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ArticleActa orthopaedica2020

Low-dose CT-based implant motion analysis is a precise tool for early migration measurements of hip cups: a clinical study of 24 patients.

Cyrus Brodén, Olof Sandberg, Olof Sköldenberg, Hampus Stigbrand, Mari Hänni, Joshua W Giles, Roger Emery, Stergios Lazarinis, Andreas Nyström, Henrik Olivecrona

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Acta orthopaedica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04752007 nacompletednot on this map

Accuracy of the CT-Implant Movement Analysis. A Feasibility Study.

TypeinterventionalSponsorUniversity of BergenRan2020 to 2021Enrolled2ConditionsSacroiliac InstabilityArmsASLR, CT, SI joint movement: stright leg raise with 1 kg load, Fig.Four, CT
NCT06065644 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Inducible Displacements of the Sacroiliac Joint Measured With CTMA

TypeinterventionalSponsorUniversity of BergenRan2024 to 2024Enrolled30ConditionsSacroiliac Joint UnstableArmsCTMA
NCT06525610 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Assessment of Bone Displacement Under Loading Following Periprosthetic Fracture Repair With Weight-Bearing CT

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2024 to 2025Enrolled21ConditionsPeriprosthetic Fracture Around Prosthetic Joint Implant KneeArmsPeriprosthetic Fracture Knee Repaired CT Scans
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  9. Precision, Accuracy, and Observer Reliability of Computed Tomography-Based Radiostereometric Analysis in Measuring Femoral Stem Migration In Vitro.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
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  12. Review
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  14. Inducible displacement of cementless total knee arthroplasty components with conventional and weight-bearing CT-based radiostereometric analysis.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  15. Accuracy and precision of Volumetric Matching Micromotion Analysis (V3MA) is similar to RSA for tibial component migration in TKA.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  16. Article
  17. Evaluation of conventional and CT-based radiostereometric analysis for inducible displacement measurements after total hip arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 3 countries.

Cyrus BrodénDepartment of Surgery and Cancer, Imperial College London, London, UK.
Olof SandbergSectra, Linköping, Sweden.
Olof SköldenbergDepartment of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Hampus StigbrandDepartment of Orthopedic Surgery, Länssjukhuset, Gävle, Sweden; Center for Research and Development, Uppsala University/County Council of Gävleborg, Sweden.
Mari HänniDepartment of Surgical Sciences, Section of Radiology, Uppsala University Hospital, Uppsala, Sweden.
Joshua W GilesDepartment of Mechanical Engineering, University of Victoria, Victoria, BC, Canada.
Roger EmeryDepartment of Orthopaedic Surgery, St Mary's Hospital, London, UK.
Stergios LazarinisDepartment of Orthopedics, Institute of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.
Andreas NyströmDepartment of Orthopedics, Institute of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.
Henrik OlivecronaDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SEUppsala University Hospital · SESectra (Sweden) · SESt. Mary's Hospital · GBUniversity of Victoria · CAUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - Early implant migration is known to be a predictive factor of clinical loosening in total hip arthroplasty (THA). Radiostereometric analysis (RSA) is the gold standard used to measure early migration in patients. However, RSA requires costly, specialized imaging equipment and the image process is complex. We determined the precision of an alternative, commercially available, CT method in 3 ongoing clinical THA studies, comprising 3 different cups.Materials and methods - 24 CT double examinations of 24 hip cups were selected consecutively from 3 ongoing prospective studies: 2 primary THA (1 cemented and 1 uncemented) and 1 THA (cemented) revision study. Precision of the CT-based implant motion analysis (CTMA) system was calculated separately for each study, using both the surface anatomy of the pelvis and metal beads placed in the pelvis.Results - For the CTMA analysis using the surface anatomy of the pelvis, the precision ranged between 0.07 and 0.31 mm in translation and 0.20° and 0.39° for rotation, respectively. For the CTMA analysis using beads the precision ranged between 0.08 and 0.20 mm in translation and between 0.20° and 0.43° for rotations. The radiation dose ranged between 0.2 and 2.3 mSv.Interpretation - CTMA achieved a clinically relevant and consistent precision between the 3 different hip cups studied. The use of different hip cup types, different CT scanners, or registration method (beads or surface anatomy) had no discernible effect on precision. Therefore, CTMA without the use of bone markers could potentially be an alternative to RSA to measure early migration.

Indexed as

Prosthesis FailureAgedAged, 80 and overArthroplasty, Replacement, HipHip JointHip ProsthesisHumansMiddle AgedRadiostereometric AnalysisTomography, X-Ray Computed

Identifiers

PMID32056507
PMCPMC8023951
OpenAlexW3005823693

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.