Research Article

Are CT Scans a Satisfactory Substitute for the Follow-Up of RSA Migration Studies of Uncemented Cups? A Comparison of RSA Double Examinations and CT Datasets of 46 Total Hip Arthroplasties

Table 2

(a) Relative prosthetic movement expressed in 6 degrees of freedom (DOF). Translation is expressed with respect to the centroid of the prosthetic landmark group. This relative movement is theoretically zero between the examinations; hence the calculated movement presents the precision of our setup [16]. (b) Precision as described in [17] of RSA double examinations and RSA-CT double examinations. (c) Precision as confidence limits based on RSA double examinations and RSA-CT double examinations presented as in many earlier RSA studies [5, 1820].
(a)

Rotation (degrees)Translation (mm)MTPM

(Transverse axis)

(Longitudinal axis)

(Sagittal axis)

(Transverse axis)

(Longitudinal axis)

(Sagittal axis)

RSA-CT ()
Mean−0.140.050.05−0.01−0.08−0.040.30
Median−0.02−0.030.090.02−0.09−0.030.26
95% conf. interval
(mean ± 1.96 SD)
 Lower−1.02−1.31−0.56−0.37−0.40−0.47−0.02
 Upper0.751.210.650.340.240.390.61
Standard deviation (SD)0.450.640.310.180.160.220.16
Min−1.23−1.58−0.73−0.71−0.35−0.470.10
Max1.001.380.660.320.660.410.78

RSA1-RSA2 (double examination)
()
Mean0.02−0.09−0.04−0.040.00−0.010.14
Median−0.04−0.11−0.02−0.010.00−0.010.12
95% conf. interval (mean ± 1.96 SD)
 Lower−0.84−0.90−0.41−0.29−0.10−0.23−0.10
 Upper0.880.720.320.220.100.200.37
Standard deviation (SD)0.440.410.180.130.050.110.12
Min−0.92−1.44−0.80−0.77−0.16−0.240.02
Max2.230.900.420.180.170.320.78

(b)

Rotation (degrees)Translation (mm)MTPM

(Transverse axis)

(Longitudinal axis)

(Sagittal axis)

(Transverse axis)

(Longitudinal axis)

(Sagittal axis)

RSA-CT ()
95% confidence limit (2.01 × SD)0.901.290.620.360.330.440.32
Mean−0.140.050.05−0.01−0.08−0.040.30
Min−1.23−1.58−0.73−0.71−0.35−0.470.10
Max1.001.380.660.320.660.410.78

RSA1-RSA2 (double examination)
()
95% confidence limit (2.01 × SD)0.880.830.370.260.100.220.24
Mean0.02−0.09−0.04−0.040.00−0.010.14
Min−0.92−1.44−0.80−0.77−0.16−0.240.02
Max2.230.900.420.180.170.320.78

(c)

Rotation (degrees)Translation (mm)MTPM

 (Transverse axis)

(Longitudinal axis)

(Sagittal axis)

(Transverse axis)

(Longitudinal axis)

(Sagittal axis)

RSA-CT ()
95% confidence limit
(mean of absolute differences + 1.96 × SD)
1.231.780.860.480.460.610.61
99% confidence limit
(mean of absolute differences + 2.575 × SD)
1.512.171.050.590.560.740.71

RSA1-RSA2 (double examination)
()
95% confidence limit
(mean of absolute differences + 1.96 × SD)
1.091.100.480.320.140.300.37
99% confidence limit
(mean of absolute differences + 2.575 × SD)
1.361.360.600.400.170.370.45