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A new method of measuring acetabular cup anteversion on simulated radiographs

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An Erratum to this article was published on 06 November 2012

Abstract

Purpose

Optimal positioning of acetabular components is crucial for maintaining stability of THA. Postoperative assessment of acetabular anteversion is a vital but difficult task. Various methods have been devised with good results for measuring anteversion on plain radiographs but these methods are either too complicated or require special objects like scientific calculators, special protectors, tables, etc. A new simplified method of measuring anteversion on plain radiographs was created based on basic geometry.

Methods

Anteversion of acetabular components was estimated on computer generated images of the acetabular cup by our method and compared with two previously established methods of Liaw and Pradhan. Measurement was done at 400 different positions of acetabular cup and compared with actual values. Another analysis was done after adding the femoral head to the acetabular component, thus obscuring some of the acetabular rim.

Results

Mean and standard deviation of error for our method was 0.77° ± 0.75° as compared to 0.93° ± 0.86° and 0.72° ± 0.68° for the methods of Liaw and Pardhan, respectively, with no significant differences from actual values. Maximal errors for our method, Liaw’s and Pradhan’s method were 3°, 4°, and 2.91°, respectively. On analysis, after the adding femoral head, there was a significant error of measurement with Liaw’s method, while our method as well as Pardhan’s remained accurate. All methods showed high inter- and intraobserver reliability.

Conclusion

Our new simplified method of measuring acetabular anteversion on plain radiographs is acceptable in comparision to other established methods and requires only routinely used goniometer and calliper.

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References

  1. Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60(2):217–220

    PubMed  CAS  Google Scholar 

  2. McCollum DE, Gray WJ (1990) Dislocation after total hip arthroplasty: causes and prevention. Clin Orthop Rel Res 261:159–170

    Google Scholar 

  3. Robinson RP, Simonian PT, Gradisar IM, Ching RP (1997) Joint motion and surface contact area related to component position in total hip arthroplasty. J Bone Joint Surg Br 79(1):140–146

    Article  PubMed  CAS  Google Scholar 

  4. Kummer FJ, Shah S, Iyer S, DiCesare PE (1999) The effect of acetabular cup orientations on limiting hip rotation. J Arthroplasty 14(4):509–513

    Article  PubMed  CAS  Google Scholar 

  5. D’Lima DD, Urquhart AG, Buehler KO, Walker RH, Colwell CW Jr (2000) The effect of the orientation of the acetabular and femoral components on the range of motion of the hip at different head-neck ratios. J Bone Joint Surg Am 82(3):315–321

    PubMed  Google Scholar 

  6. Jolles BM, Zangger P, Leyvraz PF (2002) Factors predisposing to dislocation after primary total hip prosthesis: a multivariate analysis. J Arthroplasty 17(3):282–288

    Article  PubMed  CAS  Google Scholar 

  7. Del Schutte H, Lipman AJ, Bannar SM et al (1998) Effects of acetabular abduction on cup wear rates in total hip arthroplasty. J Arthroplasty 13(6):621–626

    Article  PubMed  Google Scholar 

  8. Murray DW (1993) The definition and measurement of acetabular orientation. J Bone Joint Surg Br 75(2):228–232

    PubMed  CAS  Google Scholar 

  9. Visser JD, Konings JG (1981) A new method for measuring angles after total hip arthroplasty. A study of the acetabular cup and femoral component. J Bone Joint Surg Br 63(4):556–559

    Google Scholar 

  10. Ackland MK, Bourne WB, Uhthoff HK (1986) Anteversion of the acetabular cup. Measurement of angle after total hip replacement. J Bone Joint Surg Br 68(3):409–413

    PubMed  CAS  Google Scholar 

  11. Pradhan R (1999) Planar anteversion of the acetabular cup as determined from plain anteroposterior radiographs. J Bone Joint Surg Br 81(3):431–435

    Article  PubMed  CAS  Google Scholar 

  12. Fabeck L, Farrokh D, Tolley M, Descamps PY, Gebhart M, Delincé P (1999) A method to measure acetabular cup anteversion after total hip replacement. Acta Orthop Belg 65(4):485–491

    PubMed  CAS  Google Scholar 

  13. Widmer KH (2004) A simplified method to determine acetabular cup anteversion from plain radiographs. J Arthroplasty 19(3):387–390

    Article  PubMed  Google Scholar 

  14. Liaw CK, Hou SM, Yang RS, Wu TY, Fuh CS (2006) A new tool for measuring cup orientation in total hip arthroplasties from plain radiographs. Clin Orthop Relat Res 451:134–139

    Article  PubMed  Google Scholar 

  15. Liaw CK, Yang RS, Hou SM, Wu TY, Fuh CS (2009) Measurement of the acetabular cup anteversion on simulated radiographs. J Arthroplasty 24(3):468–474

    Article  PubMed  Google Scholar 

  16. Goergen TG, Resnick D (1975) Evaluation of acetabular anteversion following total hip arthroplasty: necessity of proper centring. Br J Radiol 48(568):259–260

    Article  PubMed  CAS  Google Scholar 

  17. Olivecrona H, Weidenhielm L, Olivecrona L, Beckman MO, Stark A, Noz ME, Maguire GQ Jr, Zeleznik MP, Svensson L, Jonson T (2004) A new CT method for measuring cup orientation after total hip arthroplasty: a study of 10 patients. Acta Orthop Scand 75(3):252–260

    Article  PubMed  Google Scholar 

  18. Kalteis T, Handel M, Herold T, Perlick L, Paetzel C, Grifka J (2006) Position of the acetabular cup—accuracy of radiographic calculation compared to CT-based measurement. Eur J Radiol 58(2):294–300

    Article  PubMed  Google Scholar 

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India

    Vikas Bachhal, Gaurav Saini, Radheshyam Sament, Vishal Kumar, Devendra Chouhan & Mandeep Dhillon

  2. Department of Orthopaedics, Government Medical College and Hospital, Surat - 395007, Gujarat, India

    Nipun Jindal

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  1. Vikas Bachhal
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  2. Nipun Jindal
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  3. Gaurav Saini
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  4. Radheshyam Sament
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  5. Vishal Kumar
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  6. Devendra Chouhan
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  7. Mandeep Dhillon
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Correspondence to Vikas Bachhal.

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Bachhal, V., Jindal, N., Saini, G. et al. A new method of measuring acetabular cup anteversion on simulated radiographs. International Orthopaedics (SICOT) 36, 1813–1818 (2012). https://doi.org/10.1007/s00264-012-1583-9

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  • DOI: https://doi.org/10.1007/s00264-012-1583-9

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