Research progress of preoperative templating and planning in total hip arthroplasty

doi:10.3877/cma.j.issn.1674-134X.2021.01.014

Abstract

Abstract:

The number of total hip arthroplasty is increasing year by year. With the progress of surgical techniques and prosthesis design, hip arthroplasty is becoming more and more popular. However, intraoperative and postoperative complications, including leg length discrepancy, dislocation, fracture, nerve injury, prosthesis loosening and infection, are still the main problems. Faster rehabilitation, better postoperative function, shorter operation time and longer prosthesis service time are still the current goals. It is an effective method to recover the biomechanics of hip including femoral offset and lower limb length through good preoperative planning and intraoperation implementation. Preoperative planning has experienced the evolution process from X-ray based on acetate film template to digital two-dimensional template, and then to three-dimensional preoperative planning. Compared with CT examination, X-ray film has obvious deficiencies in the evaluation of hip detail morphology. CT based on 3D evaluation can optimize the selection of prosthesis position and size, and predict the difficulty of surgery. Preoperative planning combined with intraoperative navigation and surgical robot system plays an increasingly important role in the quality control of total hip arthroplasty in recent years.

Key words: Arthroplasty, replacement, hip, X-ray film, Tomography, X-ray computed

Zhengyu Xu, Junwei Du, Yao Jiang, Jiang Liu, Yan Zhang, Shuo Geng. Research progress of preoperative templating and planning in total hip arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(01): 83-91.

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References 56

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名称	定义
Lewinnek平面/前骨盆平面	双侧髂前上棘和耻骨联合3点构成的平面
骨盆水平轴	双侧髂前上棘连线
骨盆纵轴	双侧髂前上棘连线的中点与耻骨联合的连线
骨盆倾斜	骨盆绕骨盆水平轴的旋转角度
骨盆旋转	骨盆绕骨盆纵轴的旋转角度
髋臼轴	髋臼口平面的垂线
髋臼外展角	影像学定义：髋臼轴的冠状面投影与骨盆纵轴的交角
髋臼前倾角	解剖学定义：骨盆的纵轴和髋臼轴的夹角
	影像学定义：髋臼轴和冠状平面之间的夹角
	解剖学定义：髋臼轴在横断面上投影和骨盆水平轴的交角
股骨前倾角	股骨颈轴线和股骨后髁平面的夹角

名称	定义
Lewinnek平面/前骨盆平面	双侧髂前上棘和耻骨联合3点构成的平面
骨盆水平轴	双侧髂前上棘连线
骨盆纵轴	双侧髂前上棘连线的中点与耻骨联合的连线
骨盆倾斜	骨盆绕骨盆水平轴的旋转角度
骨盆旋转	骨盆绕骨盆纵轴的旋转角度
髋臼轴	髋臼口平面的垂线
髋臼外展角	影像学定义：髋臼轴的冠状面投影与骨盆纵轴的交角
髋臼前倾角	解剖学定义：骨盆的纵轴和髋臼轴的夹角
	影像学定义：髋臼轴和冠状平面之间的夹角
	解剖学定义：髋臼轴在横断面上投影和骨盆水平轴的交角
股骨前倾角	股骨颈轴线和股骨后髁平面的夹角

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