Femur First navigation can reduce impingement severity compared to traditional free hand total hip arthroplasty

Arnab Palit, Mark A Williams, Glen Turley, Tobias Renkawitz, Markus Weber

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Impingement is a major source of dislocation and aseptic loosening in total hip arthroplasty (THA). We compared impingement free range of motion (ROM) using a novel computer navigated femur first approach to conventional THA. In addition, impingement between genders was also explored. In a retrospective analysis of 121 THA patients, subject-specific post-operative ROM was simulated using post-operative 3D-CT data, and compared with the benchmark ROM, essential for activities of daily living. Three parameters were defined to express both implant-to-implant (ITI) and bone-to-bone (BTB) impingement - coverage percentage, third angle, and impingement severity. Although coverage percentage was similar between the navigated and conventional group for both ITI (p = 0.69) and BTB (p = 0.82) impingement, third angle was significantly reduced in the navigation group for both ITI (p = 0.02) and BTB (p = 0.05) impingement. Impingement severity for both ITI (p = 0.01) and BTB (p = 0.05) was significantly decreased in the navigation group compared to the conventional. Impingement severity in men was considerably higher compared to women for both ITI (p = 0.002) and BTB (p = 0.02). Navigation guided femur first THA is able to improve alignment of ROM axis, and consequently, to reduce impingement in THA. Men seem to be more prone to impingement than women.
Original languageEnglish
Article number7238
Number of pages9
JournalScientific Reports
Publication statusPublished - 3 Aug 2017
Externally publishedYes

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T.R. has received research support by DePuy International, Otto Bock Foundation, Deutsche Arthose Hilfe. TR’s research group “patientindividual joint replacement” was supported by the German Ministry of Education and Research (BMBF, grant number 01EZ0915).


  • Fracture repair
  • Outcomes research


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