Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Modular Splined Tapered Stems Through the Direct Anterior Approach: Should I Make an Accessory Incision?

The Journal of arthroplasty·2025
Same author

Disaster-Plasty: A Guide to Leveraging Trauma and Arthroplasty Skills for Extreme Challenges.

Instructional course lectures·2025
Same author

Mitigating calcar fracture risk with automated impaction during total hip arthroplasty.

Journal of orthopaedics·2024
Same author

Use of an Automated Surgical Impactor Reduces Femoral Broaching Time in Direct Anterior Approach Total Hip Arthroplasty: Results From a Randomized, Multicenter Study.

Arthroplasty today·2024
Same author

Midterm results for revision total knee arthroplasty for component malrotation.

The Knee·2024
Same author

Complications and Survivorship After Aseptic Revision Total Hip Arthroplasty: Is There a Difference by Surgical Approach?

The Journal of arthroplasty·2024

Related Experiment Video

Updated: Aug 30, 2025

Augmented Reality Navigation-Guided Core Decompression for Osteonecrosis of Femoral Head
06:17

Augmented Reality Navigation-Guided Core Decompression for Osteonecrosis of Femoral Head

Published on: April 12, 2022

3.8K

Handheld Navigation Improves Accuracy in Direct Anterior Total Hip Replacement.

Nicholas L Kolodychuk1, Jesse A Raszewski2, Brian P Gladnick3

  • 1Fifth Year Orthopaedic Surgery Resident, Class of 2023, Cleveland Clinic, Akron General, Akron, OH, USA.

Arthroplasty Today
|August 29, 2022
PubMed
Summary

Handheld navigation in total hip arthroplasty (THA) improves acetabular component accuracy and reduces radiation exposure. Post-learning curve, operative times were comparable to conventional methods.

Keywords:
Anterior approachHandheld navigationRadiation exposureTotal hip arthroplasty

More Related Videos

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

2.9K
Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

11.9K

Related Experiment Videos

Last Updated: Aug 30, 2025

Augmented Reality Navigation-Guided Core Decompression for Osteonecrosis of Femoral Head
06:17

Augmented Reality Navigation-Guided Core Decompression for Osteonecrosis of Femoral Head

Published on: April 12, 2022

3.8K
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

2.9K
Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

11.9K

Area of Science:

  • Orthopedic Surgery
  • Medical Technology
  • Surgical Navigation

Background:

  • Conventional anterior total hip arthroplasty (THA) accuracy can be variable.
  • Assessing the learning curve for new navigation technologies is crucial for adoption.

Purpose of the Study:

  • To compare the accuracy of acetabular component placement, leg length, and offset using handheld navigation versus conventional THA.
  • To evaluate radiation exposure and operative times associated with handheld navigation.
  • To determine the learning curve for handheld navigation in THA.

Main Methods:

  • Prospective data collection from 159 THAs (99 handheld navigation, 60 conventional).
  • Accuracy assessed using predefined thresholds for acetabular inclination/version and leg length/offset discrepancies.
  • Comparison of fluoroscopy time/dose, operative time, and complications.

Main Results:

  • Handheld navigation showed high accuracy (mean 3.2° version, 1.8° inclination).
  • Significantly fewer outliers in version, inclination, leg length, and offset discrepancies with handheld navigation (P < .001).
  • Reduced fluoroscopic dose and time (P < .001) with handheld navigation; learning curve estimated at 31-35 cases.

Conclusions:

  • Handheld navigation enhances accuracy and reduces radiation in THA.
  • Fewer outliers and improved accuracy metrics observed with the navigation system.
  • Post-learning curve, operative times were similar to conventional techniques.