Functional Component Positioning in Total Hip Arthroplasty and the Role of Robotic-Arm Assistance in Addressing Spinopelvic Pathology - 08/03/23
, Pierre Putzeys, MD c, Ricci Plastow, MBChB, FRCS (Tr&Orth) a, Dia Eldean Giebaly, MBChB, MSc, FRCS (Tr&Orth), eMBA a, b, Babar Kayani, MBBS, FRCS (Tr&Orth), PhD a, Fabrice Glod, MD c, Fares S. Haddad, BSc, MD(Res), MCh(Orth), FRCS (Tr&Orth), FFSEM a, bRésumé |
Hip, spine, and pelvis function as a unified kinetic chain. Any spinal pathology, results in compensatory changes in the other components to accommodate for the reduced spinopelvic motion. The complex relationship between spinopelvic mobility and component positioning in total hip arthroplasty presents a challenge in achieving functional implant positioning. Patients with spinal pathology, especially those with stiff spines and little change in sacral slope, are at high instability risk. In this challenging subgroup, robotic-arm assistance enables the execution of a patient specific plan, avoiding impingement and maximizing range of motion; especially utilizing virtual range of motion to dynamically assess impingement.
Le texte complet de cet article est disponible en PDF.Keywords : Robotic-arm assistance, Total hip arthroplasty, Spinal pathology, Spinopelvic stiffness, Functional component positioning, Functional anteversion, Virtual range of motion, Impingement
Plan
Vol 54 - N° 2
P. 121-140 - avril 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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