three minutes to precise acetabular cup alignment · 2020-01-30 · three minutes to precise...
TRANSCRIPT
three minutes to precise acetabular cup alignment
Fast, accurate, and cost-effective mechanical navigation system
(JL[HI\SHY�J\W�THSWVZP[PVUPUN�PZ�VUL�VM�[OL�TVZ[�ZPNUPÄJHU[�WYVISLTZ�HZZVJPH[LK�^P[O�[V[HS�OPW�HY[OYVWSHZ[`��;/(��HUK�OPW�YLZ\YMHJPUN1��:[\KPLZ�ZOV^�[OH[�Z\YNLVUZ�THSWVZP[PVU�J\WZ�TVYL�[OHU�����VM�[OL�[PTL�K\YPUN�these surgeries1�HUK�[OH[�J\W�THSWVZP[PVUPUN�PZ�[OL�ZPUNSL�NYLH[LZ[�MHJ[VY2�HZZVJPH[LK�^P[O�[OL�[^V�TVZ[�JVTTVU�YLHZVUZ�MVY�YL]PZPVU�;/(!�KPZSVJH[PVU�HUK�^LHY�VZ[LVS`ZPZ3.
Introducing the
“The HipXpert is an ingenious tool thatdramatically reduces the chance of acetabular cup malpositioning compared to traditional methods of alignment. I have found it to be very simple and quick to use, in contrast to available computer-assisted methods.”
- Samuel S. Wellman, M.D.,Duke University Medical Center
Four Steps to Success
Preparing for HipXpert use is simple.In fact, we do the planning for you:
• @V\Y�YHKPVSVN`�KLWHY[TLU[�VY�V\Y�/PWXpert�YLWYLZLU[H[P]L�ZLJ\YLS`�\WSVHKZ�WH[PLU[�PTHNL�KH[H�[V�[OL�/PW:L_[HU[�^LIZP[L�
• Our�L_WLY[Z�JYLH[L�H�detailed �+�TVKLS�HUK�H�WH[PLU[�ZWLJPÄJ�/PWXpert�J\W�alignment plan.
• (�Z\YNPJHS�WSHU��PUJS\KPUN�JVTWSL[L�PUZ[Y\TLU[�ZL[[PUNZ�HUK�\ZHNL�PUZ[Y\J[PVUZ��PZ�WVZ[LK�[V�[OL�Z\YNLVU»Z�ZLJ\YL�MVSKLY�VU�[OL�HipXpert�^LIZP[L��
• ;OL�Z\YNLVU�KV^USVHKZ�HUK�VWLUZ�[OL�WSHU�\ZPUN�HipXpert�ZVM[^HYL�[OH[�Y\UZ�VU�HU`�KLZR[VW�VY�SHW[VW�JVTW\[LY��;OL�Z\YNLVU�L]LU�OHZ�[OL�ÅL_PIPSP[`�[V�TVKPM`�[OL�WSHU�ILMVYL�VY�K\YPUN�Z\YNLY �̀�
The source of this problem is simple: surgeons OH]L�UV[�OHK�H�WYHJ[PJHS��JVZ[�LMMLJ[P]L�PUZ[Y\TLU[�MVY�HJJ\YH[LS`�HSPNUPUN�J\WZ��;YHKP[PVUHS�OPW�PUZ[Y\TLU[Z�HUK�[LJOUPX\LZ��HUH[VTPJHS�SHUKTHYRZ��PU[YHVWLYH[P]L�PTHNPUN�HUK�HU[LYPVY�OPW�Z\YNLY`��HYL�UV[�YLSPHIS`�HJJ\YH[L1,5���(U[LYPVY�OPW�Z\YNLY`�PZ�HSZV�L_WLUZP]L��*�HYT��ZWLJPHS�[HISL��*�HYT�[LJO���*VTW\[LY�HZZPZ[LK�HUK�YVIV[PJ�HWWYVHJOLZ�HYL�HSZV�[VV�L_WLUZP]L��[PTL�JVUZ\TPUN�HUK�JVTWSL_�MVY�WYHJ[PJHS�^PKLZWYLHK�\ZL���
The HipXpert system provides a patient-specific solution using a mechanical navigation instrument and a software application with details of the surgical plan. The system takes minutes to use and provides accuracy equal to or better than high-end computer-assisted navigation5. Based on patented technology, the HipXpert is reusable, cost-effective, and easily deployed across multiple operating rooms. Simply put, it is the cup-alignment solution surgeons have been waiting for.
So simple, it’s brilliant.
“It gave me tremendous peace of mind knowing my surgeon was using the HipXpert. If your surgeon has it, your surgeon gets it.” - Mark Grant, Patient
The HipXpert is a smart mechanical navigation instrument that predictably docks to[OL�WLS]PZ�VU�H�WH[PLU[�ZWLJPÄJ�IHZPZ�
• ;OL�ÄYZ[�SLN�PZ�WSHJLK�VU�[OL�PZJOP\T�HZ�P[�QVPUZ�[OL�WVZ[LYPVY�^HSS�VM�[OL�HJL[HI\S\T�^P[O�H�JVUZ[HU[�KPZ[HUJL�MYVT�[OL�PUMYHJV[`SVPK�UV[JO��:\YNLVUZ�ÄUK�[OPZ�WVPU[�\ZPUN�H�JHSPIYH[LK�KYPSS�N\PKL�
• ;OL�ZLJVUK�SLN�SHUKZ�VU�[OL�SH[LYHS�HZWLJ[�VM�[OL�HU[LYPVY�Z\WLYPVY�PSPHJ�ZWPUL��
• ;OL�[OPYK�SLN�SHUKZ�VU�[OL�Z\YMHJL�VM�[OL�PSP\T��H�Ä_LK�KPZ[HUJL�MYVT�[OL�ÄYZ[�[^V�SLNZ��HU[LYPVY�to the sciatic notch.
• ;OL�WH[PLU[�ZWLJPÄJ�SHUKPUN�WVZP[PVU�VM�[OL�/PWXpert�PZ�RUV^U�YLSH[P]L�[V�[OL�HU[LYPVY�WLS]PJ�WSHUL�• ;OL�KPYLJ[PVU�PUKPJH[VY�[OLU�WVPU[Z�[V�[OL�Z\YNLVU»Z�KLZPYLK�J\W�VYPLU[H[PVU��
Instrument Design
Surgical Technique: Three Minutes to Precise Cup Alignment
7SHJL�H�[OYLHKLK�WPU�PU[V�PZJOP\T�H[�[OL�IHZLWVPU[�SVJH[PVU�\ZPUN�H�JHSPIYH[LK�KYPSS�N\PKL��
:SPKL�[OL�PUZ[Y\TLU[�V]LY�[OL�IHZLWVPU[�N\PKL�^PYL�HM[LY�WSHJPUN�[OL�J\W�PU[V�[OL�HJL[HI\S\T�
7LYJ\[HULV\ZS`�WSHJL�[OL�ÄYZ[�[YVJHY�Q\Z[�HKQHJLU[�[V�[OL�HU[LYPVY�Z\WLYPVY�PSPHJ�ZWPUL�
7LYJ\[HULV\ZS`�WSHJL�[OL�ZLJVUK�[YVJHY�[V�JVTWSL[L�[OL�KVJRPUN�VM�[OL�PUZ[Y\TLU[�
=PZ\HSS`�HSPNU�[OL�J\W�OHUKSL�^P[O�[OL�HSPNUTLU[�PUKPJH[VY�HUK�ÄUL�[\UL�J\W�HSPNUTLU[�\ZPUN�[OL�WHYHSSLS�N\PKL�
;OL�/PWXpert�THPU[HPUZ�[OL�UH[\YHS�ÅV^�VM�Z\YNLY`�I`�LUHISPUN�HJJ\YH[L�J\W����������� alignment in just three minutes.
+PYLJ[PVU0UKPJH[VY
+PYLJ[PVUHS0UKPJH[VYSupport
6MM�7SHUL�Protractor 0U�7SHUL
Protractor
Trocar
Trocar
Trocar*HU\SH ;YVJHY�*HU\SH
)HZLWVPU[�*HU\SH
LeftArm
RightArm
/PWXpertBase
www.hipxpert.com | [email protected] | 617.277.4434
1 Callanan MC, Jarrett B, Bragdon CR, Zurakowski D, Rubash HE, Freiberg AA, Malchau H. The John Charley Award: Risk Factors for Cup Malpositioning: Quality Improvement Through a Joint Registry at a Tertiary Hospital. Clin Orthop Relat Res. (2011) 469:319-329.2 Kennedy JG, Rogers WB, Soffe KE, Sullivan RJ, Friffen DG, Sheehan LJ. Effect of Acetabular Component Orientation on Recurrent Dislocation, Pelvic Osteolysis, Polyethylene Wear, and Component Migration. J. Arthroplasty. 13(5): 530-534, 1998.3 Ali Khan MA, Brakenbury PH, Reynolds IS. Dislocation following total hip replacement. J Bone Joint Surg Br. 1981;63-B(2):214-8.4 Saxler G, Marx A, Vandevelde D, Langlotz U, Tannast M, Wiese M, Michaelis U, Kemper G, Grutzner PA, Steffen R, von Knoch M, Holland-Letz T, Bernsmann K. The accuracy of free-hand cup positioning – a CT based measurement of cup placement in 105 total hip arthroplasties. Int Orthop. 28:198-201. 2004.4 Steppacher SD, Kowal JH, Murphy SB. Improving Cup Positioning Using A Mechanical Navigation Instrument. Clin Orthop Relat Res. (2011) 469:423-428
The HipXpert vs. Alternative ApproachesThe HipXpert is the only acetabular cup positioning system available today that combines ease-of-use and cost-effectiveness with proven accuracy. When compared to other cup-alignment options, the choice is clear.
STUDY RESULTS: HipXpert More Accurate than CT-based NavigationIn a study comparing inclination and anteversion accuracy in 70 THAs performed using the HipXpert vs. a control group of 146 THAs performed using CT-based hip navigation, the HipXpert was statistically superior. Additionally, incision-to-dressing time using the HipSextant was 20 minutes faster than with the control group5. Following are the key results from the study.
ML-009 REV01
Accurate
The HipXpert
IntraoperativeRadiographs
InternalAnatomicalLandmarks
Anterior HipSurgery Without
Navigation
Pre-NavigationUsing Custom
Templates
ConventionalComputer-AssistedSurgery Robotics
Easy-to-Learn
Easy-to-Use
Non-Disruptive toSurgical Flow
Cost-Effective
Reusable
Deployable AcrossMultiple ORs
Practical on a Mass Scale
Mean Inclination Error
Inclination Error Range
Mean Anteversion Error
Anteversion Error Range
1.3° +/- 3.4°
-6.6° to 8.2°
1.0° +/- 4.1°
-8.8° to 9.5°
The HipXpert
3.5° +/- 4.2°
-12.7° to 6.9°
3.0° +/- 5.8°
-11.8° to 19.6°
CT-basedNavigation