Accuracy of Total Hip Arthroplasty Templating Using Set Calibration Magnifications. 2023

Benjamin Schapira, and Suroosh Madanipour, and Farhad Iranpour, and Padmanabhan Subramanian
Trauma and Orthopaedics, Royal Free London NHS Foundation Trust, London, GBR.

Background Templating for total hip arthroplasty has been adopted over recent decades as a reliable and accurate method for pre-operative planning. The use of calibration markers for this process provides a recognised benefit at the expense of cost, availability and error. Many surgeons use a set magnification of 118% to account for calibration errors when templating total hip arthroplasty. This study aims to assess the accuracy of templating with standardised magnifications and assess the effect of BMI on templating accuracy. Materials and methods A retrospective analysis was performed using a single-surgeon series of 119 consecutive total hip arthroplasties. Anteroposterior radiographs were taken pre- or post-operatively without calibration hardware. Pre-operatively, the total hip arthroplasty was templated on TraumaCad (BrainLab Inc, Westchester, IL) using either 118% or 119% calibration magnification. Post-operative magnification was calibrated using the known femoral head diameter. Templated and implanted prostheses were compared for size. Results At 118%, 61.1% of cups matched those templated with 96.3% of cups within two sizes. At 119%, 52.5% of cups used matched their templates with 100% within two sizes. There was no significant difference between 118% and 119% cup size prediction (p=0.49). A trend was noticed in increasing magnification error with increasing BMI. However, BMI had no significant effect on the accuracy of templating cup size within two cup sizes (p=0.58). Conclusion. Templating acetabular cups using a set magnification of 118% or 119% yields accurate results and provides a reliable method to template without calibration equipment. Whilst BMI can affect magnification error, this has no significant effect on the accuracy of implanted cups and stems within two sizes.

UI MeSH Term Description Entries

Related Publications

Benjamin Schapira, and Suroosh Madanipour, and Farhad Iranpour, and Padmanabhan Subramanian
August 2011, American journal of orthopedics (Belle Mead, N.J.),
Benjamin Schapira, and Suroosh Madanipour, and Farhad Iranpour, and Padmanabhan Subramanian
August 2014, Journal of orthopaedic surgery (Hong Kong),
Benjamin Schapira, and Suroosh Madanipour, and Farhad Iranpour, and Padmanabhan Subramanian
January 2015, PloS one,
Benjamin Schapira, and Suroosh Madanipour, and Farhad Iranpour, and Padmanabhan Subramanian
April 2016, The Journal of arthroplasty,
Benjamin Schapira, and Suroosh Madanipour, and Farhad Iranpour, and Padmanabhan Subramanian
September 2021, Acta orthopaedica Belgica,
Benjamin Schapira, and Suroosh Madanipour, and Farhad Iranpour, and Padmanabhan Subramanian
February 2019, Archives of orthopaedic and trauma surgery,
Benjamin Schapira, and Suroosh Madanipour, and Farhad Iranpour, and Padmanabhan Subramanian
February 2009, The Journal of arthroplasty,
Benjamin Schapira, and Suroosh Madanipour, and Farhad Iranpour, and Padmanabhan Subramanian
June 2010, The Journal of arthroplasty,
Benjamin Schapira, and Suroosh Madanipour, and Farhad Iranpour, and Padmanabhan Subramanian
March 2009, Annals of the Royal College of Surgeons of England,
Benjamin Schapira, and Suroosh Madanipour, and Farhad Iranpour, and Padmanabhan Subramanian
May 2006, The Journal of bone and joint surgery. British volume,
Copied contents to your clipboard!