Loading…
Morbidity and Safety of Iliac Crest Reference Array Pins in Navigated Total Hip Arthroplasty: A Prospective Cohort Study
Navigated total hip arthroplasty (THA) can employ intra-osseous pins through a separate incision to secure reference arrays to the iliac crest. This study is the first to investigate the consequences of pin use in THA in vivo. A prospective, consecutive series of 43 patients presenting for navigated...
Saved in:
| Published in: | The Journal of arthroplasty 2018-05, Vol.33 (5), p.1557-1561 |
|---|---|
| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c356t-d1b64d717ba00b391ca26135dcf35a573bb80d132af3a116138dca1159df4bd13 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c356t-d1b64d717ba00b391ca26135dcf35a573bb80d132af3a116138dca1159df4bd13 |
| container_end_page | 1561 |
| container_issue | 5 |
| container_start_page | 1557 |
| container_title | The Journal of arthroplasty |
| container_volume | 33 |
| creator | Lambers, Anton P. Salim, Xiang G. Jennings, Robert Bucknill, Andrew T. |
| description | Navigated total hip arthroplasty (THA) can employ intra-osseous pins through a separate incision to secure reference arrays to the iliac crest. This study is the first to investigate the consequences of pin use in THA in vivo.
A prospective, consecutive series of 43 patients presenting for navigated THA were included. Two temporary 125 × 4 mm Schanz screws were inserted into the iliac crest for the attachment of a reference array. Telephone follow-up occurred at 6 and 12 weeks post-operatively. Patients were asked about pain, interference with daily activities, how often the wound was noticed, and duration of discomfort. Patient body mass index was recorded.
The follow-up rate was 100%. Pin site pain at any time post-operatively was reported by 24 patients (56%). This improved to 30%, 9%, and 2% at 3, 6, and 12 weeks, respectively. On average, pain lasted for 16 days total. The most common complaints after pain were clothing discomfort (23%), pain when wearing a belt (12%), or pain when mobilizing (9%). For the majority (98%) of patients, all symptoms had resolved by 12 weeks. There was no nerve injury, pin site fracture, infection, or screw breakage. Patients with body mass index greater than 30 kg/m2 were up to 3 times more likely to experience pin site pain (P = .05), and had a longer duration of pain (P = .04).
Surgeons and patients should be aware that using navigational pins for array fixation carries low complication rates but often will cause pain and irritation that resolves in the short term. |
| doi_str_mv | 10.1016/j.arth.2017.12.032 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1989609972</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0883540317311385</els_id><sourcerecordid>1989609972</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-d1b64d717ba00b391ca26135dcf35a573bb80d132af3a116138dca1159df4bd13</originalsourceid><addsrcrecordid>eNp9kE1v1DAQhi0EotvCH-CAfOSS1GPH-UBcViuglQpUtJytie2wXmXjYHtX5N_j1RaOnGakeebVzEPIG2AlMKivdyWGtC05g6YEXjLBn5EVSMGLtmL1c7JibSsKWTFxQS5j3DEGIGX1klzwTkhet92K_P7iQ--MSwvFydAHHGxu_UBvR4eaboKNiX63gw120pauQ8CF3rspUjfRr3h0PzFZQx99wpHeuDkTaRv8PGJMy3u6pvfBx9nq5I6WbvzWh0Qf0sEsr8iLAcdoXz_VK_Lj08fHzU1x9-3z7WZ9V2gh61QY6OvKNND0yFgvOtDIaxDS6EFIlI3o-5YZEBwHgQB51BqdG9mZoerz4Iq8O-fOwf865G_U3kVtxxEn6w9RQdd2Neu6hmeUn1Gdb47BDmoObo9hUcDUybjaqZNxdTKugKtsPC-9fco_9Htr_q38VZyBD2fA5i-PzgYVtTvJNC5kL8p497_8P0tjkoo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1989609972</pqid></control><display><type>article</type><title>Morbidity and Safety of Iliac Crest Reference Array Pins in Navigated Total Hip Arthroplasty: A Prospective Cohort Study</title><source>ScienceDirect Freedom Collection</source><creator>Lambers, Anton P. ; Salim, Xiang G. ; Jennings, Robert ; Bucknill, Andrew T.</creator><creatorcontrib>Lambers, Anton P. ; Salim, Xiang G. ; Jennings, Robert ; Bucknill, Andrew T.</creatorcontrib><description>Navigated total hip arthroplasty (THA) can employ intra-osseous pins through a separate incision to secure reference arrays to the iliac crest. This study is the first to investigate the consequences of pin use in THA in vivo.
A prospective, consecutive series of 43 patients presenting for navigated THA were included. Two temporary 125 × 4 mm Schanz screws were inserted into the iliac crest for the attachment of a reference array. Telephone follow-up occurred at 6 and 12 weeks post-operatively. Patients were asked about pain, interference with daily activities, how often the wound was noticed, and duration of discomfort. Patient body mass index was recorded.
The follow-up rate was 100%. Pin site pain at any time post-operatively was reported by 24 patients (56%). This improved to 30%, 9%, and 2% at 3, 6, and 12 weeks, respectively. On average, pain lasted for 16 days total. The most common complaints after pain were clothing discomfort (23%), pain when wearing a belt (12%), or pain when mobilizing (9%). For the majority (98%) of patients, all symptoms had resolved by 12 weeks. There was no nerve injury, pin site fracture, infection, or screw breakage. Patients with body mass index greater than 30 kg/m2 were up to 3 times more likely to experience pin site pain (P = .05), and had a longer duration of pain (P = .04).
Surgeons and patients should be aware that using navigational pins for array fixation carries low complication rates but often will cause pain and irritation that resolves in the short term.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2017.12.032</identifier><identifier>PMID: 29352689</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - adverse effects ; Bone Nails ; Bone Screws ; computer-assisted navigation ; Female ; Follow-Up Studies ; Fractures, Bone - surgery ; Humans ; iliac crest ; Ilium - surgery ; Male ; Middle Aged ; Morbidity ; pain ; pin site ; Prospective Studies ; safety ; Surgery, Computer-Assisted ; total hip arthroplasty ; total hip replacement ; Young Adult</subject><ispartof>The Journal of arthroplasty, 2018-05, Vol.33 (5), p.1557-1561</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-d1b64d717ba00b391ca26135dcf35a573bb80d132af3a116138dca1159df4bd13</citedby><cites>FETCH-LOGICAL-c356t-d1b64d717ba00b391ca26135dcf35a573bb80d132af3a116138dca1159df4bd13</cites><orcidid>0000-0001-7796-6047</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29352689$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lambers, Anton P.</creatorcontrib><creatorcontrib>Salim, Xiang G.</creatorcontrib><creatorcontrib>Jennings, Robert</creatorcontrib><creatorcontrib>Bucknill, Andrew T.</creatorcontrib><title>Morbidity and Safety of Iliac Crest Reference Array Pins in Navigated Total Hip Arthroplasty: A Prospective Cohort Study</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Navigated total hip arthroplasty (THA) can employ intra-osseous pins through a separate incision to secure reference arrays to the iliac crest. This study is the first to investigate the consequences of pin use in THA in vivo.
A prospective, consecutive series of 43 patients presenting for navigated THA were included. Two temporary 125 × 4 mm Schanz screws were inserted into the iliac crest for the attachment of a reference array. Telephone follow-up occurred at 6 and 12 weeks post-operatively. Patients were asked about pain, interference with daily activities, how often the wound was noticed, and duration of discomfort. Patient body mass index was recorded.
The follow-up rate was 100%. Pin site pain at any time post-operatively was reported by 24 patients (56%). This improved to 30%, 9%, and 2% at 3, 6, and 12 weeks, respectively. On average, pain lasted for 16 days total. The most common complaints after pain were clothing discomfort (23%), pain when wearing a belt (12%), or pain when mobilizing (9%). For the majority (98%) of patients, all symptoms had resolved by 12 weeks. There was no nerve injury, pin site fracture, infection, or screw breakage. Patients with body mass index greater than 30 kg/m2 were up to 3 times more likely to experience pin site pain (P = .05), and had a longer duration of pain (P = .04).
Surgeons and patients should be aware that using navigational pins for array fixation carries low complication rates but often will cause pain and irritation that resolves in the short term.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Bone Nails</subject><subject>Bone Screws</subject><subject>computer-assisted navigation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>iliac crest</subject><subject>Ilium - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>pain</subject><subject>pin site</subject><subject>Prospective Studies</subject><subject>safety</subject><subject>Surgery, Computer-Assisted</subject><subject>total hip arthroplasty</subject><subject>total hip replacement</subject><subject>Young Adult</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kE1v1DAQhi0EotvCH-CAfOSS1GPH-UBcViuglQpUtJytie2wXmXjYHtX5N_j1RaOnGakeebVzEPIG2AlMKivdyWGtC05g6YEXjLBn5EVSMGLtmL1c7JibSsKWTFxQS5j3DEGIGX1klzwTkhet92K_P7iQ--MSwvFydAHHGxu_UBvR4eaboKNiX63gw120pauQ8CF3rspUjfRr3h0PzFZQx99wpHeuDkTaRv8PGJMy3u6pvfBx9nq5I6WbvzWh0Qf0sEsr8iLAcdoXz_VK_Lj08fHzU1x9-3z7WZ9V2gh61QY6OvKNND0yFgvOtDIaxDS6EFIlI3o-5YZEBwHgQB51BqdG9mZoerz4Iq8O-fOwf865G_U3kVtxxEn6w9RQdd2Neu6hmeUn1Gdb47BDmoObo9hUcDUybjaqZNxdTKugKtsPC-9fco_9Htr_q38VZyBD2fA5i-PzgYVtTvJNC5kL8p497_8P0tjkoo</recordid><startdate>201805</startdate><enddate>201805</enddate><creator>Lambers, Anton P.</creator><creator>Salim, Xiang G.</creator><creator>Jennings, Robert</creator><creator>Bucknill, Andrew T.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7796-6047</orcidid></search><sort><creationdate>201805</creationdate><title>Morbidity and Safety of Iliac Crest Reference Array Pins in Navigated Total Hip Arthroplasty: A Prospective Cohort Study</title><author>Lambers, Anton P. ; Salim, Xiang G. ; Jennings, Robert ; Bucknill, Andrew T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-d1b64d717ba00b391ca26135dcf35a573bb80d132af3a116138dca1159df4bd13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Bone Nails</topic><topic>Bone Screws</topic><topic>computer-assisted navigation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>iliac crest</topic><topic>Ilium - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>pain</topic><topic>pin site</topic><topic>Prospective Studies</topic><topic>safety</topic><topic>Surgery, Computer-Assisted</topic><topic>total hip arthroplasty</topic><topic>total hip replacement</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lambers, Anton P.</creatorcontrib><creatorcontrib>Salim, Xiang G.</creatorcontrib><creatorcontrib>Jennings, Robert</creatorcontrib><creatorcontrib>Bucknill, Andrew T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lambers, Anton P.</au><au>Salim, Xiang G.</au><au>Jennings, Robert</au><au>Bucknill, Andrew T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Morbidity and Safety of Iliac Crest Reference Array Pins in Navigated Total Hip Arthroplasty: A Prospective Cohort Study</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2018-05</date><risdate>2018</risdate><volume>33</volume><issue>5</issue><spage>1557</spage><epage>1561</epage><pages>1557-1561</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Navigated total hip arthroplasty (THA) can employ intra-osseous pins through a separate incision to secure reference arrays to the iliac crest. This study is the first to investigate the consequences of pin use in THA in vivo.
A prospective, consecutive series of 43 patients presenting for navigated THA were included. Two temporary 125 × 4 mm Schanz screws were inserted into the iliac crest for the attachment of a reference array. Telephone follow-up occurred at 6 and 12 weeks post-operatively. Patients were asked about pain, interference with daily activities, how often the wound was noticed, and duration of discomfort. Patient body mass index was recorded.
The follow-up rate was 100%. Pin site pain at any time post-operatively was reported by 24 patients (56%). This improved to 30%, 9%, and 2% at 3, 6, and 12 weeks, respectively. On average, pain lasted for 16 days total. The most common complaints after pain were clothing discomfort (23%), pain when wearing a belt (12%), or pain when mobilizing (9%). For the majority (98%) of patients, all symptoms had resolved by 12 weeks. There was no nerve injury, pin site fracture, infection, or screw breakage. Patients with body mass index greater than 30 kg/m2 were up to 3 times more likely to experience pin site pain (P = .05), and had a longer duration of pain (P = .04).
Surgeons and patients should be aware that using navigational pins for array fixation carries low complication rates but often will cause pain and irritation that resolves in the short term.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29352689</pmid><doi>10.1016/j.arth.2017.12.032</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-7796-6047</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-5403 |
| ispartof | The Journal of arthroplasty, 2018-05, Vol.33 (5), p.1557-1561 |
| issn | 0883-5403 1532-8406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1989609972 |
| source | ScienceDirect Freedom Collection |
| subjects | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - adverse effects Bone Nails Bone Screws computer-assisted navigation Female Follow-Up Studies Fractures, Bone - surgery Humans iliac crest Ilium - surgery Male Middle Aged Morbidity pain pin site Prospective Studies safety Surgery, Computer-Assisted total hip arthroplasty total hip replacement Young Adult |
| title | Morbidity and Safety of Iliac Crest Reference Array Pins in Navigated Total Hip Arthroplasty: A Prospective Cohort Study |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-21T16%3A53%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Morbidity%20and%20Safety%20of%20Iliac%20Crest%20Reference%20Array%20Pins%20in%20Navigated%20Total%20Hip%20Arthroplasty:%20A%20Prospective%20Cohort%20Study&rft.jtitle=The%20Journal%20of%20arthroplasty&rft.au=Lambers,%20Anton%20P.&rft.date=2018-05&rft.volume=33&rft.issue=5&rft.spage=1557&rft.epage=1561&rft.pages=1557-1561&rft.issn=0883-5403&rft.eissn=1532-8406&rft_id=info:doi/10.1016/j.arth.2017.12.032&rft_dat=%3Cproquest_cross%3E1989609972%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c356t-d1b64d717ba00b391ca26135dcf35a573bb80d132af3a116138dca1159df4bd13%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1989609972&rft_id=info:pmid/29352689&rfr_iscdi=true |