Accuracy and Reliability of Combining a Smartphone and a Digital Angle Ruler Technique to Assist Acetabular Cup Placement: A Pelvic Model Study

Authors

  • Charoenwat Uthaicharatratsame, MD Department of Orthopedic Surgery, Nopparat Rajathanee Hospital, Bangkok, Thailand
  • Somboon Sahajarupat, MD Department of Orthopedic Surgery, Nopparat Rajathanee Hospital, Bangkok, Thailand
  • Teerapat Adullayathum, MD Department of Orthopedic Surgery, Nopparat Rajathanee Hospital, Bangkok, Thailand

Keywords:

Accuracy, Reliability, Smartphone, Digital angle ruler, Acetabular cup placement

Abstract

Objective: To examine the accuracy and reliability of a method that used a smartphone and a digital angle ruler for improving the acetabular cup placement in a pelvic model. 

Materials and Methods: An experimental study was conducted in a plastic pelvic model. During the cup placement at the target of radiographic inclination (RI) 40º and anteversion (RA) 15º verified by the Orthopilot navigation system, 3 orthopedic surgeons simultaneously assessed the cup orientation by a smartphone application for the anteversion and a digital angle ruler for the inclination. The surgeon-measured angles were calculated into the RI and RA values by Murray’s equation; and then used to compare with the target angle by the navigation system.

Results: The mean RI and RA angles from the 3 surgeons were 40.08º ± 2.15º and 11.01º ± 0.35º, respectively. The mean differences between the RI and RA angles from the navigation system and those calculated from the combined devices were 0.80º ± 2.15º (-3.10º to 5.3º) and -3.98º ± 0.35º (-4.60º to -3.30º), respectively. Both intra-tester and inter-tester reliabilities were good to excellent in the assessment of the cup RI and RA.

Conclusion: Use of smartphone application combined with a digital angle ruler could provide a high accuracy of acetabular cup positioning, especially for the inclination angle.

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Published

2022-03-08

How to Cite

1.
Uthaicharatratsame, MD C, Sahajarupat, MD S, Adullayathum, MD T. Accuracy and Reliability of Combining a Smartphone and a Digital Angle Ruler Technique to Assist Acetabular Cup Placement: A Pelvic Model Study. JseaOrtho [Internet]. 2022 Mar. 8 [cited 2024 Dec. 22];43(3-4):8-14. Available from: https://jseaortho.org/index.php/jsao/article/view/46

Issue

Vol. 43 No. 3-4 (2019): July - October

Section

Original Articles

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