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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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FiguresFigure 1Friday, October 8, 2010, 16:30-17:20Session A16: Computer Navigation in THAThe Value <strong>of</strong> Three-Dimensional Computerised Planning <strong>of</strong> THA UsingAnterior Minimal Invasive Surgery.Background*Sari-Ali El-Hadi - Hopital Pitie Salpetriere - Paris, FranceRaphael Mauprivez - Hopital Pitie - PAris, FranceYves Catonné - hopital pitié - Paris, France*Email: hedisari@yahoo.frA high precision <strong>of</strong> three-dimensional (3D) computerised planning <strong>of</strong> THA was recentlyreported. However, <strong>the</strong>re is no comparative study analysing <strong>the</strong> value <strong>of</strong> 3D planningcomparatively to <strong>the</strong> planning made on X-rays using 2D templatesMaterial and methodA prospective comparative randomised study was carried out from 2008 to 2009, and included 2groups <strong>of</strong> 32 patients who <strong>under</strong>went THA for primary osteoarthritis. One surgeon performed all<strong>the</strong> procedures using a direct anterior approach. In one group, <strong>the</strong> planning was made oncalibrated X-Rays using 2D templates. In <strong>the</strong> o<strong>the</strong>r group, a 3D planning was performed basedon CT-scan using <strong>the</strong> Hip-Plan s<strong>of</strong>tware. Post operatively, <strong>the</strong> final hip anatomy was analysedon X-Rays for <strong>the</strong> 2D group and on CT-scan for <strong>the</strong> 3D group.ResultsIn <strong>the</strong> 3D group, <strong>the</strong> duration <strong>of</strong> <strong>the</strong> surgical procedure was 18% shorter and <strong>the</strong> bleeding was34% lower. The prediction rate <strong>of</strong> <strong>the</strong> stem and <strong>the</strong> cup sizes were respectively <strong>of</strong> 100% and97% in <strong>the</strong> 3D group. In <strong>the</strong> 2D group, <strong>the</strong>se rates were 43%. When combining bothcomponents, <strong>the</strong> prediction rate was 97% in <strong>the</strong> 3D group and 16% in <strong>the</strong> 2D group. The center<strong>of</strong> rotation, <strong>the</strong> femoral <strong>of</strong>f-set and <strong>the</strong> length were restored with a twice higher precision in <strong>the</strong>3D groupfile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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