| Abstract [eng] |
One of the most successful orthopedic surgery procedures nowadays is total hip arthroplasty (THA), which significantly improves pain, mobility, and overall quality of life for patients with advanced hip pathology. THA success, however, starts with precise preoperative planning and is not exclusively reliant on surgical skill. With a focus on the vital roles of preoperative templating, radiographic calibration, and postoperative outcome evaluation, this literature review explores opportunities to increase the precision of radiological planning for THA. In addition to calibration tools like external calibration markers (ECM), dual-scale markers, device-specific magnification factors, and the EOS imaging system, the review examines both conventional and contemporary imaging techniques, including 2D templating, CT-based planning, and 3D modeling. The effectiveness of each of these techniques is evaluated in terms of improving implant sizing accuracy, reestablishing joint biomechanics, and lowering frequent side effects like limb length disparity, dislocation, and early revision surgery. The review emphasizes how better templating accuracy results in more dependable implant fit, better functional recovery, and higher patient satisfaction by referencing data from studies. Additionally, it talks about the increasing importance of digital platforms and AI-powered planning tools, pointing out both their advantages and present drawbacks in clinical settings. The review also discusses persistent issues like the need for surgeon training, patient-specific variability, and calibration errors. This study ultimately makes the case for a more standardized and technologically assisted method of radiological planning in THA. Optimizing the planning stage as surgical demands continue to rise is a clear route to better long-term results, lower revision rates, and a raised standard of care in hip replacement surgery. |
