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      • Record: found
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      Is Open Access

      Templating Hip Arthroplasty

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          Abstract

          BACKGROUND:

          Different methods have been developed and employed with variable degrees of success in pre-operative templating for total hip arthroplasty. Preoperative templating, especially digital templating, has been claimed to have increased the effectiveness of total hip arthroplasty by improving the precision of prediction of prosthetic implant size.

          AIMS:

          The overall aim of this systematic review is to identify whether the use of pre-operative templating in total hip arthroplasty procedures has resulted in increased accuracy, reliability and precision of the procedure. Various methods of templating, like traditional acetate overlay and digital method of templating that includes a single radiographic marker and double radiographic marker methods, have been compared to establish the most reliable method of templating.

          METHODS:

          We searched the PubMed, Google Scholar Cochrane Central Register of Controlled Trials (CENTRAL), and MEDLINE (1966 to present), EMBASE (1980 to present), CINAHL (1982 to present), Psych INFO (1967 to present) and Clinical Trials Gov.

          CONCLUSION:

          The results of this systemic review suggest that preoperative templating is resulting in an enormous increase in the accuracy of total hip arthroplasty and among various methods, King Mark is the most reliable method.

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          Most cited references56

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          Metal sensitivity in patients with orthopaedic implants.

          N Hallab, Edward Merritt, Donald Jacobs (2001)
          All metals in contact with biological systems undergo corrosion. This electrochemical process leads to the formation of metal ions, which may activate the immune system by forming complexes with endogenous proteins. Implant degradation products have been shown to be associated with dermatitis, urticaria, and vasculitis. If cutaneous signs of an allergic response appear after implantation of a metal device, metal sensitivity should be considered. Currently, there is no generally accepted test for the clinical determination of metal hypersensitivity to implanted devices. The prevalence of dermal sensitivity in patients with a joint replacement device, particularly those with a failed implant, is substantially higher than that in the general population. Until the roles of delayed hypersensitivity and humoral immune responses to metallic orthopaedic implants are more clearly defined, the risk to patients may be considered minimal. It is currently unclear whether metal sensitivity is a contributing factor to implant failure.
          Article 0 comments Cited 82 times – based on 0 reviews     Review now
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            The value of preoperative planning for total hip arthroplasty.

            S. Eggli, M Pisan, Albrecht M. Müller (1998)
            To analyse the value and accuracy of preoperative planning for total hip replacement (THR) we digitised electronically and compared the hand-sketched preoperative plans with the pre- and postoperative radiographs of 100 consecutive primary THRs. The correct type of prosthesis was planned in 98%; the agreement between planned and actually used components was 92% on the femoral side and 90% on the acetabular side. The mean (+/- SD) absolute difference between the planned and actual position of the centre of rotation of the hip was 2.5 +/- 1.1 mm vertically and 4.4 +/- 2.1 mm horizontally. On average, the inclination of the acetabular component differed by 7 +/- 2 degrees and anteversion by 9 +/- 3 degrees from the preoperative plans. The mean postoperative leg-length difference was 0.3 +/- 0.1 cm clinically and 0.2 +/- 0.1 cm radiologically. More than 80% of intraoperative difficulties were anticipated. Preoperative planning is of significant value for the successful performance of THR.
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              Arthroplasties (with and without bone cement) for proximal femoral fractures in adults.

              Martyn Parker, Kurinchi Selvan Gurusamy, Shin Azegami (2010)
              Numerous types of arthroplasties may be used in the surgical treatment of a hip fracture (proximal femoral fracture). The main differences between the implants are in the design of the stems, whether the stem is cemented or uncemented, whether a second articulating joint is included within the prosthesis (bipolar prosthesis), or whether a partial (hemiarthroplasty) or total whole hip replacement is used. To review all randomised controlled trials comparing different arthroplasties for the treatment of hip fractures in adults. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (September 2009), CENTRAL (The Cochrane Library 2009, Issue 3), MEDLINE, EMBASE and trial registers (all to September 2009), and reference lists of articles. All randomised and quasi-randomised controlled trials comparing different arthroplasties and their insertion with or without cement, for the treatment of hip fractures. Two review authors independently assessed trial quality, by use of a 10-item checklist, and extracted data. Twenty-three trials involving 2861 older and mainly female patients with proximal femoral fractures are included. Cemented prostheses, when compared with uncemented prostheses (6 trials, 899 participants) were associated with a less pain at a year or later and improved mobility. No significant difference in surgical complications was found. One trial of 220 participants compared a hydroxyapatite coated hemiarthroplasty with a cemented prosthesis and reported no notable differences between the two prosthesis. Comparison of unipolar hemiarthroplasty with bipolar hemiarthroplasty (7 trials, 857 participants, 863 fractures) showed no significant differences between the two types of implant. Seven trials involving 734 participants compared hemiarthroplasty with a total hip replacement (THR). Most studies involved cemented implants. Dislocation of the prosthesis was more common with the THR but there was a general trend within these studies to better functional outcome scores for those treated with the THR. There is good evidence that cementing the prostheses in place will reduce post-operative pain and lead to better mobility. From the trials to date there is no evidence of any difference in outcome between bipolar and unipolar prosthesis. There is some evidence that a total hip replacement leads to better functional outcome than a hemiarthroplasty. Further well-conducted randomised trials are required.
              Article 0 comments Cited 51 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Open Access Maced J Med Sci
                Journal ID (iso-abbrev): Open Access Maced J Med Sci
                Title: Open Access Macedonian Journal of Medical Sciences
                Publisher: Republic of Macedonia (ID Design 2012/DOOEL Skopje )
                ISSN (Electronic): 1857-9655
                Publication date Collection: 28 February 2019
                Publication date (Electronic): 23 February 2019
                Volume: 7
                Issue: 4
                Pages: 672-685
                Affiliations
                [1 ]Barnsley District General Hospital NHS Trust, Gawber Road Barnsley S75 2EP, Great Britain
                [2 ]Calderdale and Huddersfield NHS trust, Acre St, Huddersfield HD3 3EA, Great Britain
                [3 ]South Yorkshire Rotation, Great Britain
                Author notes
                [* ] Correspondence: Amro Alnahhal. Barnsley District General Hospital NHS Trust, Gawber Road Barnsley S75 2EP, Great Britain. E-mail: amroalnahhal1978@ 123456gmail.com
                Article
                Publisher ID: OAMJMS-7-672
                DOI: 10.3889/oamjms.2019.088
                PMC ID: 6420946
                PubMed ID: 30894933
                SO-VID: 97d7afef-b23d-4611-a3ba-3289c67cb6ac
                Copyright © Copyright: © 2019 Amro Alnahhal, Nayef Aslam-Pervez, Hassaan Q. Sheikh.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).

                History
                Date received : 12 November 2018
                Date revision received : 07 January 2019
                Date accepted : 08 January 2019
                Categories
                Subject: Review Article

                Keywords: total hip arthroplasty,digital templating,prosthetic implant size
                Data availability:
                Keywords: total hip arthroplasty, digital templating, prosthetic implant size

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