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Review
. 2024 Apr 26;16(4):e59114.
doi: 10.7759/cureus.59114. eCollection 2024 Apr.

Optimizing Acetabular Positioning: A Comprehensive Review of Contemporary Strategies in Total Hip Arthroplasty

Tarun Teja  1 , Sandeep Shrivastava  1 , Abhishek Choudhary  1 , Vinit Rathod  1 , Prashanth Balusani  1
Affiliations
Review

Optimizing Acetabular Positioning: A Comprehensive Review of Contemporary Strategies in Total Hip Arthroplasty

Tarun Teja et al. Cureus. .

Abstract

Total hip arthroplasty (THA) is a widely practiced surgical intervention to alleviate pain and reinstate functionality in individuals afflicted with hip joint pathology. The positioning of the acetabulum assumes paramount significance in determining the efficacy of THA, exerting profound influences on biomechanical dynamics, stability, and the durability of outcomes over time. This comprehensive review meticulously evaluates contemporary methodologies for optimizing acetabular positioning in THA, encompassing advanced technologies such as computer-assisted navigation systems, patient-specific instrumentation, robotic-assisted surgical approaches, image-based planning techniques, and intraoperative fluoroscopy. Crucially, key discoveries underscore the pivotal role of precise acetabular alignment in mitigating complications such as dislocation, component wear, and impingement. Moreover, the implications for clinical practice accentuate the imperative of continuous education and training to ensure effective deployment of sophisticated methodologies. Recommendations for furthering research and enhancing practice development underscore the necessity of scrutinizing long-term prognoses, assessing cost-effectiveness, and embracing technological innovations perpetually refining THA outcomes. Collaborative endeavors among researchers, practitioners, and industry stakeholders emerge as indispensable drivers of advancement in this domain, fostering an environment conducive to elevating the standard of care for individuals undergoing THA.

Keywords: acetabular positioning; clinical outcomes; contemporary strategies; orthopedic surgery; surgical techniques; total hip arthroplasty.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Shows factors influencing optimal acetabular positioning
The image is created by the corresponding author.
Figure 2
Figure 2. Shows complications associated with suboptimal positioning
The image is created by the corresponding author.
See this image and copyright information in PMC

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