ABSTRACT

Total hip replacement arthroplasty is one of the most successful

orthopaedic operations performed and the longevity of the implants

depends on accurate component placement. Accurate component

alignment is associated with reduced mechanical wear, dislocation

and revision surgery. Traditionally, accurate component alignment

relies on the surgeon using jigs and referencing these from

anatomical landmarks. However, this leads to a wide variability

in component position. Computer navigation systems aim to

optimise component placement and optimise longevity. This chapter

will describe the different types of computer navigation systems

available and their use in total hip arthroplasty and hip resurfacing.

This chapter will also highlight the limitations to navigation that

have prevented a more widespread uptake.