Effect of pelvic tilt and rotation on cup orientation in standing anteroposterior radiographs
Autor: | Brett L. Hayden, Daniel M Ward, Ho Hyun Yun, Guoyan Zheng, William Murphy, Stephen B. Murphy |
---|---|
Rok vydání: | 2019 |
Předmět: |
Male
Pelvic tilt Cup orientation Arthroplasty Replacement Hip Radiography Posture Rotation Patient Positioning Imaging Three-Dimensional Humans Medicine Orthopedics and Sports Medicine Postoperative Period Aged Aged 80 and over Orthodontics business.industry Acetabulum Middle Aged Female Surgery Hip Prosthesis Tomography X-Ray Computed business Pelvic rotation Total hip arthroplasty |
Zdroj: | HIP International. 30:48-55 |
ISSN: | 1724-6067 1120-7000 |
Popis: | Background:Individual pelvic tilt and rotation have wide variability that can affect the measurement of cup orientation in anteroposterior (AP) radiographs. The purpose of this study was to analyse the effect of pelvic tilt and rotation on radiographic measurements of cup orientation.Methods:A total of 53 patients (63 hips) were included in this study. The patients underwent a computed tomography study with standing AP pelvis radiographs taken both preoperatively and approximately 3 months postoperatively. We used 2-dimensional/3-dimensional matching to measure the pelvic tilt and rotation, and the non-standardised and standardised cup orientation.Results:There was no difference in the pelvic tilt and rotation between the preoperative and postoperative radiographs. The distribution of the differences between the non-standardised and standardised cup anteversion exhibited a change within 5° in only 34/63 (54%) hips. The pelvic tilt correlated with the difference between the non-standardised and standardised cup anteversion, but the pelvic rotation did not. When all 63 hips were separated into the right and left sides, the pelvic rotation inversely correlated with the pelvic tilt-adjusted difference between the non-standardised and standardised cup anteversion of the right side but directly correlated with that of the left side.Conclusions:The current study demonstrated that the measurement of cup anteversion in standing AP radiographs is significantly affected by both the pelvic tilt and pelvic rotation. An improved understanding of the pelvic orientation may eventually allow for desired cup positioning on a patient-specific basis to potentially reduce complications associated with the malposition of the cup. |
Databáze: | OpenAIRE |
Externí odkaz: |