Correcting Hip Dysplasia in Young Adults: Intraoperative Navigation and Outcomes.

Autor:	Ondeck NT; Adult Reconstruction Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA., Borsinger TM; Adult Reconstruction Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA., Chalmers BP; Adult Reconstruction Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA., Blevins JL; Adult Reconstruction Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA.
Jazyk:	angličtina
Zdroj:	HSS journal : the musculoskeletal journal of Hospital for Special Surgery [HSS J] 2023 Nov; Vol. 19 (4), pp. 501-506. Date of Electronic Publication: 2023 Sep 22.
DOI:	10.1177/15563316231193003
Abstrakt:	Developmental dysplasia of the hip (DDH) often leads to characteristic acetabular dysplasia and typical femoral anomalies. There are numerous treatments for skeletally mature patients with DDH including hip arthroscopy, pelvic and femoral osteotomies, as well as total hip arthroplasty. Before proceeding to an arthroplasty procedure, it can be helpful to obtain an opinion of a hip preservation specialist to ascertain if alternative surgical treatments could contribute to the patient's care. In general, the use of robotic navigation has been associated with a higher proportion of cups placed in the Lewinnek safe zone, larger improvements in Harris Hip Scores, and no difference in overall complication rates in comparison to manual total hip arthroplasty. The use of robotic navigation allows for both 2-dimensional and 3-dimensional preoperative templating, enabling the surgeon to plan the position of the construct such that it achieves maximum bony purchase and hip stability. In complex DDH cases, surgeons can work with a biomechanics department to complete a fit check assessment, which utilizes 3-dimensional templating software to ascertain the appropriateness of the implant's geometry with the patient's anatomy. Furthermore, a 3-dimensional printed plastic model of the pelvis and/or femur can be constructed in order to complete a rehearsal procedure, which may be particularly helpful for those cases involving osteotomies. The literature on the use of robotic-assisted total hip arthroplasty in patients with DDH demonstrates improved component positioning in comparison to navigated as well as manual methods; however, studies with long-term follow-up in this patient population are lacking. Competing Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Brian P. Chalmers, MD, reports relationships with Orthodevelopment and Smith and Nephew. Jason L. Blevins, MD, reports relationships with Globus Medical, LimaCorporate, and Smith and Nephew. The other authors declare no potential conflicts of interest. (© The Author(s) 2023.)
Databáze:	MEDLINE
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