15th EFORT Congress 2014 ! London !

4-6 June 2014

Digital Templating And Preoperative Data Analysis Of Total Hip Arthroplasty
The Double Marker Calibration Method
P. Andrs-Cano, E. Cruz, J.R. Cano, E. Guerado
Department of Orthopedic Surgery Hospital Costa del Sol University of Mlaga Marbella Mlaga Spain
#2110
Material & Methods
Consecutive prospective cohort of patients waiting for uncemented THA.
Introduction & Objetives
Preoperative templating is a challenging step in total hip
arthroplasty (THA)
1
. The ability to determine magnication of the
radiograph is critical to get an accurate and reliable planication
2
.
Results
References
1. Unnanuntana A et al. The accuracy of preoperative templating in cementless total hip arthroplasty. J Arthroplasty. 2009;24:180-186.
2. Bayne CO et al. Evaluation of the accuracy and use of x-ray markers in digital templating for total hip arthroplasty. J Arthroplasty. 2009;24:407-413.
3. King RJ et al. A novel method of accurately calculating the radiological magnication of the hip. J Bone Joint Surg Br. 2009;91:1217-1222.
4. Baxter JA et al. The accuracy of automatic calibration of digital pelvic radiographs using two different scale markers: a comparative study. Hip Int. 2012;22:82-89.
5. Berstock JR et al. A comparison of digital and manual templating using PACS images. Ann R Coll Surg Engl. 2010;92:73-74.
6. Kumar PG et al. Reproducibility and accuracy of templating uncemented THA with digital radiographic and digital TraumaCad templating software. Orthopedics. 2009;32:815.
7. White SP et al. Assessment of magnication of digital pelvic radiographs in total hip arthroplasty using templating software. Ann R Coll Surg Engl. 2008;90:592-596.
8. Whiddon DR et al. Digital templating in total hip arthroplasty. Instr Course Lect. 2008;57:273-279.
Conclusion
Independent variables
Dependent variables
Statistical analysis
- Demographic and preoperative data
- Expected sizes
Group A
PACS marker
5
Group B
Double Marker
3,4
VS
Both calibration methods in the same patient
Utility and precision of preoperative templating of THA comparing
A new Double Marker calibration method of pelvic radiograph has
recently been proposed
3,4
. Its clinical effectiveness has not been
proven yet.
- Bivariate analysis
- Correlation (ICC)



- Magnication
7

- Accuracy


Disclosures: Authors declare no conict of interest. No benets in any form have been received from a commercial party related directly or indirectly to the subject of this article.

THA templating using digital radiographs calibrated with a double marker method is more reliable than using PACS
Figure 2: THA Templating
a. Preop (ball: anterior marker, rods: posterior)
b. Template
c. Postop
Figure 1: Double Marker Calibration Method
- n= 25
- Digital radiographs
- Software: Traumacad
6
- Templating
- THA (Accolade II Stem
and Trident Tritanium cup)

c.
b.
a.