Clinical Study on the Effects of Total Hip Arthroplasty Assisted by Virtual Planning Combined With Intraoperative Navigation Templates

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Publicado en:Orthopaedic Surgery vol. 17, no. 3 (Mar 1, 2025), p. 831
Autor principal: Zhu, Haotian
Otros Autores: Wu, Jiayi, Cheng, Kai, Yan, Han, Liang, Junjun, Long, Yunjin, Fan, Shaoxing, Zhang, Yadi, Ding, Huanwen
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John Wiley & Sons, Inc.
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022 |a 1757-7853 
022 |a 1757-7861 
024 7 |a 10.1111/os.14335  |2 doi 
035 |a 3172835476 
045 0 |b d20250301 
084 |a 164730  |2 nlm 
100 1 |a Zhu, Haotian  |u South China University of Technology School of Medicine, Guangzhou, Guangdong, China 
245 1 |a Clinical Study on the Effects of Total Hip Arthroplasty Assisted by Virtual Planning Combined With Intraoperative Navigation Templates 
260 |b John Wiley & Sons, Inc.  |c Mar 1, 2025 
513 |a Journal Article 
520 3 |a ABSTRACT Objectives Although total hip arthroplasty (THA) effectively alleviates pain and restores joint function in the end‐stage hip disease, challenges remain in achieving precise osteotomy and minimizing subjective dependency on prosthesis positioning. This study aims to evaluate the efficacy and safety of preoperative virtual planning and navigation templates compared to conventional techniques, providing new methods to enhance the precision and personalization of THA. Methods During the period from 2022 to 2023, we conducted a retrospective case–control study on 74 patients who underwent THA surgery at our hospital, based on the inclusion and exclusion criteria. The study included 42 patients in the traditional method group, who underwent preoperative planning and surgical procedures according to traditional methods; and 32 patients in the digital assistance group, who used computer‐assisted virtual preoperative planning and three‐dimensional printed personalized navigation templates to assist in the surgery. The main parameters of the two groups were compared, including surgical time, blood loss, postoperative femoral anteversion, neck‐shaft angle, anatomical‐mechanical femoral axis angle (aMFA), leg length discrepancy (LLD), and the angle of hip prosthesis placement. The Harris hip score was recorded both preoperatively and at the final follow‐up to assess the accuracy of the prosthesis placement and the prognosis of the patients. Results There were no significant differences in femoral anteversion, neck‐shaft angle, aMFA, or LLD between the two groups. However, the digital group showed smaller deviations between the planned and actual acetabular prosthesis angles compared to the conventional group, with shorter operative times and reduced blood loss. Follow‐up Harris hip scores were significantly higher in the digital group (p < 0.05). Conclusions Digital technology enhances the accuracy and reproducibility of prosthesis placement in THA, reduces operative time and blood loss, and shows a promising potential for broader application. 
651 4 |a United States--US 
653 |a Hip joint 
653 |a Medical records 
653 |a Patients 
653 |a Osteoarthritis 
653 |a Augmented reality 
653 |a Pelvis 
653 |a Simulation 
653 |a Software 
653 |a Arthritis 
653 |a Prostheses 
653 |a Robotic surgery 
653 |a Joint replacement surgery 
653 |a 3-D printers 
653 |a Fractures 
653 |a Surgical outcomes 
653 |a Orthopedics 
653 |a Medical imaging 
653 |a Virtual reality 
653 |a Males 
653 |a Computer assisted surgery--CAS 
653 |a Digital technology 
653 |a X-rays 
700 1 |a Wu, Jiayi  |u Guangdong Pharmaceutical University, Guangzhou, Guangdong, China 
700 1 |a Cheng, Kai  |u The Guangzhou First People's Hospital, Guangzhou, Guangdong, China 
700 1 |a Yan, Han  |u The Guangzhou First People's Hospital, Guangzhou, Guangdong, China 
700 1 |a Liang, Junjun  |u The Guangzhou First People's Hospital, Guangzhou, Guangdong, China 
700 1 |a Long, Yunjin  |u Zunyi Medical University, Zhuhai, China 
700 1 |a Fan, Shaoxing  |u The Guangzhou First People's Hospital, Guangzhou, Guangdong, China 
700 1 |a Zhang, Yadi  |u South China University of Technology School of Medicine, Guangzhou, Guangdong, China 
700 1 |a Ding, Huanwen  |u South China University of Technology School of Medicine, Guangzhou, Guangdong, China 
773 0 |t Orthopaedic Surgery  |g vol. 17, no. 3 (Mar 1, 2025), p. 831 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3172835476/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3172835476/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3172835476/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch