[Intraoperative assessment of pelvic tilt and cup position in total hip arthroplasty: the relevance of navigation and robotics].

Journal: Der Orthopade
Published Date:

Abstract

The optimal 3D positioning of the prosthesis components is of great importance for the stability and function of a total hip endoprosthesis. Pelvic tilt has a particular influence on the position of the implant. In order to use intraoperatively the knowledge on pelvic kinematics gained through preoperative imaging procedures and movement analyses, "image-based" and "image-free" robotic and navigation procedures are available. With the "image-based" procedures, a 3D CT scan serves as the surgeon's basis for operative planning. The "image-free" procedures are based on the principles of stereotaxy. In the future, information about static and dynamic pelvic tilt will be conntected with navigation and robotic systems for total hip arthroplasty. Along with intraoperative data a patientindividual optimized implant position can be achieved.

Authors

  • Tobias Renkawitz
    Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstrasse 200, 69118, Heidelberg, Deutschland. tobias.renkawitz@web.de.
  • Matthias Meyer
    Klinik und Poliklinik für Orthopädie der Universität Regensburg, Asklepios Klinikum Bad Abbach, Bad Abbach, Deutschland.
  • Florian Völlner
    Klinik und Poliklinik für Orthopädie der Universität Regensburg, Asklepios Klinikum Bad Abbach, Bad Abbach, Deutschland.
  • Markus Weber
    Klinik und Poliklinik für Orthopädie der Universität Regensburg, Asklepios Klinikum Bad Abbach, Bad Abbach, Deutschland.