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Related Experiment Video

Updated: Jun 5, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

Digital comparison of planned and implanted stem position in total hip replacement using a program form migration

Andreas Fottner1, Arnd Steinbrück, Patrick Sadoghi

  • 1Department of Orthopaedic Surgery, Ludwig-Maximilians-University Munich, Campus Grosshadern, Marchioninistr 15, 81377 Munich, Germany. andreas.fottner@med.uni-muenchen.de

Archives of Orthopaedic and Trauma Surgery
|January 12, 2011
PubMed
Summary

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A new digital migration measurement method accurately predicts total hip replacement stem size and position. This modified EBRA-FCA program offers superior reproducibility compared to traditional radiographic techniques for implant positioning.

Area of Science:

  • Orthopedic surgery
  • Biomechanical analysis
  • Medical imaging

Background:

  • Accurate reconstruction of biomechanical conditions is crucial in total hip replacement.
  • Implant positioning, particularly the femoral stem, significantly impacts surgical outcomes.
  • Digital migration measurement offers a potential advancement in assessing implant placement.

Purpose of the Study:

  • To compare the planned versus effectively implanted femoral stem position using a digital migration measurement program.
  • To evaluate the accuracy and reproducibility of a modified EBRA-FCA program for assessing stem positioning.
  • To compare the novel digital method with direct plain radiographic measurements.

Main Methods:

  • A modified EBRA-FCA (Enhanced Busan-based Radiographic Analysis - Femoral Component Analysis) program was utilized for digital migration measurement.

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Last Updated: Jun 5, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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  • 120 total hip replacement cases were analyzed using the new digital method.
  • Direct plain radiographic methods were used for comparison, and intra- and inter-observer reliability was assessed in 50 cases.
  • Main Results:

    • The digital method achieved an 80% correct prediction rate for femoral stem size.
    • Strong correlations were observed between the digital method and plain radiography for stem position (0.95, 0.64) and angle (0.84).
    • The modified EBRA-FCA program demonstrated superior intra- and inter-observer reliability (0.97, 0.90) compared to direct radiographic methods (0.81-0.84, 0.74-0.88).

    Conclusions:

    • The modified EBRA-FCA digital migration measurement method provides a reproducible assessment of planned versus implanted stem position in total hip replacement.
    • This digital approach surpasses the reproducibility of traditional direct radiographic measurements.
    • Accurate stem positioning is achievable with advanced digital analysis tools.