Full Text:   <2058>

CLC number: R68

On-line Access: 2010-09-08

Received: 2010-03-01

Revision Accepted: 2010-07-30

Crosschecked: 2010-08-11

Cited: 4

Clicked: 5061

Citations:  Bibtex RefMan EndNote GB/T7714

-   Go to

Article info.
1. Reference List
Open peer comments

Journal of Zhejiang University SCIENCE B 2010 Vol.11 No.9 P.673-680


Personalized image-based templates for precise acetabular prosthesis placement in total hip arthroplasty: a pilot study

Author(s):  Bin Chen, Sheng-xiang Xiao, Peng-cheng Gu, Xiang-jin Lin

Affiliation(s):  Department of Orthopaedics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China

Corresponding email(s):   nicolu@163.com

Key Words:  Total hip arthroplasty, Templates, Acetabular prosthesis

Bin Chen, Sheng-xiang Xiao, Peng-cheng Gu, Xiang-jin Lin. Personalized image-based templates for precise acetabular prosthesis placement in total hip arthroplasty: a pilot study[J]. Journal of Zhejiang University Science B, 2010, 11(9): 673-680.

@article{title="Personalized image-based templates for precise acetabular prosthesis placement in total hip arthroplasty: a pilot study",
author="Bin Chen, Sheng-xiang Xiao, Peng-cheng Gu, Xiang-jin Lin",
journal="Journal of Zhejiang University Science B",
publisher="Zhejiang University Press & Springer",

%0 Journal Article
%T Personalized image-based templates for precise acetabular prosthesis placement in total hip arthroplasty: a pilot study
%A Bin Chen
%A Sheng-xiang Xiao
%A Peng-cheng Gu
%A Xiang-jin Lin
%J Journal of Zhejiang University SCIENCE B
%V 11
%N 9
%P 673-680
%@ 1673-1581
%D 2010
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1000066

T1 - Personalized image-based templates for precise acetabular prosthesis placement in total hip arthroplasty: a pilot study
A1 - Bin Chen
A1 - Sheng-xiang Xiao
A1 - Peng-cheng Gu
A1 - Xiang-jin Lin
J0 - Journal of Zhejiang University Science B
VL - 11
IS - 9
SP - 673
EP - 680
%@ 1673-1581
Y1 - 2010
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1000066

Objective: In order to achieve accurate implantation of the acetabular prosthesis in total hip arthroplasty (THA), we designed individual templates based on a three-dimensional (3D) model generated from computed tomography (CT) scans. Methods: Individual templates were designed for 12 patients who underwent THA. A physical template was designed to conform to the contours of the patient’s acetabulum and to confirm the rotation of the acetabular center. This guided the acetabular component orientation. Results: The preoperative and postoperative X-ray and CT scans were obtained to assess the location with respect to the accuracy of the acetabular component. For all patients, the abduction angle of the acetabular component was 46.7° to 54.3° and the anteversion angle was 11.3° to 18.5°. Conclusions: The assessment of postoperative CT scans demonstrated higher accuracy of the acetabular component bore when used with the individual template. Therefore, the individual template can be an alternative to the computer-assisted navigation systems, with a good cost-performance ratio.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article


[1]Brown, G.A., Firoozbakhsh, K., DeCoster, T.A., Reyna, J.R. Jr., Moneim, M., 2003. Rapid prototyping: the future of trauma surgery? J. Bone Joint Surg. Am., 85-A(Suppl. 4):49-55.

[2]Cross, A.R., Newell, S.M., 2000. Definition and determination of acetabular component orientation in cemented total hip arthroplasty. Vet. Surg., 29(6):507-516.

[3]D'Lima, D.D., Urquhart, A.G., Buehler, K.O., Walker, R.H., Colwell, C.W.Jr., 2000. The effect of the orientation of the acetabular and femoral components on the range of motion of the hip at different head-neck ratios. J. Bone Joint Surg. Am., 82(3):315-321.

[4]Echeverri, S., Leyvraz, P.F., Zambelli, P.Y., Jolles, B.M., 2006. Reliable acetabular cup orientation with a new gravity-assisted guidance system. J. Arthroplasty, 21(3):413-419.

[5]Flecher, X., Parratte, S., Brassart, N., Aubaniac, J.M., Argenson, J.N., 2008. Evaluation of the hip center in total hip arthroplasty for old developmental dysplasia. J. Arthroplasty, 23(8):1189-1196.

[6]Galantucci, L.M., Percoco, G., Angelelli, G., Lopez, C., Introna, F., Liuzzi, C., de Donno, A., 2006. Reverse engineering techniques applied to a human skull, for CAD 3D reconstruction and physical replication by rapid prototyping. J. Med. Eng. Technol., 30(2):102-111.

[7]Hayakawa, K., Minoda, Y., Aihara, M., Sakawa, A., Ohzono, K., Tada, K., 2009. Acetabular component orientation in intra- and postoperative positions in total hip arthroplasty. Arch. Orthop. Trauma Surg., 129(9):1151-1156.

[8]Ichmann, T., 1997. Radiographic assessment of cup migration and wear after hip replacement. Acta Orthop. Scand. Suppl., 276:1-26.

[9]Jasty, M., Goetz, D.D., Bragdon, C.R., Lee, K.R., Hanson, A.E., Elder, J.R., Harris, W.H., Massachusetts, B., 1997. Wear of polyethylene acetabular components in total hip arthroplasty. An analysis of one hundred and twenty-eight components retrieved at autopsy or revision operations. J. Bone Joint Surg. Am., 79(3):349-358.

[10]Kaneuji, A., Sugimori, T., Ichiseki, T., Yamada, K., Fukui, K., Matsumoto, T., 2009. Minimum ten-year results of a porous acetabular component for Crowe I to III hip dysplasia using an elevated hip center. J. Arthroplasty, 24(2):187-194.

[11]Kennedy, J.G., Rogers, W.B., Soffe, K.E., Sullivan, R.J., Griffen, D.G., Sheehan, L.J., 1998. Effect of acetabular component orientation on recurrent dislocation, pelvic osteolysis, polyethylene wear, and component migration. J. Arthroplasty, 13(5):530-534.

[12]Langlotz, U., Grutzner, P.A., Bernsmann, K., Kowal, J.H., Tannast, M., Caversaccio, M., Nolte, L.P., 2007. Accuracy considerations in navigated cup placement for total hip arthroplasty. Proc. Inst. Mech. Eng., 221(7):739-753.

[13]Lewinnek, G.E., Lewis, J.L., Tarr, R., Compere, C.L., Zimmerman, J.R., 1978. Dislocations after total hip-replacement arthroplasties. J. Bone Joint Surg. Am., 60(2):217-220.

[14]Minoda, Y., Kadowaki, T., Kim, M., 2006. Acetabular component orientation in 834 total hip arthroplasties using a manual technique. Clin. Orthop. Relat. Res., 445(4):186-191.

[15]Muller, O., Reize, P., Trappmann, D., Wulker, N., 2006. Measuring anatomical acetabular cup orientation with a new X-ray technique. Comput. Aided Surg., 11(2):69-75.

[16]Nadzadi, M.E., Pedersen, D.R., Callaghan, J.J., Brown, T.D., 2002. Effects of acetabular component orientation on dislocation propensity for small-head-size total hip arthroplasty. Clin. Biomech. (Bristol. Avon.), 17(1):32-40.

[17]Ono, I., Abe, K., Shiotani, S., Hirayama, Y., 2000. Producing a full-scale model from computed tomographic data with the rapid prototyping technique using the binder jet method: a comparison with the laser lithography method using a dry skull. J. Craniofac. Surg., 11(6):527-537.

[18]Padgett, D.E., Hendrix, S.L., Mologne, T.S., Peterson, D.A., Holley, K.A., 2005. Effectiveness of an acetabular positioning device in primary total hip arthroplasty. HSS J., 1(1):64-67.

[19]Patil, S., Bergula, A., Chen, P.C., Colwell, C.W.Jr., D'Lima, D.D., 2003. Polyethylene wear and acetabular component orientation. J. Bone Joint Surg. Am., 85-A(Suppl. 4):56-63.

[20]Temmerman, O.P., Raijmakers, P.G., Deville, W.L., Berkhof, J., Hooft, L., Heyligers, I.C., 2007. The use of plain radiography, subtraction arthrography, nuclear arthrography, and bone scintigraphy in the diagnosis of a loose acetabular component of a total hip prosthesis: a systematic review. J. Arthroplasty, 22(6):818-827.

[21]Wan, Z., Boutary, M., Dorr, L.D., 2006. Precision and limitation of measuring two-dimensional wear on clinical radiographs. Clin. Orthop. Relat. Res., 449:267-274.

[22]Williams, S., Isaac, G., Porter, N., Fisher, J., Older, J., 2008. Long-term radiographic assessment of cemented polyethylene acetabular cups. Clin. Orthop. Relat., 466(2):366-372.

[23]Zheng, G., Zhang, X., Steppacher, S.D., Murphy, S.B., Siebenrock, K.A., Tannast, M., 2009. HipMatch: an object-oriented cross-platform program for accurate determination of cup orientation using 2D-3D registration of single standard X-ray radiograph and a CT volume. Comput. Methods Programs Biomed., 95(3):236-248.

Open peer comments: Debate/Discuss/Question/Opinion


Please provide your name, email address and a comment

Journal of Zhejiang University-SCIENCE, 38 Zheda Road, Hangzhou 310027, China
Tel: +86-571-87952783; E-mail: cjzhang@zju.edu.cn
Copyright © 2000 - 2022 Journal of Zhejiang University-SCIENCE