Analysis of four methods of measuring three-dimensional pelvic tilt in the lateral decubitus position.

Abstract:

:Proper alignment of acetabular implantation is necessary for good patient outcomes and preventing complications or additional surgeries in total hip arthroplasty (THA). Rotation of the pelvis in lateral decubitus (LD) is typically not accounted for as surgeons use the surgery table as a reference plane to align implants. This study compared four techniques to measure 3D pelvic rotations in LD position using computer models. CT scans of 19 subjects in LD position were used to create 3D pelvis models. Pelvic rotations were measured by three users using four techniques: landmark (LM), defined plane (DP), anterior pelvic plane (APP), and plane of best symmetry (POBS) methods. Measurements were analysed for intra-user reliability and relationships between methods were assessed using intraclass correlation coefficient, standard error of measurement, and coefficient of determination. The POBS method exhibited the highest inter-observer reliability and is recommended as a new measurement technique to measure pelvic rotations before THA surgery. The LM method exhibited low reliability but may be suitable for expert users familiar with pelvic landmarks. The APP method should only be used when the patients' APP planes are known in neutral standing and side-lying postures. The DP method is not recommended due to substantial individual variability. Graphical abstract.

journal_name

Med Biol Eng Comput

authors

Stadnyk M,Liu T,Arezodar FF,Westover L,Carvajal Alba JA,Masson E,Beaupre L,Jaremko JL,El-Rich M

doi

10.1007/s11517-020-02235-4

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

2387-2396

issue

10

eissn

0140-0118

issn

1741-0444

pii

10.1007/s11517-020-02235-4

journal_volume

58

pub_type

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