Automated Web Tool Measurement of Total Hip Arthroplasty Acetabular Component Inclination and Anteversion Angles
Background: Periprosthetic hip dislocation after total hip arthroplasty is a devastating postoperative complication. It is often associated with suboptimal orientation of the acetabular component, characterized by the acetabular abduction and anteversion angles obtained from anteroposterior pelvic r...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-02-01
|
| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344124002917 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823861190258851840 |
|---|---|
| author | Christine Yoon, BS Anna Eligulashvili, BS Zeynep Seref-Ferlengez, PhD Barlas Goker, MD Eli Kamara, MD Edward Mardakhaev, MD |
| author_facet | Christine Yoon, BS Anna Eligulashvili, BS Zeynep Seref-Ferlengez, PhD Barlas Goker, MD Eli Kamara, MD Edward Mardakhaev, MD |
| author_sort | Christine Yoon, BS |
| collection | DOAJ |
| description | Background: Periprosthetic hip dislocation after total hip arthroplasty is a devastating postoperative complication. It is often associated with suboptimal orientation of the acetabular component, characterized by the acetabular abduction and anteversion angles obtained from anteroposterior pelvic radiographs. We introduce a novel automated web tool to streamline the subjective and lengthy process of this manual measurement and compare it to manual human measurements. Methods: One board-certified orthopaedic surgeon used the web tool to make automatic measurements of anteroposterior radiographs of 97 patients who underwent unilateral hip arthroplasty. Manual and web tool measurements included abduction angle and calculated anteversion angle by Liaw’s method. Differences between manual and web tool measurements were compared with a paired t-test and Bland-Altman analysis. Results: There were no statistically significant differences between the average of manual measurements as compared to the web tool measurement in abduction angle (43.29 ± 7.05 vs 43.00 + 6.22, P = .85), anteversion angle (20.43 ± 7.62 vs 20.82 ± 7.37, P = .52), and ratio of the minor axis of the acetabular cup circumference in the AP radiograph to the total length of the acetabular head (0.42 ± 0.15 vs 0.44 ± 0.15, P = .18). The mean difference of average for abduction angle, anteversion angle, and ratio between the short axis of the transverse ellipse to the total length of the acetabular cup were −0.28, 0.39, and 0.02, respectively. Bland-Altman analysis for all 3 measurements displayed negligible systemic bias with random scattering. Conclusions: Automated measurements obtained with a novel web tool are in strong agreement with the manually obtained ground truth measurements. The web tool helps to eliminate interobserver differences that arise with manual annotation. The web tool has the potential to streamline acetabular measurements with enhanced accuracy. |
| format | Article |
| id | doaj-art-7c3611b550d844b59f37208a5b9dd27c |
| institution | Kabale University |
| issn | 2352-3441 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-7c3611b550d844b59f37208a5b9dd27c2025-02-10T04:34:31ZengElsevierArthroplasty Today2352-34412025-02-0131101606Automated Web Tool Measurement of Total Hip Arthroplasty Acetabular Component Inclination and Anteversion AnglesChristine Yoon, BS0Anna Eligulashvili, BS1Zeynep Seref-Ferlengez, PhD2Barlas Goker, MD3Eli Kamara, MD4Edward Mardakhaev, MD5Albert Einstein College of Medicine, Bronx, NY; Corresponding author. Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461.Tel.: +1 516 242 8722.Albert Einstein College of Medicine, Bronx, NYDepartment of Orthopedic Surgery, Montefiore Medical Center, Bronx, NYDepartment of Orthopedic Surgery, Montefiore Medical Center, Bronx, NYDepartment of Orthopedic Surgery, Montefiore Medical Center, Bronx, NYDepartment of Radiology, Montefiore Medical Center, Bronx, NYBackground: Periprosthetic hip dislocation after total hip arthroplasty is a devastating postoperative complication. It is often associated with suboptimal orientation of the acetabular component, characterized by the acetabular abduction and anteversion angles obtained from anteroposterior pelvic radiographs. We introduce a novel automated web tool to streamline the subjective and lengthy process of this manual measurement and compare it to manual human measurements. Methods: One board-certified orthopaedic surgeon used the web tool to make automatic measurements of anteroposterior radiographs of 97 patients who underwent unilateral hip arthroplasty. Manual and web tool measurements included abduction angle and calculated anteversion angle by Liaw’s method. Differences between manual and web tool measurements were compared with a paired t-test and Bland-Altman analysis. Results: There were no statistically significant differences between the average of manual measurements as compared to the web tool measurement in abduction angle (43.29 ± 7.05 vs 43.00 + 6.22, P = .85), anteversion angle (20.43 ± 7.62 vs 20.82 ± 7.37, P = .52), and ratio of the minor axis of the acetabular cup circumference in the AP radiograph to the total length of the acetabular head (0.42 ± 0.15 vs 0.44 ± 0.15, P = .18). The mean difference of average for abduction angle, anteversion angle, and ratio between the short axis of the transverse ellipse to the total length of the acetabular cup were −0.28, 0.39, and 0.02, respectively. Bland-Altman analysis for all 3 measurements displayed negligible systemic bias with random scattering. Conclusions: Automated measurements obtained with a novel web tool are in strong agreement with the manually obtained ground truth measurements. The web tool helps to eliminate interobserver differences that arise with manual annotation. The web tool has the potential to streamline acetabular measurements with enhanced accuracy.http://www.sciencedirect.com/science/article/pii/S2352344124002917Total hip arthroplasty (THA)Safe zoneAcetabular inclination angleAcetabular anteversion angleS/TLHip dislocation |
| spellingShingle | Christine Yoon, BS Anna Eligulashvili, BS Zeynep Seref-Ferlengez, PhD Barlas Goker, MD Eli Kamara, MD Edward Mardakhaev, MD Automated Web Tool Measurement of Total Hip Arthroplasty Acetabular Component Inclination and Anteversion Angles Arthroplasty Today Total hip arthroplasty (THA) Safe zone Acetabular inclination angle Acetabular anteversion angle S/TL Hip dislocation |
| title | Automated Web Tool Measurement of Total Hip Arthroplasty Acetabular Component Inclination and Anteversion Angles |
| title_full | Automated Web Tool Measurement of Total Hip Arthroplasty Acetabular Component Inclination and Anteversion Angles |
| title_fullStr | Automated Web Tool Measurement of Total Hip Arthroplasty Acetabular Component Inclination and Anteversion Angles |
| title_full_unstemmed | Automated Web Tool Measurement of Total Hip Arthroplasty Acetabular Component Inclination and Anteversion Angles |
| title_short | Automated Web Tool Measurement of Total Hip Arthroplasty Acetabular Component Inclination and Anteversion Angles |
| title_sort | automated web tool measurement of total hip arthroplasty acetabular component inclination and anteversion angles |
| topic | Total hip arthroplasty (THA) Safe zone Acetabular inclination angle Acetabular anteversion angle S/TL Hip dislocation |
| url | http://www.sciencedirect.com/science/article/pii/S2352344124002917 |
| work_keys_str_mv | AT christineyoonbs automatedwebtoolmeasurementoftotalhiparthroplastyacetabularcomponentinclinationandanteversionangles AT annaeligulashvilibs automatedwebtoolmeasurementoftotalhiparthroplastyacetabularcomponentinclinationandanteversionangles AT zeynepserefferlengezphd automatedwebtoolmeasurementoftotalhiparthroplastyacetabularcomponentinclinationandanteversionangles AT barlasgokermd automatedwebtoolmeasurementoftotalhiparthroplastyacetabularcomponentinclinationandanteversionangles AT elikamaramd automatedwebtoolmeasurementoftotalhiparthroplastyacetabularcomponentinclinationandanteversionangles AT edwardmardakhaevmd automatedwebtoolmeasurementoftotalhiparthroplastyacetabularcomponentinclinationandanteversionangles |