Personalized image-based templates for precise acetabular prosthesis placement in total hip arthroplasty: a pilot study

Abstract

In order to achieve accurate implantation of the acetabular prosthesis in total hip arthroplasty (THA), we designed individual templates based on a three-dimensional (3D) model generated from computed tomography (CT) scans. Individual templates were designed for 12 patients who underwent THA. A physical template was designed to conform to the contours of the patient’s acetabulum and to confirm the rotation of the acetabular center. This guided the acetabular component orientation. The preoperative and postoperative X-ray and CT scans were obtained to assess the location with respect to the accuracy of the acetabular component. For all patients, the abduction angle of the acetabular component was 46.7° to 54.3° and the anteversion angle was 11.3° to 18.5°. The assessment of postoperative CT scans demonstrated higher accuracy of the acetabular component bore when used with the individual template. Therefore, the individual template can be an alternative to the computer-assisted navigation systems, with a good cost-performance ratio.