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Erschienen in: HSS Journal ® 1/2020

05.02.2019 | Original Article

Biplanar Low-Dose Radiography Is Accurate for Measuring Combined Anteversion After Total Hip Arthroplasty

verfasst von: Christina I. Esposito, PhD, Theodore T. Miller, MD, Joseph D. Lipman, MS, Kaitlin M. Carroll, BS, Douglas E. Padgett, MD, David J. Mayman, MD, Seth A. Jerabek, MD

Erschienen in: HSS Journal ® | Ausgabe 1/2020

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Abstract

Background

Acetabular component position alone has not been predictive of stability after total hip arthroplasty (THA). Combined anteversion of the acetabulum and femur has the potential of being more predictive of stability. Unfortunately, femoral component position is difficult to measure on plain radiographs. Computed tomography (CT) is the gold standard for measuring implant position post-operatively, but CT exposes patients to a substantial amount of radiation.

Questions/Purposes

We sought to determine whether biplanar low-dose radiography can be used to accurately measure both acetabular and femoral implant position after THA.

Methods

Twenty patients underwent standing low-dose biplanar spine-to-ankle radiographs and supine CT scans 6 weeks after THA. Measurements of acetabular inclination, acetabular anteversion, and femoral anteversion were performed by two blinded observers and compared.

Results

The average absolute differences between biplanar radiographs and CT scans were 2° ± 2° for acetabular inclination, 3° ± 2° for acetabular anteversion, and 4° ± 4° for femoral anteversion between EOS measurements and CT measurements. Interobserver agreement was good for acetabular inclination, acetabular anteversion, and femoral anteversion (Cronbach’s α = 0.90) using biplanar low-dose imaging.

Conclusion

Biplanar radiography is a reliable low-radiation alternative for measuring acetabular inclination, acetabular anteversion, femoral version, and thus combined anteversion compared to CT. Femoral anteversion had the most variability but is still clinically relevant.
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Metadaten
Titel
Biplanar Low-Dose Radiography Is Accurate for Measuring Combined Anteversion After Total Hip Arthroplasty
verfasst von
Christina I. Esposito, PhD
Theodore T. Miller, MD
Joseph D. Lipman, MS
Kaitlin M. Carroll, BS
Douglas E. Padgett, MD
David J. Mayman, MD
Seth A. Jerabek, MD
Publikationsdatum
05.02.2019
Verlag
Springer US
Erschienen in
HSS Journal ® / Ausgabe 1/2020
Print ISSN: 1556-3316
Elektronische ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-018-09659-7

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