Can simple radiographs be predictive of total hip dislocation?
Pollard JA; Daum WJ; Uchida T South Arkansas Orthopaedics Inc., Pine Bluff, USA. The usefulness of angles measured on standardized radiographs to determine acetabular position and predict dislocation after primary total hip arthroplasty (THA) was reviewed retrospectively. Seventy-four patients (97 primary THAs) were reviewed. All patients underwent a standardized protocol of postoperative radiographs which included an anteroposterior view of the pelvis and a cross-table lateral radiograph of the hip. Two angles were measured to define acetabular position: the abduction angle was measured on the anteroposterior radiograph and the version angle was measured on the cross-table lateral radiograph. The values for these angles were compared in a group of known dislocating THAs (7 hips) and a control group of stable THAs (90 hips). These radiographic measurements were also assessed for their reproducibility. The values for the abduction and version angles were not significantly different betw