Validity and application of Doiguchi's pelvic tilt measurement method

• Published in: Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2024-07, Vol.29 (4), p.1003-1008
• Main Authors: Tsukamoto, Manabu, Kawasaki, Makoto, Nabeshima, Takayuki, Suzuki, Hitoshi, Fujitani, Teruaki, Chiba, Ko, Doiguchi, Yuichi, Osaki, Makoto, Sakai, Akinori
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Anatomy; Arthroplasty, Replacement, Hip - methods; Female; Hip-spine syndrome; Humans; Imaging, Three-Dimensional; Japanese; Male; Methodology; Middle Aged; Morphology; Patient Positioning; Pelvic Bones - diagnostic imaging; Reproducibility of Results; Retrospective Studies; Total hip arthroplasty
• ISSN: 0949-2658; 1436-2023; 1436-2023
• DOI: 10.1016/j.jos.2023.06.007

The validity of Doiguchi's pelvic tilt measurement method has not been proven. The objective in our study was to validate the method. Our investigation included 73 total hip arthroplasties (THAs) performed using our cup placement procedure from July 2020 to November 2021. Pelvic tilt formed by the pubic symphysis and sacral promontory (PTPS) in supine and lateral positions was calculated by two methods (the Doiguchi method and the digital reconstructed radiograph (DRR) method using a 3D computer templating system) based on the transverse and longitudinal diameters of the pelvic ring measured immediately before THA. There was a strong/moderate correlation in the values of PTPS between the Doiguchi and DRR methods. However, the value of PTPS calculated by the Doiguchi method was significantly lower than that calculated by DRR, and there was a partially direct match. On the other hand, there was no significant difference in the value of PT change from supine to lateral position between the Doiguchi and DRR methods. The PT changes based on both methods were strongly correlated, and the PT change calculated by the Doiguchi method was almost identical to that calculated by the DRR method. Doiguchi's pelvic tilt measurement method was validated for the first time. These results demonstrated that the ratio of the transverse and longitudinal diameters of the pelvic ring was an important factor defining the change in pelvic tilt. The slope in the linear function of the Doiguchi method was found to be almost the correct value, although the intercept of the linear function exhibited individual differences.