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Title of Journal: Arch Orthop Trauma Surg

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Abbravation: Archives of Orthopaedic and Trauma Surgery

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Springer Berlin Heidelberg

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DOI

10.1016/j.artres.2013.10.183

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1434-3916

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Do we need intraoperative radiographs for position

Authors: Kazunari Kuroda Tamon Kabata Toru Maeda Yoshitomo Kajino Hiroyuki Tsuchiya
Publish Date: 2014/03/06
Volume: 134, Issue: 5, Pages: 727-733
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Abstract

Poor longterm results of total hip arthroplasty THA can result from femoral component misalignment There are few reports that discuss the effectiveness of intraoperative radiographs for placing femoral components This study is a retrospective review to find out the usefulness of intraoperative radiographs in detecting and improving the femoral component misalignment in posteriorapproached primary THAThe study group included 150 primary THAs performed between September 2009 and April 2012 After the trial component insertion in lateral decubitus position intraoperative radiography was performed The surgeon assessed the femoral component position in three aspects alignment leg length and offset If it is not following the preoperative template the surgeon makes the intraoperative adjustments to change the femoral component position After the operation postoperative radiograph was taken the same parameters were measured and were compared to intraoperative findings The changes in each parameter were classified into three categories satisfactory no change and unsatisfactory Among the three parameters if one is satisfactory and the others are not unsatisfactory we defined it as accurate positioning of the femoral componentIntraoperative adjustments were made in 122 cases 813  The adjustments included changes in the component size 353  component alignment 386  femoral offset 140  and additional femoral neck cuts 560  As a result accurate positioning was successfully achieved in 112 cases 918  by taking intraoperative radiographs

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