Computer-based assessment and classification of periacetabular osteolytic lesions: A new method

Surg Technol Int. 2012 Dec:22:285-9.

Abstract

Although it is currently the gold standard for the treatment of primary and secondary coxarthrosis, total hip arthroplasty is associated with long-time complications, primarily, polyethylene liner wear, and production of debris that lead to peri-prosthetic osteolysis and resultant aseptic mobilization. (The definition of these osteolytic areas is based on a radiographic classification first described by DeLee and Charnley in 1976.) We introduce a new radiographic classification method, based on the well-known measuring software Roman v.170 (Cook e Poullain [2002-2005, Institute of Orthopaedics, Oswestry, U.K.]) that is designed to quantify radiologic parameters. Two case studies are also described. This original method can be easily employed, and returns a precise angular classification of the position of the osteolytic area and a computerized calculation of the extent of the osteolytic lesion.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Algorithms
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Female
  • Hip Joint / diagnostic imaging*
  • Hip Joint / surgery*
  • Humans
  • Male
  • Osteolysis / classification
  • Osteolysis / diagnostic imaging*
  • Osteolysis / etiology*
  • Pattern Recognition, Automated / methods*
  • Radiographic Image Enhancement / methods
  • Radiographic Image Interpretation, Computer-Assisted / methods*
  • Reproducibility of Results
  • Sensitivity and Specificity