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Merle, C; Innmann, MM; Westhauser, F; Sadoghi, P; Renkawitz, T.
[What are the benefits of patient-specific reconstruction in total hip replacement?]
Orthopade. 2021; 50(4):287-295 Doi: 10.1007/s00132-021-04087-8
Web of Science PubMed FullText FullText_MUG

 

Co-Autor*innen der Med Uni Graz
Sadoghi Patrick
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Abstract:
The success of primary total hip replacement (THR) is predominately determined by the primary stability of the implant and the restoration of the patient-specific joint biomechanics. The three-dimensional (patho-) anatomy, size, geometry, and shape of the acetabulum and proximal femur is highly variable in patients with advanced hip osteoarthritis. Accurate preoperative planning is an essential prerequisite for all replacement procedures. Current data demonstrates clinical advantages for patient-specific reconstruction of functional joint geometry via surrogate parameters (offset and leg length). Frequently cited "target zones" for the positioning and orientation of the cup are increasingly in the focus of scientific discussion, as individually adjusted target zones for implant positioning allow for a potential reduction of impingement risk. Patients with spinal fusions or pathologic spinopelvic alignment require that particular attention be paid to patient-specific preoperative preparation, the surgical technique, and implant selection in order to reduce the risk of postoperative instability.
Find related publications in this database (using NLM MeSH Indexing)
Acetabulum - diagnostic imaging
Acetabulum - surgery
Arthroplasty, Replacement, Hip -
Femur - surgery
Hip Joint - diagnostic imaging
Hip Joint - surgery
Hip Prosthesis -
Humans -
Osteoarthritis, Hip - diagnostic imaging
Osteoarthritis, Hip - surgery
Reconstructive Surgical Procedures -

Find related publications in this database (Keywords)
Acetabulum
Biomechanics
Hip osteoarthritis
Femur
Total hip arthroplasty
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