Expert Consensus on the Technical Process for Preoperative Three-Dimensional Planning of Total Hip Arthroplasty Using a Dual Fluoroscopic Imaging System(2024 Version)
10.16156/j.1004-7220.2024.06.002
- VernacularTitle:双平面X线辅助全髋关节置换术前三维规划技术流程专家共识(2024年版)
- Author:
Juan WANG
1
;
Huiwu LI
;
Pei YANG
;
Li CAO
;
Yunsu CHEN
;
Eryou FENG
;
Zhenpeng GUAN
;
Wei HUANG
;
Pengfei LEI
;
Chunbao LI
;
Pingyue LI
;
Xiaoming LI
;
Zhitao RAO
;
Hua TIAN
;
Peijian TONG
;
Fei WANG
;
Guangji WANG
;
Liao WANG
;
Wei WANG
;
Yayi XIA
;
Peng XU
;
Qi YAO
;
Tengbo YU
;
Guoqiang ZHANG
;
Zongke ZHOU
;
Kunzheng WANG
;
Tsungyuan TSAI
;
Zhiyong HOU
Author Information
1. 河北医科大学第三医院 骨科,石家庄 050051
- Publication Type:Journal Article
- Keywords:
total hip arthroplasty(THA);
dual fluoroscopic imaging system;
preoperative three-dimensional planning;
technical process;
expert consensus
- From:
Journal of Medical Biomechanics
2024;39(6):1016-1025
- CountryChina
- Language:Chinese
-
Abstract:
Total hip arthroplasty(THA)is an effective treatment for elderly femoral neck fractures,mid-to late-stage femoral head necrosis,and end-stage hip osteoarthritis.However,serious complications such as aseptic loosening of the prosthesis,peripheral fractures,and dislocation of the prosthesis still exist following THA,which makes the selection of the appropriate hip prosthesis type and placement position before THA an important challenge for surgeons.Currently,the commonly used preoperative planning methods for THA mainly rely on static images from two-dimensional(2D)X-ray or three-dimensional(3D)computed tomography(CT),which fail to adequately consider the hip joint in weight-bearing as well as motion,lumbar-hip joint changes,and prosthetic impingement during motion.Recently,the dual fluoroscopic imaging system,as a new in-vivo,dynamic radiological imaging technology,provides comprehensive and accurate dynamic 3D data for THA preoperative planning.However,the technical process and expert consensus on preoperative 3D planning of THA using a dual fluoroscopic imaging system have not yet been established,which affects the promotion and application of this technology.In light of the above,national orthopaedic experts and related professional representatives discussed and proposed seven consensus issues,and the'expert recommendation rate'and'strong recommendation rate'were obtained through a questionnaire survey on the recommendations of the participating experts.This consensus aims to provide guidance and reference for the standardised application of preoperative 3D planning of THA using the dual fluoroscopic imaging system.
