Few reports were shown about the position of the cup in total hip arthroplasty (THA) with CT-based navigation system. We use minimally invasive surgery (MIS) technique when we perform cementless THA and the correct settings of cups are sometimes difficult in MIS. So we use CT-based navigation system for put implants with correct angles and positions. We evaluated the depth of cup which was shown on intra-operative navigation system. We treated 30 hips in 29 patients (1 male and 28 females) by navigated THA. 21 osteoarthritis hips, 6 rheumatoid arthritis hips and 3 idiopathic osteonecrosis hips were performed THA with VectorVision Hip 2.5.1 navigation system (BrainLAB). Implants were AMS HA cups and PerFix stems (Japan Medical Materials, Osaka). Appropriate angles and positions of cups were decided on the 3D model of pelvis before operation. According to the preoperative planning, we put the implants with navigation system. We correct the pelvic inclination angle and measured the depth of cups with 3D template software.Objectives
Materials and Methods
Many reports were shown about the angle of the cup in total hip arthroplasty (THA) with CT-based navigation system. However, there are few reports about the position of the stem. We investigated the position of the stem in navigated THA. We evaluated the position and alignment of stem which were shown on intra-operative navigation system. We treated 10 hips in 10 patients (1 male and 9 females) by navigated THA. 7 osteoarthritis hips and 3 idiopathic osteonecrosis hips were performed THA with VectorVision Hip 2.5.1 navigation system (BrainLAB). Implants were AMS HA cups and PerFix stems (Japan Medical Materials, Osaka). The positions of stem were decided on the 3D model of femur before operation. According to the preoperative planning, we put the implants with navigation system and recorded the position. We measured the position and alignment of stem with 3D template software after operation. We checked for complications.Objectives
Materials and Methods