Skip to main content
Top
Published in: International Orthopaedics 11/2012

01-11-2012 | Original Paper

New method for measuring acetabular component positioning with EOS imaging: feasibility study on dry bone

Authors: Alexandre Journé, Jérome Sadaka, Claire Bélicourt, Alain Sautet

Published in: International Orthopaedics | Issue 11/2012

Login to get access

Abstract

Purpose

Malposition of the acetabular cup is the most common cause of total hip arthroplasty (THA) dislocation. The position of a total hip implant is usually analysed on computed tomography (CT) scan. We aim to prove it is possible to measure, with good accuracy, the position of an acetabular cup using the low-dose irradiation (EOS) imaging.

Material and methods

We implanted an acetabular cup in a pelvic dry bone and measured cup anteversion and inclination with scanography. We performed 14 series of EOS acquisitions with different inclination, rotation and pelvic tilt, which were analysed by five observers. Two observers repeated angle measurements. We then calculated measurement inter- and intrareproducibility and accuracy.

Results

Using a confidence interval (CI) of 95 %, inter- and intra-observer reproducibility were ±1.6, and ±1.4°, respectively, for cup inclination; accuracy in comparison with CT was ±2.6°. Using a 95 % CI, inter- and intra-observer reproducibility for cup anteversion were ±2.5° and ±2.3°, respectively. Measurement accuracy compared with CT was ±3.9°.

Conclusion

EOS imaging system is superior to standard radiography in terms of measuring acetabular anteversion and inclination.
Literature
1.
go back to reference Biedermann R, Tonin A, Krismer M, Rachbauer F, Eibl G, Stockl B (2005) Reducing the risk of dislocation after total hip arthroplasty: the effect of orientation of the acetabular component. J Bone Joint Surg Br 87(6):762–769PubMedCrossRef Biedermann R, Tonin A, Krismer M, Rachbauer F, Eibl G, Stockl B (2005) Reducing the risk of dislocation after total hip arthroplasty: the effect of orientation of the acetabular component. J Bone Joint Surg Br 87(6):762–769PubMedCrossRef
2.
go back to reference Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60(2):217–220PubMed Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60(2):217–220PubMed
3.
go back to reference McCollum DE, Gray WJ (1990) Dislocation after total hip arthroplasty. Causes and prevention. Clin Orthop Relat Res 261:159–170PubMed McCollum DE, Gray WJ (1990) Dislocation after total hip arthroplasty. Causes and prevention. Clin Orthop Relat Res 261:159–170PubMed
4.
go back to reference Palan J, Beard DJ, Murray DW, Andrew JG, Nolan J (2009) Which approach for total hip arthroplasty: anterolateral or posterior? Clin Orthop Relat Res 467(2):473–477PubMedCrossRef Palan J, Beard DJ, Murray DW, Andrew JG, Nolan J (2009) Which approach for total hip arthroplasty: anterolateral or posterior? Clin Orthop Relat Res 467(2):473–477PubMedCrossRef
5.
go back to reference Blom AW, Rogers M, Taylor AH, Pattison G, Whitehouse S, Bannister GC (2008) Dislocation following total hip replacement: the Avon Orthopaedic Centre experience. Ann R Coll Surg Engl 90(8):658–662PubMedCrossRef Blom AW, Rogers M, Taylor AH, Pattison G, Whitehouse S, Bannister GC (2008) Dislocation following total hip replacement: the Avon Orthopaedic Centre experience. Ann R Coll Surg Engl 90(8):658–662PubMedCrossRef
6.
go back to reference Conroy JL, Whitehouse SL, Graves SE, Pratt NL, Ryan P, Crawford RW (2008) Risk factors for revision for early dislocation in total hip arthroplasty. J Arthroplasty 23(6):867–872PubMedCrossRef Conroy JL, Whitehouse SL, Graves SE, Pratt NL, Ryan P, Crawford RW (2008) Risk factors for revision for early dislocation in total hip arthroplasty. J Arthroplasty 23(6):867–872PubMedCrossRef
7.
go back to reference Sierra RJ, Schleck CD, Cabanela ME (2006) Dislocation of bipolar hemiarthroplasty: rate, contributing factors, and outcome. Clin Orthop Relat Res 442:230–238PubMedCrossRef Sierra RJ, Schleck CD, Cabanela ME (2006) Dislocation of bipolar hemiarthroplasty: rate, contributing factors, and outcome. Clin Orthop Relat Res 442:230–238PubMedCrossRef
8.
go back to reference Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2005) Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am 87(11):2456–2463PubMedCrossRef Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2005) Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am 87(11):2456–2463PubMedCrossRef
9.
go back to reference Bicanic G, Delimar D, Delimar M, Pecina M (2009) Influence of the acetabular cup position on hip load during arthroplasty in hip dysplasia. Int Orthop 33(2):397–402PubMedCrossRef Bicanic G, Delimar D, Delimar M, Pecina M (2009) Influence of the acetabular cup position on hip load during arthroplasty in hip dysplasia. Int Orthop 33(2):397–402PubMedCrossRef
10.
go back to reference Del Schutte H, Jr LAJ, Bannar SM, Livermore JT, Ilstrup D, Morrey BF (1998) Effects of acetabular abduction on cup wear rates in total hip arthroplasty. J Arthroplasty 13(6):621–626PubMedCrossRef Del Schutte H, Jr LAJ, Bannar SM, Livermore JT, Ilstrup D, Morrey BF (1998) Effects of acetabular abduction on cup wear rates in total hip arthroplasty. J Arthroplasty 13(6):621–626PubMedCrossRef
11.
go back to reference 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):315–321PubMed 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):315–321PubMed
12.
go back to reference Sendtner E, Schuster T, Wörner M, Kalteis T, Grifka J, Renkawitz T (2011) Accuracy of acetabular cup placement in computer-assisted, minimally-invasive THR in a lateral decubitus position. Int Orthop 35(6):809–815PubMedCrossRef Sendtner E, Schuster T, Wörner M, Kalteis T, Grifka J, Renkawitz T (2011) Accuracy of acetabular cup placement in computer-assisted, minimally-invasive THR in a lateral decubitus position. Int Orthop 35(6):809–815PubMedCrossRef
13.
go back to reference Widmer KH (2004) A simplified method to determine acetabular cup anteversion from plain radiographs. J Arthroplasty 19(3):387–390PubMedCrossRef Widmer KH (2004) A simplified method to determine acetabular cup anteversion from plain radiographs. J Arthroplasty 19(3):387–390PubMedCrossRef
14.
go back to reference Pradhan R (1999) Planar anteversion of the acetabular cup as determined from plain anteroposterior radiographs. J Bone Joint Surg Br 81(3):431–435PubMedCrossRef Pradhan R (1999) Planar anteversion of the acetabular cup as determined from plain anteroposterior radiographs. J Bone Joint Surg Br 81(3):431–435PubMedCrossRef
15.
go back to reference 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):294–300PubMedCrossRef 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):294–300PubMedCrossRef
16.
go back to reference Dubousset J, Charpak G, Skalli W, Kalifa G, Lazennec JY (2007) EOS stereo-radiography system: whole-body simultaneous anteroposterior and lateral radiographs with very low radiation dose. Rev Chir Orthop Reparatrice Appar Mot 93(6 Suppl):141–143PubMedCrossRef Dubousset J, Charpak G, Skalli W, Kalifa G, Lazennec JY (2007) EOS stereo-radiography system: whole-body simultaneous anteroposterior and lateral radiographs with very low radiation dose. Rev Chir Orthop Reparatrice Appar Mot 93(6 Suppl):141–143PubMedCrossRef
17.
go back to reference Dubousset J, Charpak G, Dorion I, Skalli W, Lavaste F, Deguise J, Kalifa G, Ferey S (2005) A new 2D and 3D imaging approach to musculoskeletal physiology and pathology with low-dose radiation and the standing position: the EOS system. Bull Acad Natl Med 189(2):287–297PubMed Dubousset J, Charpak G, Dorion I, Skalli W, Lavaste F, Deguise J, Kalifa G, Ferey S (2005) A new 2D and 3D imaging approach to musculoskeletal physiology and pathology with low-dose radiation and the standing position: the EOS system. Bull Acad Natl Med 189(2):287–297PubMed
18.
go back to reference Kalifa G, Charpak Y, Maccia C, Fery-Lemonnier E, Bloch J, Boussard JM, Attal M, Dubousset J, Adamsbaum C (1998) Evaluation of a new low-dose digital x-ray device: first dosimetric and clinical results in children. Pediatr Radiol 28(7):557–561PubMedCrossRef Kalifa G, Charpak Y, Maccia C, Fery-Lemonnier E, Bloch J, Boussard JM, Attal M, Dubousset J, Adamsbaum C (1998) Evaluation of a new low-dose digital x-ray device: first dosimetric and clinical results in children. Pediatr Radiol 28(7):557–561PubMedCrossRef
19.
go back to reference Stem ES, O’Connor MI, Kransdorf MJ, Crook J (2006) Computed tomography analysis of acetabular anteversion and abduction. Skeletal Radiol 35(6):385–389PubMedCrossRef Stem ES, O’Connor MI, Kransdorf MJ, Crook J (2006) Computed tomography analysis of acetabular anteversion and abduction. Skeletal Radiol 35(6):385–389PubMedCrossRef
20.
go back to reference NF-ISO-5725-2 (1994) Application de la statisique – exactitude (justesse et fidélité) des résultats et méthodes de mesure – Partie 2 : méthode de base pour la détermination de la répétabilité et de la reproductibilité d’une méthode de mesure normalisée NF-ISO-5725-2 (1994) Application de la statisique – exactitude (justesse et fidélité) des résultats et méthodes de mesure – Partie 2 : méthode de base pour la détermination de la répétabilité et de la reproductibilité d’une méthode de mesure normalisée
21.
go back to reference Ackland MK, Bourne WB, Uhtoff HK (1986) Anteversion of the acetabular cup. Measurement of angle after total hip replacement. J Bone Joint Surg 68(3):409–413 Ackland MK, Bourne WB, Uhtoff HK (1986) Anteversion of the acetabular cup. Measurement of angle after total hip replacement. J Bone Joint Surg 68(3):409–413
22.
go back to reference Lazennec JY, Boyer P, Gorin M, Catonné Y, Rousseau MA (2011) Acetabular anteversion with CT in supine, simulated standing, and sitting positions in a THA patient population. Clin Orthop Relat Res 469(4):1103–1109PubMedCrossRef Lazennec JY, Boyer P, Gorin M, Catonné Y, Rousseau MA (2011) Acetabular anteversion with CT in supine, simulated standing, and sitting positions in a THA patient population. Clin Orthop Relat Res 469(4):1103–1109PubMedCrossRef
23.
go back to reference Lazennec JY, Charlot N, Gorin M, Roger B, Arafati N, Bissery A, Saillant G (2004) Hip-spine relationship: a radio-anatomical study for optimization in acetabular cup positioning. Surg Radiol Anat 26(2):136–144PubMedCrossRef Lazennec JY, Charlot N, Gorin M, Roger B, Arafati N, Bissery A, Saillant G (2004) Hip-spine relationship: a radio-anatomical study for optimization in acetabular cup positioning. Surg Radiol Anat 26(2):136–144PubMedCrossRef
24.
go back to reference Than P, Szuper K, Somoskeöy S, Warta V, Illés T (2012) Geometrical values of the normal and arthritic hip and knee detected with the EOS imaging system. Int Orthop 36(6):1291–1297PubMedCrossRef Than P, Szuper K, Somoskeöy S, Warta V, Illés T (2012) Geometrical values of the normal and arthritic hip and knee detected with the EOS imaging system. Int Orthop 36(6):1291–1297PubMedCrossRef
25.
go back to reference Illés T, Somoskeöy S (2012) The EOS™ imaging system and its uses in daily orthopaedic practice. Int Orthop 36(7):1325–1331PubMedCrossRef Illés T, Somoskeöy S (2012) The EOS™ imaging system and its uses in daily orthopaedic practice. Int Orthop 36(7):1325–1331PubMedCrossRef
Metadata
Title
New method for measuring acetabular component positioning with EOS imaging: feasibility study on dry bone
Authors
Alexandre Journé
Jérome Sadaka
Claire Bélicourt
Alain Sautet
Publication date
01-11-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 11/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-012-1650-2

Other articles of this Issue 11/2012

International Orthopaedics 11/2012 Go to the issue