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The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

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Total Hip Replacements in Patients with Rare Pathologic Conditions Affecting Bone.

Aresh Sepehri¹, Arashdeep Sidhu, Bassam A Masri

¹Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.

The Journal of Bone and Joint Surgery. American Volume

|March 29, 2021

Summary

Total hip arthroplasty (THA) is advancing for hip osteoarthritis in patients with fragile bone. Careful planning and management of fractures are crucial for these complex cases.

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Area of Science:

Orthopedic Surgery
Biomedical Engineering
Radiology

Background:

Total hip arthroplasty (THA) is increasingly utilized for hip osteoarthritis, even in patients with compromised bone quality.
Fragile or pathologic bone presents unique challenges, often due to posttraumatic or congenital deformities.
Diligent preoperative planning is essential for successful outcomes in these complex cases.

Purpose of the Study:

To review the considerations for performing total hip arthroplasty in patients with fragile or pathologic bone.
To highlight the importance of preoperative planning and intraoperative fracture management.
To discuss the potential role of computer-assisted design components in this patient population.

Main Methods:

Literature review focusing on THA in patients with fragile/pathologic bone.
Analysis of challenges related to preoperative planning and intraoperative management.
Discussion of emerging technologies like computer-assisted design.

Main Results:

THA is feasible in patients with fragile bone, but requires specialized approaches.
Intraoperative iatrogenic fractures are a significant risk requiring careful management.
Computer-assisted design components may offer benefits due to patient variability.

Conclusions:

Total hip arthroplasty in patients with fragile bone necessitates meticulous planning and surgical expertise.
Managing intraoperative fractures is critical for successful arthroplasty outcomes.
Computer-assisted design presents a promising avenue for improving THA in complex bone conditions.