We acquired an optical tracking navigation system for Total Hip Arthroplasty. We compare cup positioning and other operative factors along with clinical results using navigated and non-navigated techniques in a series of 341 Total Hip Arthroplasties. This is a retrospective review of consecutive patients from November 2005 through December 2010, including 126 cases of imageless computer assisted total hip replacement and 215 cases of standard total hip replacement. We analyzed operative time, blood loss, leg length discrepancy, acetabular component inclination, complications, Harris Hip scores and performed a cost analysis. Follow-up was from 3–64 months. All cases were performed by or under the supervision of a single surgeon. Digital AP pelvic radiographs centered on hips were used for measurements. Radiographic results were averaged based on three individual measurements. Statistics required the student t-Test.Introduction
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