Effectiveness of Virtual Surgical Planning and Three-Dimensional Anatomical Models in Radiological Reconstruction of Center of Rotation and Pelvic Brim in Patients with Anterior Column Defects Requiring Revision Hip Arthroplasty

<b>Background:</b> The aim of this study was to show that virtual surgical planning (VSP) and printed anatomical models support the reconstruction of the center of rotation (COR) and pelvic BRIM during revision hip surgery using a dual-mobility revision cup system in patients with anteri...

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Main Authors: Krzysztof Andrzejewski, Marcin Domzalski, Bozena Rokita, Jan Poszepczynski, Piotr Komorowski
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/14/22/2574
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author Krzysztof Andrzejewski
Marcin Domzalski
Bozena Rokita
Jan Poszepczynski
Piotr Komorowski
author_facet Krzysztof Andrzejewski
Marcin Domzalski
Bozena Rokita
Jan Poszepczynski
Piotr Komorowski
author_sort Krzysztof Andrzejewski
collection DOAJ
description <b>Background:</b> The aim of this study was to show that virtual surgical planning (VSP) and printed anatomical models support the reconstruction of the center of rotation (COR) and pelvic BRIM during revision hip surgery using a dual-mobility revision cup system in patients with anterior pelvic column damage and soft tissue envelope deficiency. <b>Methods:</b> Patients with anterior pelvic column damage and soft tissue envelope deficiency underwent revision hip arthroplasty. Virtual planning included assessment of bone segmentation, positioning of the cementless revision cup while maintaining the COR, and the assumed inclination and anteversion angles. <b>Results:</b> The diameter of the planned revision cups was 65.5 ± 2.1 mm, and the diameter of the revision cups used was 65.3 ± 2.1 mm. The difference in COR position in the horizontal axis was 7.8 ± 9.3 mm, in the vertical axis was 4.3 ± 5.9 mm, and in the axial plane was 1.6 ± 3.3 mm. The differences in inclination angle and in the anteversion angle were 12.4° and 8.7°, respectively. <b>Conclusions:</b> The use of VSP and 3D models supports the process of performing RHA surgery in patients with damage to the anterior pelvic column and soft tissue envelope deficiency.
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spelling doaj-art-932b50f321ba4ebcb5c57f0b014d505f2025-08-20T02:08:09ZengMDPI AGDiagnostics2075-44182024-11-011422257410.3390/diagnostics14222574Effectiveness of Virtual Surgical Planning and Three-Dimensional Anatomical Models in Radiological Reconstruction of Center of Rotation and Pelvic Brim in Patients with Anterior Column Defects Requiring Revision Hip ArthroplastyKrzysztof Andrzejewski0Marcin Domzalski1Bozena Rokita2Jan Poszepczynski3Piotr Komorowski4Veteran’s Memorial Hospital Medical, University of Lodz, Zeromskiego 113, 90-549 Lodz, PolandVeteran’s Memorial Hospital Medical, University of Lodz, Zeromskiego 113, 90-549 Lodz, PolandInstitute of Applied Radiation Chemistry, Faculty of Chemistry, Lodz University of Technology, Wroblewskiego 15, 93-590 Lodz, PolandVeteran’s Memorial Hospital Medical, University of Lodz, Zeromskiego 113, 90-549 Lodz, PolandDivision of Biophysics, Institute of Materials Science, Lodz University of Technology, Stefanowskiego 1/15, 90-924 Lodz, Poland<b>Background:</b> The aim of this study was to show that virtual surgical planning (VSP) and printed anatomical models support the reconstruction of the center of rotation (COR) and pelvic BRIM during revision hip surgery using a dual-mobility revision cup system in patients with anterior pelvic column damage and soft tissue envelope deficiency. <b>Methods:</b> Patients with anterior pelvic column damage and soft tissue envelope deficiency underwent revision hip arthroplasty. Virtual planning included assessment of bone segmentation, positioning of the cementless revision cup while maintaining the COR, and the assumed inclination and anteversion angles. <b>Results:</b> The diameter of the planned revision cups was 65.5 ± 2.1 mm, and the diameter of the revision cups used was 65.3 ± 2.1 mm. The difference in COR position in the horizontal axis was 7.8 ± 9.3 mm, in the vertical axis was 4.3 ± 5.9 mm, and in the axial plane was 1.6 ± 3.3 mm. The differences in inclination angle and in the anteversion angle were 12.4° and 8.7°, respectively. <b>Conclusions:</b> The use of VSP and 3D models supports the process of performing RHA surgery in patients with damage to the anterior pelvic column and soft tissue envelope deficiency.https://www.mdpi.com/2075-4418/14/22/2574revision hip arthroplastyoversizing techniquedual-mobility cupanterior column defectpelvic brim discontinuity
spellingShingle Krzysztof Andrzejewski
Marcin Domzalski
Bozena Rokita
Jan Poszepczynski
Piotr Komorowski
Effectiveness of Virtual Surgical Planning and Three-Dimensional Anatomical Models in Radiological Reconstruction of Center of Rotation and Pelvic Brim in Patients with Anterior Column Defects Requiring Revision Hip Arthroplasty
Diagnostics
revision hip arthroplasty
oversizing technique
dual-mobility cup
anterior column defect
pelvic brim discontinuity
title Effectiveness of Virtual Surgical Planning and Three-Dimensional Anatomical Models in Radiological Reconstruction of Center of Rotation and Pelvic Brim in Patients with Anterior Column Defects Requiring Revision Hip Arthroplasty
title_full Effectiveness of Virtual Surgical Planning and Three-Dimensional Anatomical Models in Radiological Reconstruction of Center of Rotation and Pelvic Brim in Patients with Anterior Column Defects Requiring Revision Hip Arthroplasty
title_fullStr Effectiveness of Virtual Surgical Planning and Three-Dimensional Anatomical Models in Radiological Reconstruction of Center of Rotation and Pelvic Brim in Patients with Anterior Column Defects Requiring Revision Hip Arthroplasty
title_full_unstemmed Effectiveness of Virtual Surgical Planning and Three-Dimensional Anatomical Models in Radiological Reconstruction of Center of Rotation and Pelvic Brim in Patients with Anterior Column Defects Requiring Revision Hip Arthroplasty
title_short Effectiveness of Virtual Surgical Planning and Three-Dimensional Anatomical Models in Radiological Reconstruction of Center of Rotation and Pelvic Brim in Patients with Anterior Column Defects Requiring Revision Hip Arthroplasty
title_sort effectiveness of virtual surgical planning and three dimensional anatomical models in radiological reconstruction of center of rotation and pelvic brim in patients with anterior column defects requiring revision hip arthroplasty
topic revision hip arthroplasty
oversizing technique
dual-mobility cup
anterior column defect
pelvic brim discontinuity
url https://www.mdpi.com/2075-4418/14/22/2574
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