Advances in clinical relevance and two-dimentional radiographic measurement of acetabular component anteversion

doi:10.3877/cma.j.issn.1674-134X.2020.03.015

Abstract

Abstract:

Acetabular component anteversion(ACA) is a direction parameter ofacetabularcomponent in total hip arthroplasty(THA). ACA is routinely controlled intraoperatively and assessed postoperatively for its paramountimpact on outcome of THA.Recent advance in related researches has renewed our knowledge on the clinical significance of ACA.The long-followed Lewinnk’s "safe zone" has been challenged by new proofs and novel standards for ideal ranges of ACA from more integrative and individual perspectives are emerging.Radiographic measurement of ACA is essential for evaluation of THA outcome. However, ACAcannot be directly measured from conventional hip radiographs. Efforts since the 1970s have turned out several methods to calculate anteversion from measurements on radiographs, but none of them can obviatesimultaneously disadvantages of excessive subjective error and complexity in manipulation. Based on the literature, this article reviewed the definitions, clinical relevance and imaging measurement of acetabular component anteversion with an aim to provide reference for the clinical practice and related research of total hip arthroplasty.

Key words: Arthroplasty, replacement, hip, Hip prosthesis, Acetabulum, Diagnostic imaging

He Xiao, Nianye Zheng, Wenli Dai, Xuanping Wu, Zhanjun Shi. Advances in clinical relevance and two-dimentional radiographic measurement of acetabular component anteversion[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(03): 339-345.

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References 55

[1]	Murray DW. The definition and measurement of acetabular orientation[J]. J Bone Joint Surg Br, 1993, 75(2): 228-232.
[2]	Haaker RA, Tiedjen K, Ottersbach A, et al. Comparison of conventional versus Computer－Navigated acetabular component insertion[J]. J Arthroplasty, 2007, 22(2): 151-159.
[3]	Iii DG, Jaramaz B, Plakseychuk AY, et al. Comparison of a mechanical acetabular alignment guide with computer placement of the socket[J]. J Arthroplasty, 2002, 17(3): 359-364.
[4]	Kalteis T, Handel M, Herold T, et al. Greater accuracy in positioning of the acetabular cup by using an image-free navigation system[J]. Int Orthop, 2005, 29(5): 272-276.
[5]	Visser JD, Konings JG.A new method for measuring angles after total hip arthroplasty. A study of the acetabular cup and femoral component[J]. J Bone Joint Surg Br, 1981, 63-B(4): 556-559.
[6]	吴坚，吕明，柳剑，等．不同X线方法计算髋臼杯前倾角的准确性和可靠性研究[J]．中国矫形外科杂志，2013，21(14): 1427-1434.
[7]	Grammatopoulos G, Pandit HG, Assunção RD, et al. The relationship between operative and radiographic acetabular component orientation[J]. Bone Joint J, 2014, 96-b(10): 1290-1297.
[8]	Wan Z, Malik A, Jaramaz B, et al. Imaging and navigation measurement of acetabular component position in THA[J]. Clin Orthop Relat Res, 2009, 467(1): 32-42.
[9]	Nomura T, Naito M, Nakamura Y, et al. An analysis of the best method for evaluating anteversion of the acetabular component after total hip replacement on plain radiographs[J]. Bone Joint J, 2014, 96-b(5): 597-603.
[10]	Alzohiry MA, Abdelnasser MK, Moustafa M, et al. Accuracy of plain antero-posterior radiographic-based methods for measurement of acetabular cup version[J]. IntOrthop, 2018, 42(12): 2777-2785.
[11]	Marx A, Von Knoch M, Pförtner J, et al. Misinterpretation of cup anteversion in total hip arthroplasty using planar radiography[J]. Arch Orthop Trauma Surg, 2006, 126(7): 487-492.
[12]	Lu M, Zhou YX, Du H, et al. Reliability and validity of measuring acetabular component orientation by plain anteroposterior radiographs[J]. Clin Orthop Relat Res, 2013, 471(9): 2987-2994.
[13]	Nho JH, Lee YK, Kim HJ, et al. Reliability and validity of measuring version of the acetabular component[J]. J Bone Joint Surg Br, 2012, 94-B(1): 32-36.
[14]	Lembeck B, Mueller O, Reize P, et al. Pelvic tilt makes acetabular cup navigation inaccurate[J]. Acta Orthop, 2005, 76(4): 517-523.
[15]	Lewinnek GE, Lewis JL, Tarr R, et al. Dislocations after total hip-replacement arthroplasties[J]. J Bone Joint Surg Am, 1978, 60(2): 217-220.
[16]	Callanan MC, Jarrett B, Bragdon CR, et al. The john charnley award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital[J]. Clin Orthop Relat Res, 2011, 469(2): 319-329.
[17]	Lusty PJ, Watson A, Tuke MA, et al. Orientation and wear of the acetabular component in third Generation alumina-on-alumina ceramic bearings: an analysis of 33 retrievals[J]. J Bone Joint Surg Br, 2007, 89-B(9): 1158-1164.
[18]	Patil S, Bergula A, Chen PC, et al. Polyethylene wear and acetabular component orientation[J]. J Bone Joint Surg Am, 2003, 85-A(suppl 4): 56-63.
[19]	Kosukegawa I, Nagoya S, Kaya M, et al. Anatomic anteversion of the acetabular component correlates with polyethylene linear wear in total hip arthroplasty: the three-dimensional numerical analysis[J]. Open J Orthop, 2016, 06(6): 126-134.
[20]	Kaku N, Tabata T, Tagomori H, et al. The mechanical effects of cup inclination and anteversion angle on the bearing surface[J]. Eur J Orthop Surg Traumatol, 2018, 28(1): 65-70.
[21]	Goyal P, Howard JL, Yuan XH, et al. Effect of acetabular position on polyethylene liner wear measured using simultaneous biplanaracquisition[J]. J Arthroplasty, 2017, 32(5): 1670-1674.
[22]	Ito M, Tokunaga K, Endo N, et al. The effect of cup placement in cementless total hip arthroplasty on the wear rate of polyethylene[J]. Orthopedics, 2008, 31(3): 1-7.
[23]	Mccarthy TF, Alipit V, Nevelos J, et al. Acetabular cup anteversion and inclination in hip range of motion to impingement[J]. J Arthroplasty, 2016, 31(9): 264-268.
[24]	Reina N, Putman S, Desmarchelier R, et al. Can a target zone safer than Lewinnek’s safe zone be defined to prevent instability of total hip arthroplasties? Case-control study of 56 dislocated THA and 93 matched controls[J]. Orthop Traumatol Surg Res, 2017, 103(5): 657-661.
[25]	Danoff JR, Bobman JT, Cunn G, et al. Redefining the acetabular component safe zone for posterior approach total hip arthroplasty[J]. J Arthroplasty, 2016, 31(2): 506-511.
[26]	Jolles BM, Zangger P, Leyvraz PF. Factors predisposing to dislocation after primary total hip arthroplasty: a multivariate analysis[J]. J Arthroplasty, 2002, 17(3): 282-288.
[27]	Seagrave KG, Troelsen A, Malchau H, et al. Acetabular cup position and risk of dislocation in primary total hip arthroplasty：a systematic review of the literature[J]. Acta Orthop, 2016, 88(1): 1-8.
[28]	Abdel MP, Von Roth P, Jennings MT, et al. What safe zone? The vast majority of dislocated THAs are within the lewinnek safe zone for acetabular component position[J]. Clin Orthop Relat Res, 2016, 474(2): 386-391.
[29]	Banaszkiewicz PA, Kader DF. Classic papers in orthopaedics[M].1st ed. London: Springer, 2014: 113-114.
[30]	Lawrence DD, Aamer M, Manish D, et al. Combined anteversion technique for total hip arthroplasty[J]. Clin Orthop Relat Res, 2009, 467(1): 119-127.
[31]	Chitranjan SR, Michael JM. Modern technique of cemented total hip arthroplasty[J]. Tech Orthop, 1991, 6(3): 17-25.
[32]	Christopher A, Lawrence DD. The combined anteversion technique for acetabular component anteversion[J]. J Arthroplasty, 2008, 23(7): 1068-1070.
[33]	Widmer KH, Zurfluh B. Compliant positioning of total hip components for optimal range of motion[J]. J Orthop Res, 2004, 22(4): 815-821.
[34]	Nakashima Y, Hirata M, Akiyama M, et al. Combined anteversion technique reduced the dislocation in cementless total hip arthroplasty[J]. Int Orthop, 2014, 38(1): 27-32.
[35]	Legaye J. Influence of the sagittal balance of the spine on the anterior pelvic plane and on the acetabular orientation[J]. Int Orthop, 2009, 33(6): 1695-1700.
[36]	Zhao JX, Su XY, Xiao RX, et al. A mathematical method for precisely calculating the radiographic angles of the cup after total hip arthroplasty[J]. Med Eng Phys, 2016, 38(11): 1376-1381.
[37]	Phan D, Bederman SS, Schwarzkopf R. The influence of sagittal spinal deformity on anteversion of the acetabular component in total hip arthroplasty[J]. Bone Joint J, 2015, 97-b(8): 1017-1023.
[38]	Christina IE, Gladnick BP, Yuo-Yu L, et al. Cup position alone does not predict risk of dislocation after hip arthroplasty[J]. J Arthroplasty, 2015, 30(1): 109-113.
[39]	干子阳，周建生．二维影像测量髋臼假体前倾角进展[J]．解剖与临床，2013，18(6): 527-529.
[40]	Widmer D, Reising K, Kotter E, et al. Correct assessment of acetabular component orientation in total hip arthroplasty from plane radiographs[J]. J Arthroplasty, 2018, 33(8): 2652-2659.e3.
[41]	Ghelman B. Radiographic localization of the acetabular component of a hip prosthesis[J]. Radiology, 1979, 130(2): 540-542.
[42]	Sculco PK, Alexander SM, Kaitlin MC, et al. Anteroposterior radiographs are more accurate than cross-table lateral radiographs for acetabular anteversion assessment: a retrospective cohort study[J]. HSS J, 2016, 12(1): 32-38.
[43]	Bachhal V, Jindal N, Saini G, et al. A new method of measuring acetabular cup anteversion on simulated radiographs[J]. Int Orthop, 2012, 36(9): 1813-1818.
[44]	Mclaren RH. Prosthetic hip angulation[J]. Radiology, 1973, 107(3): 705-706.
[45]	Ackland MK, Bourne WB, Uhthoff HK. Anteversion of the acetabular cup. Measurement of angle after total hip replacement[J]. J Bone Joint Surg Br, 1986, 68(3): 409-413.
[46]	Kosiyatrakul A, Luenam S, Chotanaphuti T. Measurement of acetabular cup anteversion with the circle theorem[J]. J Med Assoc Thai, 2009, 92(Suppl 6): S128-S133.
[47]	Widmer KH. A simplified method to determine acetabular cup anteversion from plain radiographs[J]. J Arthroplasty, 2004, 19(3): 387-390.
[48]	Hassan DM, Johnston GH, Dust WN, et al. Radiographic calculation of anteversion in acetabular prostheses[J]. J Arthroplasty, 1995, 10(3): 369-372.
[49]	Pradhan R. Planar anteversion of the acetabular cup as determined from plain anteroposterior radiographs[J]. J Bone Joint Surg Br, 1999, 81(3): 431-435.
[50]	Liaw CK, Hou SM, Yang RS, et al. A new tool for measuring cup orientation in total hip arthroplasties from plain radiographs[J]. Clin Orthop Relat Res, 2006, 451(451): 134-139.
[51]	Fabeck L, Farrokh D, Tolley M, et al. A method to measure acetabular cup anteversion after total hip replacement[J]. Acta Orthop Belg, 1999, 65(4): 485-491.
[52]	Snijders TE, Schlösser TC, Steven MG, et al. Non-equivalent results from different anteversion measurements methods for the evaluation of the acetabular cup orientation in total hip arthroplasty[J]. Orthop Surg, 2019, 11(2): 241-247.
[53]	Park YS, Shin WC, Sang ML, et al. The best method for evaluating anteversion of the acetabular component after total hip arthroplasty on plain radiographs[J/OL]. J Orthop Surg Res, 2018, 13(1): 66.doi: 10.1186/s13018-018-0767-4.
[54]	Lee GC, Lee SH, Kang SW, Park HS, et al. Accuracy of planar anteversion measurements using anteroposterior radiographs[J/OL]. BMC Musculoskelet Disord, 2019, 20(1): 586. doi: 10.1186/s12891-019-2979-0.
[55]	Goergen TG, Resnick D. Evaluation of acetabular anteversion following total hip arthroplasty: necessity of proper centring[J]. Br J Radiol, 1975, 48(568): 259-260.

测量方法	发表时间	是否需要估计参考点	是否需要科学计算器或数表	准确度*
McLaren^[44]	1978	是	是	平均误差1.23°，标准差0.57°^[50]
Hassan^[48]	1995	否	是	平均误差2.5°^[48]
Ackland^[45]	1986	否	是	平均绝对误差0.17°^[45]
Pradhan^[49]	1999	否	是	平均误差0.88°，标准差0.65°^[49]
Fabeck^[51]	1999	是	否	平均误差2°，标准差0.4°^[51]
Widmer^[47]	2004	是	否	平均误差3.11°，标准差4.19°^[6]
Liaw^[50]	2006	是	否	平均误差0.96°，标准差0.74°^[50]
Kosiyatrakul^[46]	2009	否	否	准确度±2°^[46]
Bachhal^[43]	2012	否	否	平均误差0.75°，标准差0.77°^[43]

测量方法	发表时间	是否需要估计参考点	是否需要科学计算器或数表	准确度*
McLaren^[44]	1978	是	是	平均误差1.23°，标准差0.57°^[50]
Hassan^[48]	1995	否	是	平均误差2.5°^[48]
Ackland^[45]	1986	否	是	平均绝对误差0.17°^[45]
Pradhan^[49]	1999	否	是	平均误差0.88°，标准差0.65°^[49]
Fabeck^[51]	1999	是	否	平均误差2°，标准差0.4°^[51]
Widmer^[47]	2004	是	否	平均误差3.11°，标准差4.19°^[6]
Liaw^[50]	2006	是	否	平均误差0.96°，标准差0.74°^[50]
Kosiyatrakul^[46]	2009	否	否	准确度±2°^[46]
Bachhal^[43]	2012	否	否	平均误差0.75°，标准差0.77°^[43]

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