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Research article
Ian M. Gradisar
Crystal Clinic Orthopaedic Center
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8339-7992
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Introduction
Preoperative planning for total hip arthroplasty (THA) is an essential step taken to reduce surgical errors and improve patient outcomes. Previously, templating using acetate radiographs proved accurate and beneficial. However, digital templating of digitally acquired radiographs has become more commonplace. The purpose of this study was to quantify accuracy of digital templating for THA’s performed by a single surgeon over a 4-year period and to determine if accuracy improved over time.
Materials and Methods
491 patients undergoing primary THA from 2013-2017 performed by a single surgeon were retrospectively analyzed. Digital templating was performed using ORTHOVIEW Orthopaedic Digital Templating for CARESTREAM PACS (© 2019 Carestream Health). Digitally templated acetabular and femoral component sizes were compared to actual implanted sizes to determine template percent accuracy. To investigate changes in accuracy over time, THA cases were divided in half and compared. Chi Square and Fisher’s Exact Tests were used to determine statistically significant differences in percent accuracy over time.
Results
Overall percent accuracy of acetabular and femoral components was 97.4% and 87.2% respectively. When comparing the first and second half, percent accuracy of acetabular and femoral components was 98.4% versus 97.1% (P =0.58) and 89.4% versus 84.9% (P= 0.14) respectively.
Conclusions
This study represents one of the largest retrospective analyses aimed at determining accuracy of digital templating in THA procedures performed by a single surgeon at a single institution. Percent accuracy was consistently high throughout time and deemed an accurate methodology for preoperative planning of cementless THA.
Keywords
Total hip arthroplasty, Digital templating, Accuracy
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
Ian M. Gradisar
Crystal Clinic Orthopaedic Center
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8339-7992
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 28 Jan, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Introduction
Preoperative planning for total hip arthroplasty (THA) is an essential step taken to reduce surgical errors and improve patient outcomes. Previously, templating using acetate radiographs proved accurate and beneficial. However, digital templating of digitally acquired radiographs has become more commonplace. The purpose of this study was to quantify accuracy of digital templating for THA’s performed by a single surgeon over a 4-year period and to determine if accuracy improved over time.
Materials and Methods
491 patients undergoing primary THA from 2013-2017 performed by a single surgeon were retrospectively analyzed. Digital templating was performed using ORTHOVIEW Orthopaedic Digital Templating for CARESTREAM PACS (© 2019 Carestream Health). Digitally templated acetabular and femoral component sizes were compared to actual implanted sizes to determine template percent accuracy. To investigate changes in accuracy over time, THA cases were divided in half and compared. Chi Square and Fisher’s Exact Tests were used to determine statistically significant differences in percent accuracy over time.
Results
Overall percent accuracy of acetabular and femoral components was 97.4% and 87.2% respectively. When comparing the first and second half, percent accuracy of acetabular and femoral components was 98.4% versus 97.1% (P =0.58) and 89.4% versus 84.9% (P= 0.14) respectively.
Conclusions
This study represents one of the largest retrospective analyses aimed at determining accuracy of digital templating in THA procedures performed by a single surgeon at a single institution. Percent accuracy was consistently high throughout time and deemed an accurate methodology for preoperative planning of cementless THA.
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