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A novel method to measure femoral component migration by computed tomography: a cadaver study

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Radiostereometric analysis (RSA) is the most accurate technique to measure implant migration. However, it requires special equipment, technical expertise and analysis software and has not gained wide acceptance. The current paper analyzes a novel method to measure implant migration utilizing widely available computer tomography (CT).

Methods

Three uncemented total hip replacements were performed in three human cadavers and six tantalum beads were inserted into the femoral bone similar to RSA. Six different 28 mm heads (−3, 0, 2.5, 5.0, 7.5 and 10 mm) were added to simulate five reproducible translations (maximum total point migration) of the center of the head. Implant migration was measured in a 3-D analysis software (Geomagic Studio 7). Repeat manual reconstructions of the center of the head were performed by two investigators to determine repeatability and accuracy.

Results

The accuracy of measurements between the centers of two head sizes was 0.11 mm with a CI 95 % of 0.22 mm. The intra-observer repeatability was 0.13 mm (CI 95 % 0.25 mm). The interrater-reliability was 0.943.

Conclusion

CT based measurement of head displacement in a cadaver model were highly accurate and reproducible.

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Authors and Affiliations

  1. Hospital for Special Surgery, New York, USA

    Friedrich Boettner, Peter Sculco, Joseph Lipman, Lisa Renner & Martin Faschingbauer

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  1. Friedrich Boettner
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  2. Peter Sculco
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  3. Joseph Lipman
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  4. Lisa Renner
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  5. Martin Faschingbauer
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Correspondence to Friedrich Boettner.

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Boettner, F., Sculco, P., Lipman, J. et al. A novel method to measure femoral component migration by computed tomography: a cadaver study. Arch Orthop Trauma Surg 136, 857–863 (2016). https://doi.org/10.1007/s00402-016-2442-8

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