지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 1 - 14 (14page)
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In total hip arthroplasty (THA), the accurate positioning of implants is the key to achieve a good clinical outcome. Computer-assisted orthopaedic surgery (CAOS) has been developed for more accurate positioning of implants during the THA. There are passive, semi-active, and active systems in CAOS for THA. Navigation is a passive system that only provides information and guidance to the surgeon. There are 3 types of navigation: imageless navigation, computed tomography (CT)-based navigation, and fluoroscopy-based navigation. In imageless navigation system, a new method of registration without the need to register the anterior pelvic plane was introduced. CT-based navigation can be efficiently used for pelvic plane reference, the functional pelvic plane in supine which adjusts anterior pelvic plane sagittal tilt for targeting the cup orientation. Robot-assisted system can be either active or semi-active. The active robotic system performs the preparation for implant positioning as programmed preoperatively. It has been used for only femoral implant cavity preparation.
Recently, program for cup positioning was additionally developed. Alternatively, for ease of surgeon acceptance, semi-active robot systems are developed. It was initially applied only for cup positioning. However, with the development of enhanced femoral workflows, this system can now be used to position both cup and stem.
Though there have been substantial advancements in computer-assisted THA, its use can still be controversial at present due to the steep learning curve, intraoperative technical issues, high cost and etc. However, in the future, CAOS will certainly enable the surgeon to operate more accurately and lead to improved outcomes in THA as the technology continues to evolve rapidly.
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참고문헌 (69)
참고문헌 신청
Kalteis T / 2006 / Imageless navigation for insertion of the acetabular component in total hip arthroplasty: is it as accurate as CTbased navigation? / J Bone Joint Surg Br 88:163~167
Najarian BC / 2009 / Evaluation of component positioning in primary total hip arthroplasty using an imageless navigation device compared with traditional methods / J Arthroplasty 24:15~21
Wixson RL / 2005 / Total hip arthroplasty through a minimal posterior approach using imageless computerassisted hip navigation / J Arthroplasty 20(7 Suppl 3):51~56
윤호현 / 2014 / Navigated Acetabular Cup Fixation for Acetabular Deformity or Revision Total Hip Arthroplasty / Hip and Pelvis 26(3):150~156
Jun-Dong Chang / 2017 / Revision Total Hip Arthroplasty Using Imageless Navigation With the Concept of Combined Anteversion / The Journal of Arthroplasty 32(5):1576~1580
Najarian BC / 2009 / Evaluation of component positioning in primary total hip arthroplasty using an imageless navigation device compared with traditional methods / J Arthroplasty 24:15~21
Wixson RL / 2005 / Total hip arthroplasty through a minimal posterior approach using imageless computerassisted hip navigation / J Arthroplasty 20(7 Suppl 3):51~56
윤호현 / 2014 / Navigated Acetabular Cup Fixation for Acetabular Deformity or Revision Total Hip Arthroplasty / Hip and Pelvis 26(3):150~156
Jun-Dong Chang / 2017 / Revision Total Hip Arthroplasty Using Imageless Navigation With the Concept of Combined Anteversion / The Journal of Arthroplasty 32(5):1576~1580
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