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BACKGROUND There is a need to develop and validate a method for establishing cup orientation that is patient specific and independent of the anterior pelvic plane. It is our hypothesis that the transverse acetabular ligament and acetabular labrum can be used to do this. The objective of this study is to define the orientation of the plane formed by the(More)
This study presents a clinical validation of postoperative measurements of acetabular cup alignment following total hip arthroplasty (THA). The methodology was based on concurrent anatomic three-dimensional (3D) measurements of both the acetabular cup alignment and pelvic orientation, using an original CT/X-ray matching algorithm named Xalign. The subjects(More)
Variations in pelvic orientation affect preoperative planning decisions, intraoperative navigation, and postoperative measurements. By providing the means to measure pelvic flexion at low cost and reporting pelvic flexion using the standard reference system, a lateral radiograph technique based on the pubic tubercles and anterior superior iliac spines may(More)
Instability is one of the most challenging complications of total hip arthroplasty. The cause of instability is not always clear and treatment outcome is not always satisfactory. Treatment can be optimized by accurate identification of the cause of instability and precise surgical technique. In this case report, we illustrate the use of a three-dimensional(More)
Measurements of cup alignment after total hip replacement (THR) surgery are typically performed on postoperative pelvic radiographs. Radiographic measurement of cup orientation depends on the position and orientation of the pelvis on the X-ray table, and its variability could introduce significant measurement errors. We have developed a tool to accurately(More)
Surgical navigation systems assist surgeons by tracking targets attached to the patient's bones and to the surgical tools. Fluoroscopic navigation is a technology that adds "live" imaging to surgical navigation. In order to identify the limitations and potential sources of errors in fluoroscopic navigation, a virtual environment is created in which all the(More)
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