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A comparison of two different navigated hip replacement techniques on leg length discrepancy
T N Jennison1, P Craig1, Edward D Davis1
1Russells Hall Hospital, Dudley, West Midlands, DY1 2HQ, United Kingdom.
Navigated total hip arthroplasty using either a femoral array or pinless markers showed no significant difference in correcting leg length discrepancy. Both methods achieved comparable outcomes for patients.
Area of Science:
- Orthopedic Surgery
- Surgical Navigation Technology
Background:
- Leg length discrepancy is a common complication following total hip arthroplasty.
- Navigated surgery aims to improve accuracy in total hip arthroplasty.
- Different reference systems may impact the precision of navigated procedures.
Purpose of the Study:
- To compare the efficacy of a femoral array versus pinless reference markers in managing leg length discrepancy during navigated total hip arthroplasty.
- To determine if the choice of reference system influences intraoperative and postoperative leg length changes.
Main Methods:
- A prospective study involving 162 consecutive patients undergoing navigated total hip arthroplasty.
- Patients were divided into two groups based on the reference system used: femoral array or external pinless markers.
- Preoperative, intraoperative, and postoperative leg length discrepancy measurements were recorded and analyzed.
Main Results:
- No statistically significant difference was found in preoperative leg length discrepancy between the groups (p=0.524).
- Mean intraoperative changes in leg length were comparable: 3.7 mm for the femoral array group and 4.6 mm for the pinless marker group (p=0.262).
- Postoperative leg length measurements showed no significant difference, with mean changes of 4.2 mm and 4.1 mm, respectively (p=0.656).
Conclusions:
- Both the femoral array and pinless reference marker systems are equally effective in achieving accurate leg length equalization during navigated total hip arthroplasty.
- The selection of reference marker type does not significantly impact the management of leg length discrepancy in this navigated surgical approach.
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