Renwick Alasdair, Gemmill Toby, Pink Jonathan, Brodbelt David, McKee Malcolm
Willows Referral Service, Solihull, UK Royal Veterinary College, North Mymms, UK.
Vet Surg. 2011 Jul;40(5):610-20. doi: 10.1111/j.1532-950X.2011.00824.x. Epub 2011 Apr 15.
To assess the reliability of radiographic measurement of angle of lateral opening (ALO) and angle of version of BFX acetabular cups.
In vitro radiographic study.
BFX cups (24, 28, and 32 mm).
Total hip replacement constructs (cups, 17 mm femoral head and a #7 CFX stem) were mounted on an inclinometer. Ventrodorsal radiographs were obtained with ALO varying between 21° and 70° and inclination set at 0°, 10°, 20°, and 30°. Radiographs were randomized using a random sequence generator. Three observers blinded to the radiograph order assessed ALO using 3 methods: (1) an ellipse method based on trigonometry; (2) using a measurement from the center of the femoral head to the truncated surface of the cup; (3) by visual estimation using a reference chart. Version was measured by assessing the ventral edge of the truncated surface.
ALO methods 2 and 3 were accurate and precise to within 10° and were significantly more accurate and precise than method 1 (P < .001). All methods were significantly less accurate with increasing inclination. Version measurement was accurate and precise to within 7° with 0-20° of inclination, but significantly less accurate with 30° of inclination.
Methods 2 and 3, but not method 1, were sufficiently accurate and precise to be clinically useful. Version measurement was clinically useful when inclination was ≤ 20°.
