Evidence map›Paper›PMID 35711111›Full record

ArticleOrthopaedic surgery2022

Reliability and Validity of Standing Lateral Radiograph Method for Measuring Acetabular Component Version: A Modified Cross-table Lateral Radiograph Method.

Wenhui Zhang, Jie Xu, Deng Li, Hao Sun, Zhiqing Cai, Meiyi Chen, Ruofan Ma

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Article in Orthopaedic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Wenhui ZhangSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Jie XuSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Deng LiSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Hao SunSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Zhiqing CaiSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Meiyi ChenSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Ruofan MaSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0000-0002-1885-9564

Funding

China Postdoctoral Science Foundation funded project 2019M663265China Postdoctoral Science Foundation funded project 2019TQ0387Guangdong Basic and Applied Basic Research Foundation 2019A1515011647National Natural Science Foundation of China 2019M663265National Natural Science Foundation of China 2019TQ0387Science and Technology Planning Project of Guangzhou City, China 201803010011
6 · The paper itself

Abstract

objectivesTo investigate the effect of the X-ray incidence angle on cup version measurements and the reliability and validity of standing lateral (SL) radiography for measuring cup versions.

methodsCup versions under different X-ray incidence angles were investigated by the 3D simulation analysis. Ninety-three patients, who underwent primary total hip arthroplasty (THA) with postoperative SL radiographs and CT scans between April 2020 and December 2021, were retrospectively analyzed. SL radiography was taken under naturally standing position, correcting for the measurement error of pelvic tilt in cross-table lateral (CL) radiography. Cup versions were measured on SL radiographs and CT images by two qualified orthopedic physicians. The intra- and inter-observer reliabilities were assessed by intra-class correlation coefficient. The consistency between radiographic and CT measurements was evaluated using Pearson correlation coefficient.

resultsNo significant differences in cup version measurements were observed between groups of different X-ray incidence angles (P = 0.663) in the 3D simulation analysis. All measurements had excellent intra- and inter-observer reliabilities, with an intraclass correlation coefficient of >0.95. Mean cup version measurements from SL radiographs correlated well with those from CT scans (r = 0.853, P < 0.001). The mean difference between radiographic and CT measurements was -0.49° (range -12.62° to 10.37°, SD 3.95°), and the majority of differences were within the 95% limits of agreement.

conclusionThe cup versions measured with SL radiography were close to the CT measurements. SL radiograph method is reliable and valid for measuring acetabular component version after THA.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisAcetabulumHumansRadiographyReproducibility of ResultsRetrospective StudiesStanding PositionAcetabular component versionCross-table lateral radiographHip dislocationStanding lateral radiographTotal hip arthroplasty

Identifiers

PMID35711111
PMCPMC9363715

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