Predictive Value of Preoperative Digital Templating in THA Depends on the Surgical Experience of the Performing Physician

Mittag, Falk; Ipach, Ingmar; Schaefer, Ralf; Meisner, Christoph; Leichtle, Ulf

doi:10.3928/01477447-20120123-14

Cited by 22 publications

(18 citation statements)

References 15 publications

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“…Using the same method of templating, the orthopaedic surgeons correctly templates the acetabular component in 89% cases and the femoral component in 97% cases. This validated the statement that for the digital templating method to be accurate and reliable, it must be performed by an experienced hand rather than by untrained and unskilled personnel [36].…”

Section: Discussionsupporting

confidence: 57%

Templating Hip Arthroplasty

Alnahhal

Aslam-Pervez

Sheikh

2019

Open Access Maced J Med Sci

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BACKGROUND: Different methods have been developed and employed with variable degrees of success in pre-operative templating for total hip arthroplasty. Preoperative templating, especially digital templating, has been claimed to have increased the effectiveness of total hip arthroplasty by improving the precision of prediction of prosthetic implant size. AIMS: The overall aim of this systematic review is to identify whether the use of pre-operative templating in total hip arthroplasty procedures has resulted in increased accuracy, reliability and precision of the procedure. Various methods of templating, like traditional acetate overlay and digital method of templating that includes a single radiographic marker and double radiographic marker methods, have been compared to establish the most reliable method of templating. METHODS: We searched the PubMed, Google Scholar Cochrane Central Register of Controlled Trials (CENTRAL), and MEDLINE (1966 to present), EMBASE (1980 to present), CINAHL (1982 to present), Psych INFO (1967 to present) and Clinical Trials Gov. CONCLUSION: The results of this systemic review suggest that preoperative templating is resulting in an enormous increase in the accuracy of total hip arthroplasty and among various methods, King Mark is the most reliable method.

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Section: Discussionsupporting

confidence: 57%

Templating Hip Arthroplasty

Alnahhal

Aslam-Pervez

Sheikh

2019

Open Access Maced J Med Sci

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“…In the current literature this is controversial and contradictory results have been reported. While two studies found a significant influence of the professional experience on templating the components for THA [23,24], two recently published studies did not find a significant influence [19,25]. However, it should be noted that in all studies different types of observers were evaluated and some of the studies also included cemented as well as uncemented components and had small numbers in some of the subgroups [23,25].…”

Section: Discussionmentioning

confidence: 99%

“…While two studies found a significant influence of the professional experience on templating the components for THA [23,24], two recently published studies did not find a significant influence [19,25]. However, it should be noted that in all studies different types of observers were evaluated and some of the studies also included cemented as well as uncemented components and had small numbers in some of the subgroups [23,25]. In the present study, a significant difference was found for the acetabular component for the surgeons having longer professional experience (attending/R-5) compared to the surgeon with a shorter experience (R-3/R-1).…”

Section: Discussionmentioning

confidence: 99%

The accuracy of digital templating: a comparison of short-stem total hip arthroplasty and conventional total hip arthroplasty

Schmidutz

Steinbrück

Wanke-Jellinek

et al. 2012

International Orthopaedics (SICOT)

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Purpose Selection of the correct femoral stem size is crucial in total hip arthroplasty for an uncomplicated implantation and good initial stability. Pre-operative templating has been shown to be a valuable tool in predicting the correct implant size. For short-stem total hip arthroplasty (SHA), which recently is increasingly used, it is unknown if templating can be performed as reliable as conventional total hip arthroplasty (THA). Methods A total of 100 hip arthroplasties, 50 with SHA and 50 with THA, were templated by four orthopaedic surgeons each. The surgeons had different levels of professional experience and performed a digital template of the acetabular and femoral component on the pre-operative radiographs. The results were compared with the truly inserted implant size. Results For the femoral stems the average percentage of agreement (±1 size) was 89.0 % in SHA and 88.5 % in THA. There was no significant difference among surgeons in the accuracy of templating the correct stem size and no significant difference between templating SHA and THA. For the acetabular component the average percentage of agreement (±1 size) was 75.8 %. However, the more experienced surgeons showed a significant higher accuracy for templating the correct cup size than the less experienced surgeons. Conclusion Digital templating of SHA can predict the stem sizes as accurately as conventional THA. Therefore digital templating is also recommendable for SHA, as it helps to predict the implant size prior to surgery and thereby might help to avoid complications.

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“…Nowadays in the relevant domestic and foreign scientific editions there are no sociological reserachs dealing with PPS use in spine surgery. The relevance of the sociological study is caused by the extreme rarity of clinical application of SPP in our country, which is confirmed by single domestic publications [13,14], while there is a significant number of similar foreign publications, indicating the use of such systems in the US, UK and Germany [4][5][6][7][8][9][10][11][12][15][16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 93%

Preoperative planning software in vertebrology: issues and outlook

Fedonnikov¹,

Kovtun²,

Kossovich³

et al. 2017

Russ Open Med J

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It is established that relevance of the use of computer systems of the preoperative planning in activities of scientific and medical staff was confirmed 62.3% of the respondents. According to the survey 34.4% of respondents do not use any computer planning systems, and 21.3% of respondents could not name any specific system they are using. Problem of the lack of systematic training of specialized professionals working with specialized software products was revealed-62.3% of respondents obtain the information about the specialized software products only in the frames of various kinds of conferences and workshops.

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Predictive Value of Preoperative Digital Templating in THA Depends on the Surgical Experience of the Performing Physician

Cited by 22 publications

References 15 publications

Templating Hip Arthroplasty

Templating Hip Arthroplasty

The accuracy of digital templating: a comparison of short-stem total hip arthroplasty and conventional total hip arthroplasty

Preoperative planning software in vertebrology: issues and outlook

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