Variability associated with assessing changes in position of a canine uncemented femoral stem prosthesis

H. M. Korani, Denis J Marcellin-Little, S. C. Roe

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: Evaluate variability associated with assessing changes in the position of uncemented femoral stems. Methods: Stem level, canal fill, stem angle, and version angle were measured on craniocaudal horizontal beam (CCHB) and open leg lateral (OLL) radiographic projections of the femur of 20 dogs that had uncemented total hip replacement. Intraobserver and inter -observer repeatability were determined on immediate postoperative (PO) images. Differences in position were calculated between the first (3 months – R1) and second (6months – R2) re-evaluation (R1-R2) time points, and between PO and R1. Results: The measurement process was very repeatable. For R1-R2, the stem appeared to subside 0.8 ± 1.4 mm for measurements based on the greater trochanter on the CCHB images, but there was a wide range (-3.9 to 2mm; positive values indicate proximad movement). Measurements based on the intertrochanteric crest on the OLL images had the same mean, and also a wide range (-4.4 to 2.1 mm; negative values indicate proximad movement). For PO-R1, the stem appeared to subside 1.8 ± 2.0 mm (CCHB, based on the greater trochanter, range -7.7 to 2.2 mm), 1.6 ± 1.5 mm (CCHB, based on the intertrochanteric crest, range -0.7 to 4.3 mm); and 2.1 ± 2.1 mm (OLL, based on the intertrochanteric crest, range -1.6 to 6.8 mm). Conclusion: The position of a stable stem can appear different on subsequent re-evaluations, but this may be due to variability associated with inconsistency of positioning of the patient and limb. Clinical significance: Documenting subsidence in individual patients should not rely on calculations based on a single measurement.

Original languageEnglish (US)
Pages (from-to)409-416
Number of pages8
JournalVeterinary and Comparative Orthopaedics and Traumatology
Volume28
Issue number6
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

prostheses
thighs
Thigh
Femur
Prostheses and Implants
Canidae
Leg
stems
dogs
Patient Positioning
legs
Hip Replacement Arthroplasties
Extremities
Dogs
subsidence
hips
limbs (animal)
femur
repeatability

Keywords

  • Measurements
  • Stem level
  • Uncemented total hip replacement
  • Variability

ASJC Scopus subject areas

  • Animal Science and Zoology
  • veterinary(all)

Cite this

Variability associated with assessing changes in position of a canine uncemented femoral stem prosthesis. / Korani, H. M.; Marcellin-Little, Denis J; Roe, S. C.

In: Veterinary and Comparative Orthopaedics and Traumatology, Vol. 28, No. 6, 01.01.2015, p. 409-416.

Research output: Contribution to journalArticle

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abstract = "Objective: Evaluate variability associated with assessing changes in the position of uncemented femoral stems. Methods: Stem level, canal fill, stem angle, and version angle were measured on craniocaudal horizontal beam (CCHB) and open leg lateral (OLL) radiographic projections of the femur of 20 dogs that had uncemented total hip replacement. Intraobserver and inter -observer repeatability were determined on immediate postoperative (PO) images. Differences in position were calculated between the first (3 months – R1) and second (6months – R2) re-evaluation (R1-R2) time points, and between PO and R1. Results: The measurement process was very repeatable. For R1-R2, the stem appeared to subside 0.8 ± 1.4 mm for measurements based on the greater trochanter on the CCHB images, but there was a wide range (-3.9 to 2mm; positive values indicate proximad movement). Measurements based on the intertrochanteric crest on the OLL images had the same mean, and also a wide range (-4.4 to 2.1 mm; negative values indicate proximad movement). For PO-R1, the stem appeared to subside 1.8 ± 2.0 mm (CCHB, based on the greater trochanter, range -7.7 to 2.2 mm), 1.6 ± 1.5 mm (CCHB, based on the intertrochanteric crest, range -0.7 to 4.3 mm); and 2.1 ± 2.1 mm (OLL, based on the intertrochanteric crest, range -1.6 to 6.8 mm). Conclusion: The position of a stable stem can appear different on subsequent re-evaluations, but this may be due to variability associated with inconsistency of positioning of the patient and limb. Clinical significance: Documenting subsidence in individual patients should not rely on calculations based on a single measurement.",
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N2 - Objective: Evaluate variability associated with assessing changes in the position of uncemented femoral stems. Methods: Stem level, canal fill, stem angle, and version angle were measured on craniocaudal horizontal beam (CCHB) and open leg lateral (OLL) radiographic projections of the femur of 20 dogs that had uncemented total hip replacement. Intraobserver and inter -observer repeatability were determined on immediate postoperative (PO) images. Differences in position were calculated between the first (3 months – R1) and second (6months – R2) re-evaluation (R1-R2) time points, and between PO and R1. Results: The measurement process was very repeatable. For R1-R2, the stem appeared to subside 0.8 ± 1.4 mm for measurements based on the greater trochanter on the CCHB images, but there was a wide range (-3.9 to 2mm; positive values indicate proximad movement). Measurements based on the intertrochanteric crest on the OLL images had the same mean, and also a wide range (-4.4 to 2.1 mm; negative values indicate proximad movement). For PO-R1, the stem appeared to subside 1.8 ± 2.0 mm (CCHB, based on the greater trochanter, range -7.7 to 2.2 mm), 1.6 ± 1.5 mm (CCHB, based on the intertrochanteric crest, range -0.7 to 4.3 mm); and 2.1 ± 2.1 mm (OLL, based on the intertrochanteric crest, range -1.6 to 6.8 mm). Conclusion: The position of a stable stem can appear different on subsequent re-evaluations, but this may be due to variability associated with inconsistency of positioning of the patient and limb. Clinical significance: Documenting subsidence in individual patients should not rely on calculations based on a single measurement.

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