Table 1.
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.