Assessment Accuracy of 2D vs. 3D Imaging for Custom-Made Acetabular Implants in Revision Hip Arthroplasty
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Patients
2.3. Custom-Made Acetabular Implants: Planning and Manufacturing
2.4. Surgical Procedure
2.5. Quantitative Analysis of Implant Positioning Accuracy: 3D CT-Based Alignment
2.6. Quantitative Analysis of Implant Positioning Accuracy: 2D Radiograph-Based Alignment
2.7. Statistical Analyses
3. Results
3.1. Study Population
3.2. Interobserver Variability Using 3D CT-Based Alignment
3.3. Interobserver Variability Using 2D Radiograph-Based Alignment
3.4. Outcome of Implant Rotation in Relation to Lewinnek’s Safe Zone
3.5. Accuracy Comparison of Implant Position Assessment between 3D CT and 2D Plane Radiograph-Based Alignment
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Study Population | |
---|---|
Age, years ± SD (range) | 65.4 ± 8.0 (58–80) |
Sex, n (%) | |
Female | 5 (71.4) |
Male | 2 (28.6) |
BMI, kg/m2 ± SD (range) | 26.9 ± 6.8 (20.3–32.9) |
Hip, n (%) | |
Right | 3 (42.9) |
Left | 4 (57.1) |
Surgery, n (%) | |
Revision | 7 (100) |
One-stage | 4 (57.1) |
Two-stage | 3 (42.9) |
Cause, n (%) | |
Septic loosening | 1 (14.3) |
Aseptic loosening | 6 (85.7) |
Time (CT—surgery), days ± SD (range) | 145 ± 85.3 (37–289) |
Translation | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
3D CT | 2D Radiographs | |||||||||
Cranial (+)/Caudal (−) [mm] | Lateral (+)/Medial (−) [mm] | Ventral (+)/Dorsal (−) [mm] | Cranial (+)/Caudal (−) [mm] | Lateral (+)/Medial (−) [mm] | ||||||
Patient No. | Mean | SD | Mean | SD | Mean | SD | Mean | SD | Mean | SD |
1 | 5 | 1 | −1.2 | 0.1 | −3 | 0.5 | 6.5 | 0.5 | 1 | 1 |
2 | 1 | 1 | −1.9 | 0 | −7.45 | 0.05 | 0.75 | 1.25 | 0.25 | 0.25 |
3 | 2 | 0 | −2.5 | 0.4 | 1.45 | 0.15 | 0.5 | 2 | 2.75 | 2.75 |
4 | 2 | 2 | −1.7 | 0.7 | 0 | 0.2 | 0.9 | 3 | −3.8 | 1 |
5 | 1.5 | 0.5 | −1.7 | 0.6 | −1.55 | 0.35 | −1 | 1 | −4 | 2 |
6 | 3 | 1 | −2.6 | 0.1 | 1 | 0.3 | 1.75 | 0.25 | 1.75 | 0.75 |
7 | −1 | 1 | −3.95 | 0.95 | 4.95 | 0.85 | 0.8 | 1.8 | −3.1 | 0.1 |
Min. | −1.0 | 0.0 | −4.0 | 0.0 | −7.5 | 0.0 | −1.0 | 0.3 | −4.0 | 0.1 |
Mean | 1.9 | 0.9 | −2.2 | 0.4 | −0.7 | 0.3 | 1.5 | 1.4 | −0.7 | 1.1 |
Max. | 5.0 | 2.0 | −1.2 | 1.0 | 5.0 | 0.9 | 6.5 | 3.0 | 2.8 | 2.8 |
Rotation | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Preoperative Plan | 3D CT | 2D Radiographs | ||||||||||||
Patient No. | AV Plan [°] | INCL Plan [°] | AV Final [°] | SD | ΔAV [°] | INCL Final [°] | SD | ΔINCL [°] | AV Final [°] | SD | ΔAV [°] | INCL Final [°] | SD | ΔINCL [°] |
1 | 10 | 45 | 8.85 | 0.65 | −1.15 | 49.15 | 0.15 | 4.15 | 12.75 | 1.15 | 2.75 | 49.15 | 0.65 | 4.15 |
2 | 10 | 45 | −4.5 | 5 | −14.5 | 46.1 | 0.1 | 1.1 | 2.45 | 0.05 | −7.55 | 46 | 0.3 | 1 |
3 | 15 | 45 | 21.15 | 0.05 | 6.15 | 43.15 | 0.05 | −1.85 | 21.6 | 4 | 6.6 | 42.95 | 0.75 | −2.05 |
4 | 10 | 45 | 5.1 | 2.5 | −4.9 | 43.1 | 1.5 | −1.9 | 8.55 | 6.05 | −1.45 | 43.6 | 1.9 | −1.4 |
5 | 10 | 45 | 11.1 | 0.3 | 1.1 | 45.75 | 0.05 | 0.75 | 8.95 | 0.55 | −1.05 | 42.95 | 1.45 | −2.05 |
6 | 10 | 40 | 14.2 | 0.9 | 4.2 | 47.45 | 0.05 | 7.45 | 16.75 | 1.95 | 6.75 | 46.9 | 1.3 | 6.9 |
7 | 10 | 45 | 8.05 | 0.05 | −1.95 | 45.2 | 0.2 | 0.2 | 2.55 | 8.65 | −7.45 | 44.7 | 1.4 | −0.3 |
Min. | 10 | 40 | −4.5 | 0.0 | −14.5 | 43.1 | 0.0 | −1.9 | 2.5 | 0.1 | −7.6 | 43.0 | 0.3 | −2.1 |
Mean | 10.7 | 44.3 | 9.1 | 1.4 | −1.6 | 45.7 | 0.3 | 1.4 | 10.5 | 3.2 | −0.2 | 45.2 | 1.1 | 0.9 |
Max. | 15 | 45 | 21.2 | 5.0 | 6.2 | 49.2 | 1.5 | 7.5 | 21.6 | 8.7 | 6.8 | 49.2 | 1.9 | 6.9 |
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Nees, T.A.; Mueller, C.T.; Innmann, M.M.; Spranz, D.M.; Westhauser, F.; Renkawitz, T.; Reiner, T.; Walker, T. Assessment Accuracy of 2D vs. 3D Imaging for Custom-Made Acetabular Implants in Revision Hip Arthroplasty. J. Pers. Med. 2024, 14, 808. https://doi.org/10.3390/jpm14080808
Nees TA, Mueller CT, Innmann MM, Spranz DM, Westhauser F, Renkawitz T, Reiner T, Walker T. Assessment Accuracy of 2D vs. 3D Imaging for Custom-Made Acetabular Implants in Revision Hip Arthroplasty. Journal of Personalized Medicine. 2024; 14(8):808. https://doi.org/10.3390/jpm14080808
Chicago/Turabian StyleNees, Timo Albert, Christian Thomas Mueller, Moritz Maximilian Innmann, David Maximilian Spranz, Fabian Westhauser, Tobias Renkawitz, Tobias Reiner, and Tilman Walker. 2024. "Assessment Accuracy of 2D vs. 3D Imaging for Custom-Made Acetabular Implants in Revision Hip Arthroplasty" Journal of Personalized Medicine 14, no. 8: 808. https://doi.org/10.3390/jpm14080808