Lack of consensus on optimal acetabular cup orientation because of variation in assessment methods in total hip arthroplasty: a systematic review

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
T E SnijdersA de Gast

Abstract

Dislocation is 1 of the main reasons for revision of total hip arthroplasty but dislocation rates have not changed in the past decades, compromising patients' well-being. Acetabular cup orientation plays a key role in implant stability and has been widely studied. This article investigates whether there is a consensus on optimal cup orientation, which is necessary when using a navigation system. A systematic search of the literature in the PubMed, Embase and Cochrane databases was performed (March 2017) to identify articles that investigated the direct relationship between cup orientation and dislocation, including a thorough evaluation of postoperative cup orientation assessment methods. 28 relevant articles evaluating a direct relation between dislocation and cup orientation could not come to a consensus. The key reason is a lack of uniformity in the assessment of cup orientation. Cup orientation is assessed with different imaging modalities, different methodologies, different definitions for inclination and anteversion, several reference planes and distinct patient positions. All available studies lack uniformity in cup orientation assessment; therefore it is impossible to reach consensus on optimal cup orientation. Using na...Continue Reading

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Citations

Mar 5, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Masanori OkamotoHiroyuki Yokoi
Oct 4, 2020·Clinical Orthopaedics and Related Research·Thom E SnijdersArthur de Gast
Feb 26, 2019·SAGE Open Medical Case Reports·Wayne G PaproskyJeffrey M Muir
Nov 23, 2019·EFORT Open Reviews·Alessandro ColombiClaudio Carlo Castelli
Sep 3, 2019·The Bone & Joint Journal·Michael P MurphyKaren Wu
Feb 18, 2020·The Journal of Arthroplasty·Clayton AlexanderHarpal S Khanuja
Jun 9, 2021·Archives of Orthopaedic and Trauma Surgery·Joost H J van ErpArthur de Gast

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Orthoview
Martell Hip Analysis Suite

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