Functional safe zone for THA considering the patient-specific pelvic tilts: An ultrasound-based approach.
cup orientation
dislocation
functional safe zone
pelvic tilt
total hip arthroplasty
Journal
The international journal of medical robotics + computer assisted surgery : MRCAS
ISSN: 1478-596X
Titre abrégé: Int J Med Robot
Pays: England
ID NLM: 101250764
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
revised:
15
11
2022
received:
17
06
2022
accepted:
24
11
2022
pubmed:
26
11
2022
medline:
7
3
2023
entrez:
25
11
2022
Statut:
ppublish
Résumé
The usual Lewinnek orientation for cup positioning in total hip arthroplasty is not suitable for all patients as it does not consider the patient mobility. We propose an ultrasound-based approach to compute a Functional Safe Zone (FSZ) considering daily positions. Our goal was to validate it, and to evaluate how the input parameters impact the FSZ size and barycentre. The accuracy of the FSZ was first assessed by comparing the FSZ computed by the proposed approach and the true FSZ determined by 3D modelling. Then, the input parameters' impact on the FSZ was studied using a principal component analysis. The FSZ was estimated with errors below 0.5° for mean anteversion, mean inclination, and at edges. The pelvic tilts and the neck orientation were found correlated to the FSZ mean orientation, and the target ROM and the prosthesis dimensions to the FSZ size. Integrated into the clinical workflow, this non-ionising approach can be used to easily determine an optimal patient-specific cup orientation minimising the risks of dislocation.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e2486Subventions
Organisme : Endowment fund INNOVEO of the University Hospital of Brest
Organisme : Région Bretagne
Informations de copyright
© 2022 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons Ltd.
Références
AJRR. The Seventh Annual Report of the AJRR on Hip and Knee Arthroplasty; 2020. aaos.org/AJRRannualreport
Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hip-replacement arthroplasties. J Bone Jt Surg. 1978;60(2):217-220. https://doi.org/10.2106/00004623-197860020-00014
Gausden EB, Parhar HS, Popper JE, Sculco PK, Rush BN. Risk factors for early dislocation following primary elective total hip arthroplasty. J Arthroplasty. 2018;33(5):1567-1571.e2. https://doi.org/10.1016/j.arth.2017.12.034
Lazennec JY, Charlot N, Gorin M, et al. Hip-spine relationship: a radio-anatomical study for optimization in acetabular cup positioning. Surg Radiol Anat. 2004;26(2):136-144. https://doi.org/10.1007/s00276-003-0195-x
Vigdorchik J, Muir J, Buckland A, et al. Undetected intraoperative pelvic movement can lead to inaccurate acetabular cup component placement during total hip arthroplasty: a mathematical simulation estimating change in cup position. J Hip Surg. 2018;01(04):186-193. https://doi.org/10.1055/s-0038-1635103
Snijders TE, Schlösser TPC, Heckmann ND, et al. The effect of functional pelvic tilt on the three-dimensional acetabular cup orientation in total hip arthroplasty dislocations. J Arthroplasty. 2021;36(6):2184-2188.e1. https://doi.org/10.1016/j.arth.2020.12.055
Tezuka T, Heckmann ND, Bodner RJ, Dorr LD. Functional safe zone is superior to the Lewinnek safe zone for total hip arthroplasty: why the Lewinnek safe zone is not always predictive of stability. J Arthroplasty. 2019;34(1):3-8. https://doi.org/10.1016/j.arth.2018.10.034
Lazennec JY, Kim Y, Folinais D, Pour AE. Sagittal spinopelvic translation is combined with pelvic tilt during the standing to sitting position: pelvic incidence is a key factor in patients who underwent THA. Arthroplast Today. 2020;6(4):672-681. https://doi.org/10.1016/j.artd.2020.07.002
Dardenne G, Dusseau S, Hamitouche C, Lefevre C, Stindel E. Toward a dynamic approach of THA planning based on ultrasound. Clin Orthop Relat Res. 2009;467(4):901-908. https://doi.org/10.1007/s11999-008-0408-z
Luthringer TA, Vigdorchik JM. A preoperative workup of a “hip-spine” total hip arthroplasty patient: a simplified approach to a complex problem. J Arthroplasty. 2019;34(7):S57-S70. https://doi.org/10.1016/j.arth.2019.01.012
Mancino F, Cacciola G, Di Matteo V, et al. Surgical implications of the hip-spine relationship in total hip arthroplasty. Orthop Rev. 2020;12(1S):8-14. https://doi.org/10.4081/or.2020.8656
McKnight BM, Trasolini NA, Dorr LD. Spinopelvic motion and impingement in total hip arthroplasty. J Arthroplasty. 2019;34(7):S53-S56. https://doi.org/10.1016/j.arth.2019.01.033
Rivière C, Lazennec J-Y, Van Der Straeten C, Auvinet E, Cobb J, Muirhead-Allwood S. The influence of spine-hip relations on total hip replacement: a systematic review. Orthop Traumatol Surg Res. 2017;103(4):559-568. https://doi.org/10.1016/j.otsr.2017.02.014
Stefl M, Lundergan W, Heckmann N, et al. Spinopelvic mobility and acetabular component position for total hip arthroplasty. Bone Jt J. 2017;99B(1):37-45. https://doi.org/10.1302/0301-620x.99b1.bjj-2016-0415.r1
Haffer H, Adl Amini D, Perka C, Pumberger M. The impact of spinopelvic mobility on arthroplasty: implications for hip and spine surgeons. J Clin Med. 2020;9(2569):2569. https://doi.org/10.3390/jcm9082569
Pierrepont JW, Stambouzou CZ, Miles BP, et al. Patient specific component alignment in total hip arthroplasty. Reconstr Rev. 2016;6(4). https://doi.org/10.15438/rr.6.4.148
Habor J, Fischer MCM, Tokunaga K, Okamoto M, Radermacher K. The patient-specific combined target zone for morpho-functional planning of total hip arthroplasty. J Personalized Med. 2021;11(8):817. https://doi.org/10.3390/jpm11080817
Elkins JM, Callaghan JJ, Brown TD. The 2014 Frank Stinchfield Award: the ‘Landing Zone’ for wear and stability in total hip arthroplasty is smaller than we thought: a computational analysis. Clin Orthop Relat Res. 2015;473(2):441-452. https://doi.org/10.1007/s11999-014-3818-0
Alastruey-López D, Ezquerra L, Seral B, Pérez MA. Using artificial neural networks to predict impingement and dislocation in total hip arthroplasty. Comput Methods Biomech Biomed Eng. 2020;23(10):649-657. https://doi.org/10.1080/10255842.2020.1757661
Hsu J, de la Fuente M, Radermacher K. Calculation of impingement-free combined cup and stem alignments based on the patient-specific pelvic tilt. J Biomech. 2019;82:193-203. https://doi.org/10.1016/j.jbiomech.2018.10.020
Tang H, Li Y, Zhou Y, Wang S, Zhao Y, Ma Z. A modeling study of a patient-specific safe zone for THA: calculation, validation, and key factors based on standing and sitting sagittal pelvic tilt. Clin Orthop Relat Res Publish Ah. 2021:1-15. https://doi.org/10.1097/corr.0000000000001923
Schumann S. State of the art of ultrasound-based registration in computer assisted orthopedic interventions. In: Zheng G, Li S, eds. Computational radiology for orthopaedic interventions. Lecture notes in computational vision and biomechanics. Springer International Publishing; 2016:271-297.
Dardenne G, Pluchon JP, Letissier H, et al. Accuracy and precision of an ultrasound-based device to measure the pelvic tilt in several positions. J Ultrasound Med. 2020;39(4):667-674. https://doi.org/10.1002/jum.15141
Meng M. 3D CAD model library | GrabCAD; 2017. https://grabcad.com/library/hip-implant-ceramic-on-ceramic-1/details?folder_id=2917921
Roach KE, Miles TP. Normal hip and knee active range of motion: the relationship to age. Phys Ther. 1991;71(9):29-38. https://doi.org/10.1093/ptj/71.9.656
Yoshimine F. The safe-zones for combined cup and neck anteversions that fulfill the essential range of motion and their optimum combination in total hip replacements. J Biomech. 2006;39(7):1315-1323. https://doi.org/10.1016/j.jbiomech.2005.03.008
Kessler O, Patil S, Stefan W, Mayr E, Colwell CW, D'Lima DD. Bony impingement affects range of motion after total hip arthroplasty: a subject-specific approach. J Orthop Res. 2008;26(4):443-452. https://doi.org/10.1002/jor.20541
Prather H, Harris-Hayes M, Hunt DM, Steger-May K, Mathew V, Clohisy JC. Reliability and agreement of hip range of motion and provocative physical examination tests in asymptomatic volunteers. PM R. 2010;2(10):888-895. https://doi.org/10.1016/j.pmrj.2010.05.005
Miki H, Kyo T, Sugano N. Anatomical hip range of motion after implantation during total hip arthroplasty with a large change in pelvic inclination. J Arthroplasty. 2012;27(9):1641-1650.e1. https://doi.org/10.1016/j.arth.2012.03.002
Charbonnier C, Chagué S, Schmid J, Kolo FC, Bernardoni M, Christofilopoulos P. Analysis of hip range of motion in everyday life: a pilot study. HIP Int. 2015;25(1):82-90. https://doi.org/10.5301/hipint.5000192
Akoglu H. User's guide to correlation coefficients. Turkish J Emerg Med. 2018;18(3):91-93. https://doi.org/10.1016/j.tjem.2018.08.001
Schober P, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg. 2018;126(5):1763-1768. https://doi.org/10.1213/ane.0000000000002864
Dorr LD, Malik A, Dastane M, Wan Z. Combined anteversion technique for total hip arthroplasty. Clin Orthop Relat Res. 2009;467(1):119-127. https://doi.org/10.1007/s11999-008-0598-4
Jolles BM, Zangger P, Leyvraz PF. Factors predisposing to dislocation after primary total hip arthroplasty: a multivariate analysis. J Arthroplasty. 2002;17(3):282-288. https://doi.org/10.1054/arth.2002.30286
Nakashima Y, Hirata M, Akiyama M, et al. Combined anteversion technique reduced the dislocation in cementless total hip arthroplasty. Int Orthop. 2014;38(1):27-32. https://doi.org/10.1007/s00264-013-2091-2
Ertaş ES, Tokgözoğlu AM. Dislocation after total hip arthroplasty: does head size really matter? HIP Int. 2021;31(3):320-327. https://doi.org/10.1177/1120700019898404
Taki N, Mitsugi N, Mochida Y, Akamatsu Y, Saito T. Change in pelvic tilt angle 2 to 4 years after total hip arthroplasty. J Arthroplasty. 2012;27(6):940-944. https://doi.org/10.1016/j.arth.2011.10.003
Barbier O, Skalli W, Mainard D. Changes in pelvic orientation after total hip arthroplasty: a prospective study with EOSTM. Acta Orthop Belg. 2017;83(3):360-366.
Blondel B, Parratte S, Tropiano P, Pauly V, Aubaniac JM, Argenson JN. Pelvic tilt measurement before and after total hip arthroplasty. Orthop Traumatol Surg Res. 2009;95(8):568-572. https://doi.org/10.1016/j.otsr.2009.08.004
Homma Y, Ishii S, Yanagisawa N, et al. Pelvic mobility before and after total hip arthroplasty. Int Orthop. 2020;44(11):2267-2274. https://doi.org/10.1007/s00264-020-04688-6
Ishida T, Inaba Y, Kobayashi N, et al. Changes in pelvic tilt following total hip arthroplasty. J Orthop Sci. 2011;16(6):682-688. https://doi.org/10.1007/s00776-011-0153-0
Murphy WS, Klingenstein G, Murphy SB, Zheng G. Pelvic tilt is minimally changed by total hip arthroplasty hip. In: Clinical Orthopaedics and Related Research. Springer; 2013:417-421.
Nishihara S, Sugano N, Nishii T, Ohzono K, Yoshikawa H. Measurements of pelvic flexion angle using three-dimensional computed tomography. Clin Orthop Relat Res. 2003;411(411):140-151. https://doi.org/10.1097/01.blo.0000069891.31220.fd
Fischer MCMM, Tokunaga K, Okamoto M, et al. Implications of the uncertainty of postoperative functional parameters for the preoperative planning of total hip arthroplasty. J Orthop Res. 2022:1-7.