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. 2013 Jun 20;48(2):178-185.
doi: 10.1016/j.rboe.2012.08.001. eCollection 2013 Mar-Apr.

Efficacy of the Use of Templating in Total Hip Arthroplasty

Fábio Stuchi Devito  1 , Alceu Gomes Chueire  2 , Cristiane Bonvicine  3
Affiliations

Efficacy of the Use of Templating in Total Hip Arthroplasty

Fábio Stuchi Devito et al. Rev Bras Ortop. .

Abstract

Objective: The aim was to evaluate the effectiveness of traditional preoperative planning with the use of templating.

Method: Forty-three anteroposterior X-rays were analyzed by three experienced surgeons (A, B, C) and compared. Cohen's Kappa concordance test and weighted Kappa indexes using quadratic weighting were used for statistical analysis with a confidence interval of 95%.

Results: The preoperative evaluations were divided into the analysis of the sizes of the acetabular cup, stem and plug of the distal femoral canal. Surgeon A obtained a moderate agreement in relation to the acetabular component and substantial agreements in relation to the stem and plug. Surgeon B had moderate agreement in relation to both the acetabulum and the stem and substantial agreement in relation to the plug. Surgeon C obtained moderate agreement in relation to the analysis of the acetabulum and the plug and substantial agreement for the stem. The intraobserver agreement test demonstrated a prevalence of slight agreement in relation to the acetabulum and substantial agreement in relation to the stem and to the plug.

Conclusion: Templating used in preoperative planning proved effective; however, there was a prevalence of slight and moderate agreement in relation to the size of the acetabular component.

Keywords: Hip/radiography; Pelvis Arthroplasty.

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