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This study evaluates the intrarater and inter-rater reliability of 3-dimensional (3D) computed tomography (CT) measurements of component position and alignment after total shoulder arthroplasty (TSA).
These scans were routinely performed in our center, with assessment of component position being the primary outcome measure.
Plain radiographs were obtained pre-operatively (for classification of disease), before discharge, and at one and two years post-operatively for assessment of component position and the presence of wear, radiolucent lines and stress resorption.
Because the angle formed by these axes and the bow of the tibia and femur have wide variability in females and males, a short film of the knee should not be used in place of the whole leg view when accurate assessment of component position and limb alignment is essential.
These findings confirm what has been demonstrated in the past in similar studies: The wide variety of bony anatomical structures and its influence through the adjacent joints regularly leads to an intraoperative false estimation of component position and angularity when visual judgement is used during THA.
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The trivector approach described in this work provides a way to extend this kind of recovery program to a wider range of patients with more difficult knees while remaining on the safe side in terms of component positioning, the cementing phase, and preservation of the extensor mechanism.
Software allows planning of component positioning in all 6 degrees of freedom.
In the past, computer navigation has improved the accuracy of component positioning.
We believe this technique is an essential part of component positioning and has to be addressed in further clinical studies.
We therefore investigated the degree of correlation between the preoperative plan of component positioning and the position achieved postoperatively with the PSPG technique.
We compared the accuracy of component positioning measured using radiographs and CT scans, operating time and clinical outcome 1 year after surgery.
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