Implant position of total hip arthroplasty shafts. Establishment of a new method for comparison between planned and achieved shaft positions

• Published in: Der Orthopäde 2012-07, Vol.41 (7), p.552-559
• Main Authors: Fottner, A, Steinbrück, A, Volkmer, E, Haasters, F, Mazoochian, F, Jansson, V
• Format: Article
• Language: ger
• Subjects: Aged; Arthroplasty, Replacement, Hip - instrumentation; Arthroplasty, Replacement, Hip - methods; Female; Hip Joint - diagnostic imaging; Hip Joint - surgery; Humans; Joint Instability - diagnostic imaging; Joint Instability - surgery; Male; Preoperative Care - methods; Radiography; Recovery of Function; Treatment Outcome
• ISSN: 1433-0431
• DOI: 10.1007/s00132-012-1961-4

One of the main goals of the preoperative planning of hip prostheses is adequate shaft positioning with reconstruction of leg length and offset. The purpose of this study was to compare the planned and achieved shaft positions using a modified program for migration measurement. In 60 cases of total hip replacement the preoperative planning was compared with the postoperative radiograph using a modified version of the well-established EBRA-FCA program. The results of this new measurement were compared to conventional measurements. In 25 cases the intraobserver and interobserver reliability was determined. The novel measurements correlated best with the measured distance between the greater trochanter and the center of rotation and yielded the best intraobserver and interobserver reliability. In general, cementless stems had a slightly more proximal position (0.65 mm) compared to cemented stems. The modified program for migration measurement facilitates a reproducible and fast comparison of the planned and achieved shaft positions thus implementing an early and objective control of postoperative shaft position.