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. 2020 Aug 4;31(5):609–617. doi: 10.1177/1120700020946716

Table 1.

Table showing the studies meeting the inclusion criteria and extracted data.

Study type Study description Method No. Surgeons No. Hips Male/ Female Mean Age Approach BMI Positioning Target RI Safe Zone Mean (SD) Inclination Range Inclination % outliers Procedure/Operative Time p-value: comparison of means p-value: comparison of outliers p-value: procedure time Dislocations Comments
Radiographic Inclination (RI)
Meermans et al. 37 clinical cohort Freehand 3 100 38/62 65.9(9.9) posterior 28.0(4.0) Lat Decubitus 40 35-45 38.5(7.0) 22-60 28 52 mins p = 0.80 p =0.002 p = 0.19 n/r
Inclinometer 100 34/66 64.7(9.0) posterior 28.1(5.0) Lat Decubitus 40 35-45 38.3(4.7) 27-51 10 50 mins n/r
Darrith et al. 36 clinical cohort Freehand 1 52 28/24 56.6.(6.2) posterior 26.7(4.8) Lat Decubitus 40 (30)* 30-50 46.5(6.3) 32.8-63.2 21 n/r p = 0.004 p = 0.034 n/r 0 * 30 degrees OI target assuming 10 degrees greater for RI
Inclinometer 68 36/32 57.5(6.5) posterior 28.6(4.5) Lat Decubitus 40 (30)* 30-50 42.9(7.0) 29.0-63.8 13 n/r 0
Vendittoli et al. 43 cadaver cohort Freehand 14 50 1 male n/r Hardinge medium size' Lat Decubitus 40 30-55 44.4(11.4) n/r 8 n/a p = 0.83 p = 0.49 n/a n/a
Inclinometer 50 1 male n/r Hardinge medium size' Lat Decubitus 40 30-55 42.2(3.8) n/r 0 n/a n/a
Vendittoli et al. 44 clinical RCT Freehand 7 53 n/r n/r posterior or direct lateral n/r Lat Decubitus 40-49 30-55 42.7(6.7) 27.5-63.0 4 n/r p = 0.56 p =0.536 n/a n/r
Inclinometer 47 n/r n/r posterior or direct lateral n/r Lat Decubitus 40-49 30-55 43.6(6.8) 31.5-64.0 6 n/r n/r
Pongkunakorn et al. 45 clinical cohort MAG 1 41 20/21 51.1(8.6) posterior 24.1 (4.2) Lat Decubitus 40 30-50 46.3(6.7) 28.7-59.0 34 119(23) mins p < 0.001 p = 0.001 p = 0.011 2
Inclinometer 41 22/19 54.5(7.9) posterior 23.5 (3.8) Lat Decubitus 40 30-50 40.9(3.8) 32.9-48.9 0 136(27) mins 0
Operative Inclination (OI)
O’Niell et al. 42 clinical RCT Freehand 2 90 * ** posterior *** Lat Decubitus 35 32.5-37.5 32.9(2.9) 25.2-43.2 49 n/r p < 0.001 p < 0.001 n/a n/r no significant difference in sex (p = 0.725)* or body mass index (BMI) (p = 0.298)** between groups. There was a a statistically significant difference in patient age (p = 0.034)***
MAG 90 * ** posterior *** Lat Decubitus 35 32.5-37.5 33.7(1.9) 29.3-39.3 29 n/r p = 0.023 p = 0.006 n/a n/r
Inclinometer 90 * ** posterior *** Lat Decubitus 35 32.5-37.5 34.0(1.6) 27.5-37.3 12 n/r
Sykes et al. 7 sawbone cohort Freehand 10 (10) 10 n/a n/a posterior n/a Lat Decubitus * +/- 2.5 6.2( 4.2)** 22.9-40.1*** 78 4.5(2.67) secs p = 0.001 n/r p = 0.001 n/a * Different target angles from 20°- 55° at 5° increments using each technique ** absolute mean error *** At 35° increment
MAG 10 n/a n/a posterior n/a Lat Decubitus * +/- 2.5 3.8(3.3)** 31.4-41.3*** 58 4.1(2.61) secs p = 0.007 n/r p = 0.001 n/a
Inclinometer 10 n/a n/a posterior n/a Lat Decubitus * +/- 2.5 0.6(0.5** 34.4-36.5*** 0 5.9(3.97) secs n/a

n/r, not reported; n/a, not available; MAG, mechanical alignment guide; lat decubitus, lateral decubitus; OI, operative inclination; RI, radiographic inclination.