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Methods for three-dimensional characterization of the acetabulum prior to pelvic reorientation osteotomy: a scoping review

Article dans une revue avec comité de lecture
Author
ccDU CLUZEL DE REMAURIN, Xavier
414766 Hôpital Necker - Enfants Malades [AP-HP]
1001017 Institut de Biomécanique Humaine Georges Charpak [IBHGC]
KHOURI, Nejib
414766 Hôpital Necker - Enfants Malades [AP-HP]
GEORGES, Samuel
414766 Hôpital Necker - Enfants Malades [AP-HP]
ccGAJNY, Laurent
361498 Centre Hospitalier Universitaire de Nîmes [CHU Nîmes]
1001017 Institut de Biomécanique Humaine Georges Charpak [IBHGC]
ccVERGARI, Claudio
1001017 Institut de Biomécanique Humaine Georges Charpak [IBHGC]
BADINA, Alina
414766 Hôpital Necker - Enfants Malades [AP-HP]
ccBADINA, Alina
414766 Hôpital Necker - Enfants Malades [AP-HP]

URI
http://hdl.handle.net/10985/25619
DOI
10.1530/eor-22-0126
Date
2024-08
Journal
EFORT Open Reviews

Abstract

Periacetabular osteotomy is the gold standard treatment for acetabular dysplasia. The great variability of acetabular dysplasia requires a personalized preoperative planning improved by 3D reconstruction and computer-assisted surgery. To plan the displacement of the acetabular fragment by a pelvic osteotomy, it is necessary to define a reference plane and a method to characterize 3D acetabular orientation. A scoping review was performed on PubMed to search for articles with a method to characterize the acetabulum of native hips in a 3D reference frame. Ninety-eight articles out of 3815 reports were included. Three reproducible reference planes were identified: the anterior pelvic plane, the Standardization and Terminology Committee plane used in gait analysis, and the sacral base plane. The different methods for 3D analysis of the acetabulum were divided in four groups: global orientation, triplanar measurements, segmentation, and surface coverage of the femoral head. Two methods were found appropriate for reorientation osteotomies: the global orientation by a vector method and the triplanar method. The global orientation method relies on the creation of a vector from the acetabular rim, from the acetabular surface or from successive planes. Normalization of the global acetabular vector would correct acetabular dysplasia by a single alignment maneuver on an ideal vector. The triplanar method, based on angle measurements at the center of the femoral head, would involve correction of anomalies by considering axial, frontal, and sagittal planes. Although not directly fit for reorientation, the two others would help to candidate patients and verify both planning and postoperative result.

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