. Pongkunakorn A, Chatmaitri S, Diewwattanawiwat K. Use of smartphone to improve acetabular component positioning in total hip athroplasty: A comparative clinical study. Journal of orthopaedic surgery (Hong Kong). 2019;27(1):2309499019825578.
  15. Peters FM, Greeff R, Goldstein N, Frey CT. Improving Acetabular Cup Orientation in Total Hip Arthroplasty by Using Smartphone Technology. The Journal of Arthroplasty. 2012;27(7):1324-30.
  16. Pai VS. A Modified Direct Lateral Approach in Total Hip Arthroplasty. Journal of Orthopaedic Surgery. 2002;10(1):35-9.
  17. Khalifa AA, Bakr HM, Said E, Mahran MA. Technical Note on Using Intraoperative Smartphone Applications to Adjust Cup Inclination Angle during Total Hip Arthroplasty (THA). Archives of Bone and Joint Surgery. 2020; 8(6):734.
  18. Jolles BM, Zangger P, Leyvraz PF. Factors predisposing to dislocation after primary total hip arthroplasty: A multivariate analysis. The Journal of Arthroplasty. 2002;17(3):282-8.
  19. Alzohiry MA, Abdelnasser MK, Moustafa M, Mahran M, Bakr H, Khalifa Y, et al. Accuracy of plain antero-posterior radiographic-based methods for measurement of acetabular cup version. Int Orthop. 2018;42(12):2777-85.
  20. Elkins JM, Callaghan JJ, Brown TD. The 2014 Frank Stinchfield Award: The ‘Landing Zone’ for Wear and Stability in Total Hip Arthroplasty Is Smaller Than We Thought: A Computational Analysis. Clinical Orthopaedics and Related Research®. 2015;473(2):441-52.
  21. Abdel MP, von Roth P, Jennings MT, Hanssen AD, Pagnano MW. What Safe Zone? The Vast Majority of Dislocated THAs Are Within the Lewinnek Safe Zone for Acetabular Component Position. Clinical Orthopaedics and Related Research®. 2016;474(2):386-91.
  22. Meermans G, Goetheer-Smits I, Lim RF, Van Doorn WJ, Kats J. The difference between the radiographic and the operative angle of inclination of the acetabular component in total hip arthroplasty: use of a digital protractor and the circumference of the hip to improve orientation. The bone & joint journal. 2015; 97(5):603-10.
  23. Jolles BM, Genoud P, Hoffmeyer P. Computer-assisted Cup Placement Techniques in Total Hip Arthroplasty Improve Accuracy of Placement. Clinical Orthopaedics and Related Research (1976-2007). 2004;426:174-9.
  24. Tay XW, Zhang BX, Gayagay G. Use of iPhone technology in improving acetabular component position in total hip arthroplasty. Arthroplasty Today. 2017;3(3):167-70.
  25. Hill JC, Gibson DP, Pagoti R, Beverland DE. Photographic measurement of the inclination of the acetabular component in total hip replacement using the posterior approach. The Journal of bone and joint surgery. British volume. 2010; 92(9):1209-14.
آمار
تعداد مشاهده مقاله: 824
تعداد دریافت فایل اصل مقاله: 403