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3D Printing Navigation Template Used in Total Hip Arthroplasty for Developmental Dysplasia of the Hip

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Abstract

Background

The purpose of our study was to explore the feasibility of 3D printing navigation template used in total hip arthroplasty (THA) for adult developmental dysplasia of the hip (DDH).

Materials and Methods

25 patients who received THA for DDH from February 2014 to May 2018 were randomized into the control or intervention group. Of these patients, 12 received THAs assisted with 3D printing navigation templates, 13 THAs underwent THAs without navigation templates. The mean follow-up was 1.6 (range, 1.2–3.8) years. Clinical scores and radiographic results were evaluated for two groups.

Results

Operating time, intra- and postoperative hemorrhage and Harris Hip Score (HHS) at 6 months postoperatively in the 3D printing group were better than those for patients in the conventional hip replacement group, while infection and implant loosening were 0 in the two groups. There were no significant differences in anteversion angle, abduction angle and the distance from rotation center to the ischial tuberosity line in 3D printing group as compared to the normal side. The abduction angle and the distance from rotation center to the ischial tuberosity line were significantly different between the two sides in the traditional group.

Conclusion

Application of the 3D printing template for THA with DDH can facilitate the surgical procedure and create an ideal artificial acetabulum placement.

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References

  1. Sanchez-Sotelo, J., Berry, D. J., Trousdale, R. T., et al. (2002). Surgical treatment of developmental dysplasia of the hip in adults: II. Arthroplasty options. Journal of American Academy of Orthopaedic Surgeons, 10(5), 334–344.

    Article  Google Scholar 

  2. Ahmed, E., Ibrahim, E. G., & Ayman, B. (2015). Total hip arthroplasty with subtrochanteric osteotomy in neglected dysplastic hip. International Orthopaedics, 39(1), 27–33.

    Article  CAS  PubMed  Google Scholar 

  3. Eisler, T., Svensson, O., Tengstrom, A., et al. (2002). Patient expectation and satisfaction in revision total hip arthroplasty. Journal of Arthroplasty, 17(4), 457–462.

    Article  CAS  PubMed  Google Scholar 

  4. Wroblewski, B. M. (1984). Current trends in revision of total hip arthroplasty. International Orthopaedics, 8(2), 89–93.

    Article  CAS  PubMed  Google Scholar 

  5. Hartofilakidis, G., & Karachalios, T. (2004). Total hip arthroplasty for congenital hip disease. J Bone Jt Surg, 86(2), 242–250.

    Article  Google Scholar 

  6. Dandachli, W., Kannan, V., Richards, R., et al. (2008). Analysis of cover of the femoral head in normal and dysplastic hips: new CT-based technique. J Bone Jt Surg, 90(11), 1428–1434.

    Article  CAS  Google Scholar 

  7. Argenson, J. N., Ryembault, E., Flecher, X., et al. (2005). Three-dimensional anatomy of the hip in osteoarthritis after developmental dysplasia. J Bone Jt Surg, 87(9), 1192–1196.

    Article  Google Scholar 

  8. Vulcano, E., Murena, L., Falvo, D. A., et al. (2013). Bone marrow aspirate and bone allograft to treat acetabular bone defects in revision total hip arthroplasty: preliminary report. Eur Rev Med Pharmacol Sci., 17(16), 2240–2249.

    CAS  PubMed  Google Scholar 

  9. Chen, J., Zhu, W., Zhang, Z., et al. (2015). Efficacy of celecoxib for acute pain management following total hip arthroplasty in elderly patients: a prospective, randomized, placebo-control trial. Exp Ther Med., 10(2), 737–742.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Kaneyama, S., Sugawara, T., & Sumi, M. (2015). Safe and accurate midcervical pedicle screw insertion procedure with the patient-specific screw guide template system. Spine., 40(6), 341–348.

    Article  Google Scholar 

  11. Chen, H., Wang, G., Li, R., et al. (2016). A novel navigation template for fixation of acetabular posterior column fractures with antegrade lag screws: design and application. International Orthopaedics, 40(4), 827–834.

    Article  PubMed  Google Scholar 

  12. Chen, H., Wu, D., Yang, H., et al. (2015). Clinical use of 3D printing guide plate in posterior lumbar pedicle screw fixation. Medical Science Monitor, 18(21), 3948–3954.

    Article  Google Scholar 

  13. Stans, A. A., Pagnano, M. W., Shaughnessy, W. J., et al. (1998). Results of total hip arthroplasty for Crowe Type III developmental hip dysplasia. Clinical Orthopaedics and Related Research, 348, 149–157.

    Article  Google Scholar 

  14. Hurson, C., Tansey, A., O'Donnchadha, B., et al. (2007). Rapid prototyping in the assessment, classification and preoperative planning of acetabular fractures. Injury, 38(10), 1158–1162.

    Article  CAS  PubMed  Google Scholar 

  15. Ma, L., Zhou, Y., & Zhu, Y. (2016). 3D-printed guiding templates for improved osteosarcoma resection. Sci Rep., 21(6), 23335.

    Article  Google Scholar 

  16. Kunz, M., Rudan, J. F., & Xenoyannis, G. L. (2010). Computer-assisted hip resurfacing using individualized drill templates. Journal of Arthroplasty, 25(4), 600–606.

    Article  PubMed  Google Scholar 

  17. Kunz, M., Balaketheeswaran, S., Ellis, R. E., et al. (2015). The influence of osteophyte depiction in CT for patient-specific guided hip resurfacing procedures. International Journal of Computer Assisted Radiology and Surgery, 10(6), 717–726.

    Article  CAS  PubMed  Google Scholar 

  18. Hananouchi, T., Saito, M., Koyama, T., et al. (2010). Tailor-made surgical guide reduces incidence of outliers of cup placement. Clinical Orthopaedics and Related Research, 468(4), 1088–1095.

    Article  PubMed  Google Scholar 

  19. Small, T., Krebs, V., Molloy, R., et al. (2014). Comparison of acetabular shell position using patient specific instruments vs. standard surgical instruments: a randomized clinical trial. Journal of Arthroplasty, 29(5), 1030–1037.

    Article  PubMed  Google Scholar 

  20. Zhang, Y. Z., Chen, B., Lu, S., et al. (2011). Preliminary application of computer-assisted patient-specific acetabular navigational template for total hip arthroplasty in adult single development dysplasia of the hip. Int J Med Robot., 7(4), 469–474.

    Article  PubMed  Google Scholar 

  21. Wang, C., Xiao, H., Yang, W., et al. (2019). Accuracy and practicability of a patient-specific guide using acetabular superolateral rim during THA in Crowe II/III DDH patients: a retrospective study. J Orthop Surg Res., 14(1), 19.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Yan, L., Wang, P., Tang, C., et al. (2017). Effect of acetabular tilt angle on acetabular version in adults with developmental dysplasia of the hip. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi., 31(6), 647–652.

    PubMed  Google Scholar 

  23. Lu, S., Xu, Y. Q., Zhang, Y. Z., et al. (2009). A novel computer-assisted drill guide template for lumbar pedicle screw placement: a cadaveric and clinical study. Int J Med Robot., 5(2), 184–191.

    Article  PubMed  Google Scholar 

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Acknowledgements

Funds: Science and Technology Foundation of Nantong City (GJZ16103).

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Author notes

  1. Liang Yan and Peng Wang contributed equally to this work and should be considered co-first authors.

Authors and Affiliations

  1. Department of Orthopedics, The Second Affiliate Hospital of Soochow University, Soochow, 215000, Jiangsu, China

    Liang Yan & Haibin Zhou

  2. Department of Orthopedics, Nantong Rich Hospital, Nantong, 226300, Jiangsu, China

    Liang Yan & Peng Wang

Authors
  1. Liang Yan
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  2. Peng Wang
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  3. Haibin Zhou
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Correspondence to Haibin Zhou.

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On behalf of all authors, the corresponding author states that there is no conflict of interest.

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The Hospital General Universitario Ethic’s Committee approved the protocol.

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All patients gave their informed consent for the inclusion in the study.

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Yan, L., Wang, P. & Zhou, H. 3D Printing Navigation Template Used in Total Hip Arthroplasty for Developmental Dysplasia of the Hip. JOIO 54, 856–862 (2020). https://doi.org/10.1007/s43465-020-00093-8

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  • DOI: https://doi.org/10.1007/s43465-020-00093-8

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