The accuracy of pre-operative digital templating in total hip arthroplasty performed in a low-volume, resource-constrained orthopaedic unit
| Autor: | J D Jordaan, CA Blake, T Franken, K R Wiese, F W Kock |
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| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
Modern medicine business.industry medicine.medical_treatment Radiography Dentistry Retrospective cohort study 030229 sport sciences Prosthesis Arthroplasty 03 medical and health sciences 0302 clinical medicine Patient satisfaction Medicine General Materials Science Implant business Total hip arthroplasty |
| Zdroj: | SA Orthopaedic Journal. 19 |
| ISSN: | 2309-8309 |
| Popis: | Aims: Total hip arthroplasty (THA) is considered one of the most successful surgical procedures in modern medicine. The success of THA is well documented, and includes high patient satisfaction rates, low morbidity rates and cost-effective surgery. Most publications come from THA performed in high-volume arthroplasty units, done in high-income countries. Limited data is available on THA performed in low-volume, low-income countries. The aim of this study was to evaluate the accuracy of digital templating in a low-volume, resource constrained orthopaedic unit from 2016 to 2017. We introduced a standardised hip radiography programme, followed by a stepwise pre-operative templating method. We compared the implant sizes inserted during THA with the templated sizes determined pre-operatively. This was to deduct whether digital templating in a low volume arthroplasty unit is accurate and of the same value as digital templating done in a high-volume unit. Methods: A descriptive retrospective study was conducted on all patients who received elective primary uncemented THA in a low-volume, resource-constrained orthopaedic unit. Pre-operative radiographs were done according to guidelines published by Scheerlinck followed by pre-operative templating using the Impax Orthopaedic tools® software and a stepwise technique described by Bono. Implanted prosthesis sizes, as recorded in operation notes, were retrospectively compared to pre-operative templating. Results: A total of 56 participants were included (30 females, 26 males), with a mean age of 55.5 (32–78) years. On the acetabular side, in 71% (n=40; p |
| Databáze: | OpenAIRE |
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