R. Biedermann et al., Accuracy of EBRA-FCA in the measurement of migration of femoral componentsof total hip replacement, J BONE-BR V, 81B(2), 1999, pp. 266-272
Citations number
22
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine","da verificare
Several methods of measuring the migration of the femoral component after t
otal hip replacement have been;described, but they use different reference
lines, and have differing accuracies, some unproven. Statistical comparison
of different studies is rarely possible.
We report a study of the EBRA-FCA method (femoral component analysis using
Einzel-Bild-Rontgen-Analyse) to determine its accuracy using three independ
ent assessments, including a direct comparison with the results of roentgen
stereophotogrammetric analysis (RSA).
The accuracy of EBRA-FCA was better than +/-1.5 mm (95% percentile) with a
Cronbach's coefficient alpha for interobserver reliability of 0.84; a very
good result,
The method had a specificity of 100% and a sensitivity of 78% compared with
RSA for the detection of migration of over 1 mm. This is accurate enough t
o assess the stability of a prosthesis within a relatively limited period.
The:best reference line for downward migration is between the greater troch
anter and the shoulder of the stem, as confirmed by two experimental analys
es and a computer-assisted design.