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Related Experiment Video

Updated: Aug 14, 2025

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

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How to perform correct templating in total hip replacement.

A Di Martino1,2, V Rossomando3,4, M Brunello3,4

  • 11st Orthopaedic and Traumatologic Clinic, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136, Bologna, Italy. albertocorrado.dimartino@ior.it.

Musculoskeletal Surgery
|January 11, 2023
PubMed
Summary
This summary is machine-generated.

Preoperative templating is crucial for hip replacement surgery, ensuring optimal implant positioning. Digital and 3D technologies have significantly enhanced the accuracy and efficiency of this surgical planning process.

Keywords:
3D templatingAcetabular templatingDigital templatingFemoral templatingPlanningTotal hip arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Templating is a critical yet often underestimated component of hip replacement surgery.
  • Distinguishes between comprehensive patient planning and specific implant positioning (templating).
  • Accurate pelvic X-rays adhering to specific standards are fundamental for effective templating.

Purpose of the Study:

  • To outline the essential principles of correct templating in total hip arthroplasty (THA).
  • To review advancements in templating since the integration of digital and 3D technologies.
  • To highlight the evolution from traditional manual methods to modern digital approaches.

Main Methods:

  • Review of traditional templating techniques using manufacturer-provided transparent implant drawings.
  • Evaluation of the impact of digital software implementation on templating accuracy and reproducibility.
  • Exploration of 3D templating capabilities using software initially developed for personalized THA stems.

Main Results:

  • Digital software has improved the accuracy and consistency of templating using standard 2D radiographic images.
  • Digital preoperative templating enables hip surgeons to plan and size implants efficiently and affordably.
  • 3D templating offers advanced possibilities, leveraging software initially designed for custom implant creation.

Conclusions:

  • Correct templating is essential for successful total hip arthroplasty outcomes.
  • Digital and 3D technologies represent significant advancements in preoperative planning for THA.
  • The review underscores the importance of staying updated with technological innovations in surgical templating.