A Validated Single-View Radiographic Alternative to Computed Tomography for the Measurement of Femoral Anteversion: A Method-Comparison Study

Boissonneault, Adam; Hiranaka, Takafumi; Roberson, James R.; Bradbury, Thomas L.

doi:10.1016/j.arth.2016.09.016

Cited by 6 publications

(5 citation statements)

References 51 publications

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“…The x-ray imaging examination consisting of the pelvis, front hip, Dunlop profile and modified Budin profile [7].…”

Section: Experimental Partmentioning

confidence: 99%

“…The new protocol included in this study is the introduction of a particular incidence, modified Budin, [7] used in the hip, in order to highlight the maximum area of the port where the necrosis zone develops in early stages of NACF.…”

Section: Study Protocolmentioning

confidence: 99%

“…The special modified Budin incidence is an obturator incidence used by other authors [7][8][9][10] for calculation of the femoral anteversion which is and important ATS feature. In this particular incidence we emphasize the portion of the maximum area in the anterolateral femoral head and the posterior-superior femoral head (fig.…”

Section: Patient Positioningmentioning

confidence: 99%

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The Importance of Modified Budin Incidence in the Radiological Diagnosis in Patients with Aseptic Necrosis of the Femoral Head

Patrascu¹,

Savin²,

Mihăilescu³

et al. 2018

Rev. Chim.

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This study included 56 patients who presented hip pain occurring spontaneously without any trauma history. A new radiological protocol was initiated for all the patients suspected of NACF. A pelvis, Dunlop profile and modified Budin at both hips scan was performed. In order to emphasize the effectiveness of the new radiological protocol, the following indicators were analyzed: the mobility of the affected hip, the radiological changes typical to the aseptic necrosis of the femoral head, the extension angle of the necrosis area on every incidence after Kerboul [1,2], the surface area covering the necrosis zone on every incidence and the coverage on every patient. The modified Budin profile has a greater diagnostic value for the early stages of NACF than the Dunlop profile and the radiography. The Budin incidence is important in order to differentiate stage III of NACF from stage IV by highlighting the degenerative changes in the acetabular cavity.

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“…The x-ray imaging examination consisting of the pelvis, front hip, Dunlop profile and modified Budin profile [7].…”

Section: Experimental Partmentioning

confidence: 99%

Section: Study Protocolmentioning

confidence: 99%

See 1 more Smart Citation

The Importance of Modified Budin Incidence in the Radiological Diagnosis in Patients with Aseptic Necrosis of the Femoral Head

Patrascu¹,

Savin²,

Mihăilescu³

et al. 2018

Rev. Chim.

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“…The most commonly used clinical method to assess femoral anteversion is Craig’s test, which is based on differences between medial and lateral rotation on the extended hip [ 9 ]. The means of radiographic evaluation contains X-ray under special position and CT and MRI scan [ 10 – 12 ]. The latter two which involve the profile of the distal femur are thought to be more accurate and comprehensive.…”

Section: Introductionmentioning

confidence: 99%

Measurement of operative femoral anteversion during cementless total hip arthroplasty and influencing factors for using neck-adjustable femoral stem

et al. 2021

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Background Placement of femoral stem in excessive anteversion or retroversion can cause reduced range of motion, prosthetic impingement, and dislocation. The aim of this study was to assess the operative femoral anteversion in patients treated with total hip arthroplasty (THA) and analyze the need of adjusting stem anteversion. Methods We retrospectively included 101 patients (126 hips) who underwent cementless THA with a manual goniometer to determine the femoral anteversion between October 2017 and December 2018. The operative femoral anteversion we measured was recorded during THA. We further divided those hips into three subgroups based on the range of operative femoral anteversion: group 1 (<10°), group 2 (10–30°), and group 3 (>30°) and compared the differences of their demographic data. Univariate and multivariate logistic regression were used to identify the influencing factors for the need of neck-adjustable femoral stem. The clinical and radiographic outcomes were also assessed. Perioperative complications were recorded. Results After THA, the Harris hip scores improved from 52.87 ± 15.30 preoperatively to 90.04 ± 3.31 at the last follow-up (p < 0.001). No implant loosening, stem subsidence, and radiolucent lines were observed on radiographs. No severe complications occurred and no components needed revision at the latest follow-up. The mean operative femoral anteversion was 14.21° ± 11.80° (range, −9 to 60°). Patients with femoral anteversion more than 30° were about 10 years younger than others. Femoral anteversion >30° was more common in patients with developmental dysplasia of the hip (DDH). There were totally 14 hips treated with the neck-adjustable femoral stem. From the univariate analysis, we can observe that female sex, diagnosis of DDH (compared with osteonecrosis), and higher operative femoral anteversion and its value >30° (compared with <10°) are associated with higher rates of using the neck-adjustable femoral stem. However, all these factors were no longer considered as independent influencing factors when mixed with other factors. Conclusions This study highlighted the significance of operative femoral anteversion. Identification of abnormal femoral anteversion could assist in adjusting stem anteversion and reduce the risk of dislocation after THA.

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“…The development of medical imaging technology allows clinical physicians to measure the hip parameters for preoperative, intraoperative and postoperative evaluation.Among the common radiographictechniques, computedtomography scan (CT scan)is considered as reliable method to measure hip parameter pre-operatively. CT scan provides accurate information and images about the hip so that clinical surgeons are able to ensure appropriate prosthesis component and position which stabilize the prothesis and prolong their age [2], [3]. With the aim of contributing to the data of normal morphology of acetabulum on computedtomography (CT) scan, in addition to aid the surgeons with the reference data in clinical practice, the purpose of this study was to evaluate acetabular inclination, acetabular anteversion, femoral anteversion and combined anteversion on CTscans of Vietnamese adults.…”

Section: Introductionmentioning

confidence: 99%

Research on Acetabular Parameters, Femoral and Combined Anteversion Angles on Computed-Tomography Scan

Khoa¹,

Duy²,

Vuong³

et al. 2021

VMJ

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A Validated Single-View Radiographic Alternative to Computed Tomography for the Measurement of Femoral Anteversion: A Method-Comparison Study

Cited by 6 publications

References 51 publications

The Importance of Modified Budin Incidence in the Radiological Diagnosis in Patients with Aseptic Necrosis of the Femoral Head

The Importance of Modified Budin Incidence in the Radiological Diagnosis in Patients with Aseptic Necrosis of the Femoral Head

Measurement of operative femoral anteversion during cementless total hip arthroplasty and influencing factors for using neck-adjustable femoral stem

Research on Acetabular Parameters, Femoral and Combined Anteversion Angles on Computed-Tomography Scan

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