Intellijoint HIP®: a 3D mini-optical navigation tool for improving intraoperative accuracy during total hip arthroplasty

Intellijoint HIP®: a 3D mini-optical navigation tool for improving intraoperative accuracy during total hip arthroplasty

Wayne G Paprosky,1,2 Jeffrey M Muir3 1Department of Orthopedics, Section of Adult Joint Reconstruction, Department of Orthopedics, Rush University Medical Center, Rush–Presbyterian–St Luke’s Medical Center, Chicago, 2Central DuPage Hospital, Winfield, IL, USA; 3Intellij...

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Autores principales: Paprosky WG, Muir JM
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
Materias:
total hip arthroplasty
leg length
offset
cup position
Intellijoint HIP®
intraoperative
Medical technology
R855-855.5
Acceso en línea:https://doaj.org/article/893975d9034947ddb515f7ea15fc7920
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spelling oai:doaj.org-article:893975d9034947ddb515f7ea15fc79202021-12-02T04:07:24ZIntellijoint HIP®: a 3D mini-optical navigation tool for improving intraoperative accuracy during total hip arthroplasty1179-1470https://doaj.org/article/893975d9034947ddb515f7ea15fc79202016-11-01T00:00:00Zhttps://www.dovepress.com/intellijoint-hipreg-a-3d-mini-optical-navigation-tool-for-improving-in-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Wayne G Paprosky,1,2 Jeffrey M Muir3 1Department of Orthopedics, Section of Adult Joint Reconstruction, Department of Orthopedics, Rush University Medical Center, Rush–Presbyterian–St Luke’s Medical Center, Chicago, 2Central DuPage Hospital, Winfield, IL, USA; 3Intellijoint Surgical, Inc, Waterloo, ON, Canada Abstract: Total hip arthroplasty is an increasingly common procedure used to address degenerative changes in the hip joint due to osteoarthritis. Although generally associated with good results, among the challenges associated with hip arthroplasty are accurate measurement of biomechanical parameters such as leg length, offset, and cup position, discrepancies of which can lead to significant long-term consequences such as pain, instability, neurological deficits, dislocation, and revision surgery, as well as patient dissatisfaction and, increasingly, litigation. Current methods of managing these parameters are limited, with manual methods such as outriggers or calipers being used to monitor leg length; however, these are susceptible to small intraoperative changes in patient position and are therefore inaccurate. Computer-assisted navigation, while offering improved accuracy, is expensive and cumbersome, in addition to adding significantly to procedural time. To address the technological gap in hip arthroplasty, a new intraoperative navigation tool (Intellijoint HIP®) has been developed. This innovative, 3D mini-optical navigation tool provides real-time, intraoperative data on leg length, offset, and cup position and allows for improved accuracy and precision in component selection and alignment. Benchtop and simulated clinical use testing have demonstrated excellent accuracy, with the navigation tool able to measure leg length and offset to within <1 mm and cup position to within <1° in both anteversion and inclination. This study describes the indications, procedural technique, and early accuracy results of the Intellijoint HIP surgical tool, which offers an accurate and easy-to-use option for hip surgeons to manage leg length, offset, and cup position intraoperatively. Keywords: total hip arthroplasty, leg length, offset, cup position, Intellijoint HIP, intraoperativePaprosky WGMuir JMDove Medical Pressarticletotal hip arthroplastyleg lengthoffsetcup positionIntellijoint HIP®intraoperativeMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 9, Pp 401-408 (2016)
institution DOAJ
collection DOAJ
language EN
topic total hip arthroplasty
leg length
offset
cup position
Intellijoint HIP®
intraoperative
Medical technology
R855-855.5
spellingShingle total hip arthroplasty
leg length
offset
cup position
Intellijoint HIP®
intraoperative
Medical technology
R855-855.5
Paprosky WG
Muir JM
Intellijoint HIP®: a 3D mini-optical navigation tool for improving intraoperative accuracy during total hip arthroplasty
description Wayne G Paprosky,1,2 Jeffrey M Muir3 1Department of Orthopedics, Section of Adult Joint Reconstruction, Department of Orthopedics, Rush University Medical Center, Rush–Presbyterian–St Luke’s Medical Center, Chicago, 2Central DuPage Hospital, Winfield, IL, USA; 3Intellijoint Surgical, Inc, Waterloo, ON, Canada Abstract: Total hip arthroplasty is an increasingly common procedure used to address degenerative changes in the hip joint due to osteoarthritis. Although generally associated with good results, among the challenges associated with hip arthroplasty are accurate measurement of biomechanical parameters such as leg length, offset, and cup position, discrepancies of which can lead to significant long-term consequences such as pain, instability, neurological deficits, dislocation, and revision surgery, as well as patient dissatisfaction and, increasingly, litigation. Current methods of managing these parameters are limited, with manual methods such as outriggers or calipers being used to monitor leg length; however, these are susceptible to small intraoperative changes in patient position and are therefore inaccurate. Computer-assisted navigation, while offering improved accuracy, is expensive and cumbersome, in addition to adding significantly to procedural time. To address the technological gap in hip arthroplasty, a new intraoperative navigation tool (Intellijoint HIP®) has been developed. This innovative, 3D mini-optical navigation tool provides real-time, intraoperative data on leg length, offset, and cup position and allows for improved accuracy and precision in component selection and alignment. Benchtop and simulated clinical use testing have demonstrated excellent accuracy, with the navigation tool able to measure leg length and offset to within <1 mm and cup position to within <1° in both anteversion and inclination. This study describes the indications, procedural technique, and early accuracy results of the Intellijoint HIP surgical tool, which offers an accurate and easy-to-use option for hip surgeons to manage leg length, offset, and cup position intraoperatively. Keywords: total hip arthroplasty, leg length, offset, cup position, Intellijoint HIP, intraoperative
format article
author Paprosky WG
Muir JM
author_facet Paprosky WG
Muir JM
author_sort Paprosky WG
title Intellijoint HIP®: a 3D mini-optical navigation tool for improving intraoperative accuracy during total hip arthroplasty
title_short Intellijoint HIP®: a 3D mini-optical navigation tool for improving intraoperative accuracy during total hip arthroplasty
title_full Intellijoint HIP®: a 3D mini-optical navigation tool for improving intraoperative accuracy during total hip arthroplasty
title_fullStr Intellijoint HIP®: a 3D mini-optical navigation tool for improving intraoperative accuracy during total hip arthroplasty
title_full_unstemmed Intellijoint HIP®: a 3D mini-optical navigation tool for improving intraoperative accuracy during total hip arthroplasty
title_sort intellijoint hip®: a 3d mini-optical navigation tool for improving intraoperative accuracy during total hip arthroplasty
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/893975d9034947ddb515f7ea15fc7920
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AT muirjm intellijointhiprega3dminiopticalnavigationtoolforimprovingintraoperativeaccuracyduringtotalhiparthroplasty
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