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Peak Active Hip Flexion Following Navigated Total Hip Arthroplasty.

5 pagesPublished: October 27, 2019

Abstract

The importance of accurate cup positioning during total hip arthroplasty (THA) to minimise post- operative complications has been well defined. However it remains unclear if following navigated THA there is a relationship between the active range of movement, the inclination and anteversion of the implant, and the theoretical range of movement as measured intra-operatively using imageless navigation. Fifteen male patients undergoing primary THA using the Orthopilot (Aesculap AG, Tuttlingen, Germany) imageless navigation system were recruited. The Orthopilot system flexion value was recorded. Three months post-THA patients underwent 3D biomechanical analysis (Vicon Motion Systems, Oxford, UK) during which patients performed a standing active hip flexion movement and a sitting task. Inclination and anteversion calculated according to Pradhan’s formula were taken from post-operative radiographs. There was no observed correlation with the theoretical hip flexion and the standing peak active or sitting peak hip flexion values in this series. However, Orthopilot flexion considers only the interaction of the implant components and not the soft tissues surrounding the hip joint which may limit clinical flexion. There does not appear to be any relationship between the inclination and anteversion angles and the range of movement observed post- operatively during a standing active hip flexion task and sitting task. It was observed that peak active hip flexion between the operated and non-operated limbs was not significantly different at three months, which indicates a good level of symmetry at this time point.

Keyphrases: Functional Movement, Hip Arthroplasty, hip flexion

In: Patrick Meere and Ferdinando Rodriguez Y Baena (editors). CAOS 2019. The 19th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, vol 3, pages 223--227

Links:
BibTeX entry
@inproceedings{CAOS2019:Peak_Active_Hip_Flexion,
  author    = {Hollie Leonard and Alistair Ewen and Kamal Deep},
  title     = {Peak Active Hip Flexion Following Navigated Total Hip Arthroplasty.},
  booktitle = {CAOS 2019. The 19th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery},
  editor    = {Patrick Meere and Ferdinando Rodriguez Y Baena},
  series    = {EPiC Series in Health Sciences},
  volume    = {3},
  pages     = {223--227},
  year      = {2019},
  publisher = {EasyChair},
  bibsource = {EasyChair, https://easychair.org},
  issn      = {2398-5305},
  url       = {https://easychair.org/publications/paper/bX2V},
  doi       = {10.29007/z9fd}}
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