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Updated: Aug 11, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Less invasive total hip arthroplasty using navigational tools
Anthony M DiGioia1, Sorin Blendea, Branislav Jaramaz
1Renaissance Orthopaedics and Institute for Computer Assisted Orthopaedic Surgery, Western Pennsylvania Hospital, Pittsburgh, Pennsylvania, USA.
Abstract:
Although traditional total hip arthroplasty offers good visualization of bony landmarks and allows for the accurate orientation and fixation of implants, these benefits are achieved at the expense of extensive soft-tissue dissection and can result in postoperative complications and a delayed return to full function. To address these disadvantages, navigational tools were coupled with a mini-incision technique that allowed accurate bone preparation and orientation of the implant components without direct visualization of the bony landmarks. Additionally, image-guided systems provide three-dimensional information before and during surgery, making it possible to know, in real time, the orientation of implants and to visualize the full bony anatomy. This "computer-enhanced vision" allows surgeons to perform less invasive and eventually minimally invasive total hip arthroplasty with improved accuracy.

