Limitations of conventional radiographs in the assessment of…传统光片在评估中的局限性.pdfVIP

RESEARCH • RECHERCHE Limitations of conventional radiographs in the assessment of acetabular defects following total hip arthroplasty * Oleg Sair, MD Background: Conventional radiographs are routinely used to evaluate acetabular Cliff Lin, MD, MASc† bone loss as part of the follow-up in patients who undergo total hip arthroplasty * (THA). The objective of this study was to examine the accuracy and speciicity of con- Yona Kosashvili, MD, MHA ventional radiographs reviewed by arthroplasty surgeons in detecting acetabular bone Ian P. Mayne, MD† loss in patients with prior THA. * Allan E. Gross, MD Methods: Using a cadaveric pelvic model, a deined percentage of bone was incre- David Backstein, MD, MEd* mentally removed from the posterior acetabular column, followed by implantation of uncemented cups into both acetabula. Ten orthopedic arthroplasty surgeons, blinded to the defect sizes, assessed the percentage of bone defect using standard anteropos - From the *Arthroplasty Division, Ortho- terior, Judet and oblique conventional radiographs. pedic Department, Mount Sinai Hospital, and the †Department of Orthopedic Results: Observers were unable to accurately grade bone defects using conventional Surgery, University of Toronto, Toronto, radiographs. For defects less than 50%, observers reported on average a defect of Ont. 11%. Although observer estimates of defects 50%