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Comparison of acetabular shell position using patient specific instruments vs. standard surgical instruments: a randomized clinical trial.
Small, Travis; Krebs, Viktor; Molloy, Robert; Bryan, Jason; Klika, Alison K; Barsoum, Wael K.
Afiliación
  • Small T; Department of Orthopaedic Surgery, Cleveland Clinic-A41, Cleveland, Ohio.
  • Krebs V; Department of Orthopaedic Surgery, Cleveland Clinic-A41, Cleveland, Ohio.
  • Molloy R; Department of Orthopaedic Surgery, Cleveland Clinic-A41, Cleveland, Ohio.
  • Bryan J; Department of Orthopaedic Surgery, Cleveland Clinic-A41, Cleveland, Ohio.
  • Klika AK; Department of Orthopaedic Surgery, Cleveland Clinic-A41, Cleveland, Ohio. Electronic address: klikaa@ccf.org.
  • Barsoum WK; Department of Orthopaedic Surgery, Cleveland Clinic-A41, Cleveland, Ohio.
J Arthroplasty ; 29(5): 1030-7, 2014 May.
Article en En | MEDLINE | ID: mdl-24231437
Total hip arthroplasty (THA) survivorship relies largely upon appropriate acetabular cup placement. The purpose of this prospective randomized controlled trial was to determine whether the use of a preoperative 3D planning software in combination with patient specific instrumentation (PSI) results in improved cup placement compared with traditional techniques. Thirty-six THA patients were randomized into standard (STD) or PSI technique. Standard approach was completed using traditional techniques, while PSI cases were planned and customized surgical instruments were manufactured. Postoperative CT scans were used to compare planned to actual results. Differences found between planned and actual anteversion were -0.2° ± 6.9° (PSI) and -6.9°±8.9° (STD) (P = 0.018). Use of 3D preoperative planning along with PSIs resulted in significantly greater anteversion accuracy than traditional planning and instrumentation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Cadera / Acetábulo Tipo de estudio: Clinical_trials / Observational_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Arthroplasty Asunto de la revista: ORTOPEDIA Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Cadera / Acetábulo Tipo de estudio: Clinical_trials / Observational_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Arthroplasty Asunto de la revista: ORTOPEDIA Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos