The Journal of Bone and Joint Surgery (American). 2009;91:153-158.
doi:10.2106/JBJS.H.01463
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Role of Navigation in Total Hip Arthroplasty

Todd C. Kelley, MD1 and Michael L. Swank, MD2

1 Department of Orthopaedics, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH 45267-0212
2 Cincinnati Orthopaedic Research Institute, University of Cincinnati, 9825 Kenwood Road, Suite 200, Cincinnati, OH 45242. E-mail address: mswank2789{at}aol.com

Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. A commercial entity (Cincinnati Orthopaedic Research Institute) paid or directed in any one year, or agreed to pay or direct, benefits in excess of $10,000 to a research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which one or more of the authors, or a member of his or her immediate family, is affiliated or associated.

Current uses of computed tomography-based and imageless navigation systems for total hip arthroplasty include proper placement of the acetabular component, measurement of limb-length changes, enablement of minimally invasive surgery, and proper placement of components for hip resurfacing procedures. This article provides an overview of the rationale for computer-assisted surgery in total hip arthroplasty and hip resurfacing. The experience of the senior author (M.L.S.) with computer-assisted surgery for hip arthroplasty has demonstrated improved position of the acetabular component as compared with the position attainable with use of mechanical instruments, maintenance of appropriate position of the acetabular component during minimally invasive surgery, and appropriate positioning of the femoral and acetabular components during the learning curve for hip resurfacing procedures.


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