TY - JOUR
T1 - CT-based navigation for total hip arthroplasty
T2 - a meta-analysis
AU - Migliorini, Filippo
AU - Cuozzo, Francesco
AU - Oliva, Francesco
AU - Eschweiler, Joerg
AU - Hildebrand, Frank
AU - Maffulli, Nicola
N1 - Lehr-KH Academic Hospital of Bolzano (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical University, 39100, Bolzano, Italy
PY - 2023/10/18
Y1 - 2023/10/18
N2 - INTRODUCTION: Computer tomography (CT) based navigation is considered by some authors as an advance in total hip arthroplasty (THA). A meta-analysis was conducted to compare CT based versus conventional THA in terms of surgical duration of the procedure, leg length difference, acetabular cup position, and rate of dislocation.MATERIAL AND METHODS: The present study was conducted according to the PRISMA 2020. In December 2022, the following databases were accessed: PubMed, Web of Science, Google Scholar, Embase with no time constrain. All the clinical studies comparing CT based navigation versus the conventional THA were accessed.RESULTS: Data from 1801 procedures were collected. The mean age of the patients was 61.6 ± 5.3 years, and the mean BMI was 26.9 ± 2.3 kg/m2. There was between studies comparability at baseline in terms of age, BMI, pain score, Harris hip score, leg length discrepancy (P > 0.1). The navigated group demonstrated lower leg length discrepancy (P = 0.02), and lower degrees of cup anteversion (P = 0.002). Similarity was found in cup inclination (P = 0.98), surgical duration (P = 0.3), and the rate of dislocation (P = 0.6).CONCLUSION: CT guided THA may have the potential to increase the accuracy of acetabular positioning and reduce the leg length discrepancy. Current evidence is very limited and heterogeneous, and no recommendations can be inferred. Further investigations are required to definitely clarify the role of CT based THA in current practice.
AB - INTRODUCTION: Computer tomography (CT) based navigation is considered by some authors as an advance in total hip arthroplasty (THA). A meta-analysis was conducted to compare CT based versus conventional THA in terms of surgical duration of the procedure, leg length difference, acetabular cup position, and rate of dislocation.MATERIAL AND METHODS: The present study was conducted according to the PRISMA 2020. In December 2022, the following databases were accessed: PubMed, Web of Science, Google Scholar, Embase with no time constrain. All the clinical studies comparing CT based navigation versus the conventional THA were accessed.RESULTS: Data from 1801 procedures were collected. The mean age of the patients was 61.6 ± 5.3 years, and the mean BMI was 26.9 ± 2.3 kg/m2. There was between studies comparability at baseline in terms of age, BMI, pain score, Harris hip score, leg length discrepancy (P > 0.1). The navigated group demonstrated lower leg length discrepancy (P = 0.02), and lower degrees of cup anteversion (P = 0.002). Similarity was found in cup inclination (P = 0.98), surgical duration (P = 0.3), and the rate of dislocation (P = 0.6).CONCLUSION: CT guided THA may have the potential to increase the accuracy of acetabular positioning and reduce the leg length discrepancy. Current evidence is very limited and heterogeneous, and no recommendations can be inferred. Further investigations are required to definitely clarify the role of CT based THA in current practice.
KW - Humans
KW - Middle Aged
KW - Aged
KW - Arthroplasty, Replacement, Hip/adverse effects
KW - Hip Prosthesis
KW - Tomography, X-Ray Computed/methods
KW - Surgery, Computer-Assisted/methods
KW - Acetabulum/surgery
U2 - 10.1186/s40001-023-01437-4
DO - 10.1186/s40001-023-01437-4
M3 - Review article
C2 - 37853456
SN - 0949-2321
VL - 28
SP - 443
JO - EUROPEAN JOURNAL OF MEDICAL RESEARCH
JF - EUROPEAN JOURNAL OF MEDICAL RESEARCH
IS - 1
ER -