Periacetabular Osteotomy with Intraoperative Computer-Assisted Modalities: A Systematic Review
Authors: Curley AJ, Bruning RE, Padmanabhan S, Jimenez AE, Laude F, Domb BG
Journal: Journal of Hip Preservation Surgery, April 2023
DOI: 10.1093/jhps/hnad005
Objective
Review the impact of intraoperative computer-assisted modalities (e.g., navigation, patient-specific guides) on periacetabular osteotomy (PAO) surgery outcomes.
Key Findings
- Computer-assisted techniques reduce intraoperative radiation exposure without increasing surgical time.
- Postoperative hip angles and patient-reported outcomes are comparable to conventional PAO methods.
- Evidence supports improved surgical precision, though long-term benefits require further study.
Conclusion
Computer-assisted technologies in PAO are promising adjuncts that enhance precision and reduce radiation exposure while maintaining equivalent patient outcomes.
What Does This Mean for Providers?
- Consider integrating computer-assisted navigation and patient-specific guides to optimize surgical precision and reduce radiation doses during PAO.
- These technologies do not significantly prolong surgery, making adoption feasible without efficiency loss.
- Stay informed on ongoing research to evaluate long-term outcome improvements and cost-effectiveness before widespread implementation.