Pre-operative templating for trauma hemiarthroplasty (Thompson's)

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Medical Imaging

Background:

• Surgical complications in trauma hemiarthroplasty can be mitigated through preoperative planning.
• Accurate prosthesis selection is crucial for successful hip fracture repair.

Purpose of the Study:

• To evaluate the accuracy and reproducibility of digital templating for trauma hemiarthroplasty.
• To assess the utility of custom digital templates in prosthesis size selection.

Main Methods:

• Digital templates were created for the Stryker™ Thompson's prosthesis range.
• Two blinded surgeons retrospectively templated 50 cemented hemiarthroplasty cases.

Main Results:

• Templating demonstrated high accuracy for prosthesis size selection.
• Excellent inter- and intra-observer reproducibility was achieved.
• 100% sensitivity was observed in identifying femurs too narrow for the prosthesis.

Conclusions:

• Preoperative templating is a valuable tool for trauma hemiarthroplasty.
• Digital templating should be considered standard practice in trauma care.
• Custom templates facilitate accurate preoperative planning.