Measurement accuracy in acetabular cup wear. Three retrospective methods compared with Roentgen stereophotogrammetry

The accuracy of three methods (the simple and noncomputerized Scheier-Sandel and Charnley-Duo methods and the computerized Ein Bild Roentgen Analyse [EBRA] method) for retrospective wear measurements of the acetabular cup from standard pelvis radiographs was studied. Measurements on 13 hip prostheses were compared with those obtained by roentgen stereophotogrammetry analysis. The Scheier-Sandel method had the lowest accuracy and the EBRA method had the best accuracy. The Charnley-Duo method was almost as good when starting analysis 3 months after surgery and is easier to use. The EBRA method is useful for accurate measurements on a small number of patients; the Charnley-Duo method is recommended for clinical wear studies on a larger number of patients.