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Reproducibility of radiographic assessment of femoral implant position after hip resurfacing arthroplasty: a pilot study

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Abstract

To determine whether femoral implant position can be reproducibly measured on plain digital radiographs, we prospectively studied 40 patients after hip resurfacing arthroplasty. Three observers performed double blinded randomized analysis of calibrated digital radiographs meeting strict quality criteria. The implant stem–shaft angle and femoral anteversion angle were measured by the trapezoid method of axis determination using OsiriX software. The upper and lower offset and the anterior and posterior offset were measured. The statistical analysis was performed using Pearson correlation tests (intra-observer reproducibility) and Fisher F tests (inter-observer reproducibility). Intra-observer reproducibility was very good for all parameters and all observers. Inter-observer reproducibility was excellent except for superior offset measurement. Thus, this study validates a radiographic method for assessing the femoral implant position in hip resurfacing. We believe this could be useful for future studies on hip resurfacing devices.

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Authors and Affiliations

  1. The Orthopaedic and Traumatology Department, Rangueil University Hospital, Toulouse Cedex, France

    Régis Pailhé, Nicolas Reina, David Ancelin, Etienne Cavaignac, Laurent Maubisson & Philippe Chiron

  2. Arthroplasty Department, The Royal Orthopaedic Hospital, Birmingham, UK

    Régis Pailhé & Akash Sharma

  3. Service de Chirurgie Orthopédique, Hôpital Rangueil, 1, Avenue du Pr Jean Poulhès, TSA 50032, 31059, Toulouse Cedex, France

    Régis Pailhé, Nicolas Reina, David Ancelin, Etienne Cavaignac, Laurent Maubisson, Akash Sharma & Philippe Chiron

Authors
  1. Régis Pailhé
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  2. Nicolas Reina
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  3. David Ancelin
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  4. Etienne Cavaignac
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  5. Laurent Maubisson
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  6. Akash Sharma
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  7. Philippe Chiron
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Correspondence to Régis Pailhé.

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Pailhé, R., Reina, N., Ancelin, D. et al. Reproducibility of radiographic assessment of femoral implant position after hip resurfacing arthroplasty: a pilot study. Eur J Orthop Surg Traumatol 24, 519–523 (2014). https://doi.org/10.1007/s00590-013-1218-x

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  • DOI: https://doi.org/10.1007/s00590-013-1218-x

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