Saratov JOURNAL of Medical and Scientific Research

The use of original device for positioning tools during the installation of femoral component of hip joint

Year: 2019, volume 15 Issue: №1 Pages: 57-61
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Varfolomeev D.l., Samoday V.G.
Organization: Voronezh State Medical University n.a. N.N. Burdenko
Summary:

Objective: to assess the accuracy of the femoral neck resection using the developed "Device for positioning tools for the installation of the femoral component of the hip prosthesis". Material and Methods. On the basis of the Department of traumatology and orthopedics of Voronezh state medical University n.a. N.N. Burdenko conducted experimental studies on 40 models of plastic bones. In the comparison group resection was performed using the proposed device, in the control group — using a standard guide. Results. Experimental studies have demonstrated higher accuracy of femoral neck osteotomy in the comparison group. The average value of the neck filing angle in the frontal plane in the comparison group was 3.2° higher than in the control group (p<0.05), and in the sagittal difference was 3.1°. The average distance from the line of the osteotomy to the apex of the greater trochanter in both groups was not significantly different (p=0.62). Conclusion. The use of the developed device allows to perform osteotomy of the femoral neck with high accuracy, as well as to control the position of the leg endoprosthesis, which helps to reduce the number of complications and improve the quality of life of patients.

Bibliography:
1 Ahtyamov IF, Kuzmin II. Errors and complications of hip arthroplasty: a guide for physicians. Kazan: Centr operativnoj pechati, 2006; 328 p.
2 Mironov SP, Kotelnikov GP, eds. Orthopaedics: the national guide. Moscow: GEOTAR-Media, 2008; p. 229-30
3 Plaass С. Influence of leg length discrepancy on clinical results after total hip arthroplasty: A prospective clinical trial. Hip Int 2011; 21 (4): 441-9
4 Nikolenko VK, Buryachenko BP, Davydov DV, et al. Endoprosthesis for wounds, injuries and diseases of the hip joint: A guide for doctors. Moscow: Medicine, 2009; p. 134-5
5 Tikhilov RM, Shapovalov VM, eds. The Guide for Hip Arthroplasty. SPb: RNIITO of R.R. Vreden; 2008; p. 194-5
6 Zagorodniy NV. Hip replacement: Fundamentals and practice. Moscow: GEOTAR-Media, 2012; p. 456-7
7 Raaijmaakers М. A custom-made guide-wire positioning device for Hip Surface Replacement Arthroplasty: description and first results. ВМС Musculoskeletal Disorders 2010; (11): 161-7
8 Xue E, Su Z, Chen C, et al. An intraoperative device to restore femoral offset in total hip arthroplasty. J Orthop Surg Res 2014; (9): 58-60
9 Malik A, MaheshwarAI, Dorr LD. Impingement with total hip replacement. J Bone Joint Surg Am 2007; (89): 1832-42
10 Varfolomeev Dl. Device for positioning tools during the installation of the femoral component of the hip joint: Patent RF, 2609291, 2017.

No votes yet