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Table 3 Radiographic evaluation

From: Higher incidence of aseptic loosening caused by a lower canal filling ratio with a modified modular stem in total hip arthroplasty

 

Stable group (n = 76)

Unstable group (n = 14)

P value

mean ± SD

(range)

mean ± SD

(range)

Canal flare index

3.6 ± 0.7

(2.2–5.5)

4.3 ± 1.0

(2.7–6.1)

0.0262

Canal filling ratio (%)

 Resection line

65.7 ± 7.7

(51.1–86.7)

60.6 ± 5.7

(51.1–71.8)

0.0228

 Half the height of the sleeve

69.3 ± 9.3

(44.8–90.0)

61.3 ± 9.3

(50.9–87.1)

0.002

 Distal end of the sleeve

82.5 ± 8.1

(61.8–95.5)

71.0 ± 4.8

(66.7–85.6)

<0.0001

 Half the height of the stem

86.9 ± 5.3

(73.8–95.9)

80.1 ± 6.1

(70.4–89.8)

0.0005

 Distal end of the sleeve on the lateral view

80.2 ± 8.5

(52.7–95.8)

68.8 ± 8.8

(47.7–84.8)

<0.0001

 Half the height of the stem on the lateral view

69.4 ± 6.4

(54.5–85.9)

63.5 ± 9.5

(39.3–77.6)

0.0197

 

Hips

 

Hips

  

Champagne flute/normal/stovepipe

6/59/11

 

7/5/2

  
 

Stable group (n=88)

Unstable group (n = 16)

P value

 

Hips

(%)

Hips

(%)

Preoperative stem alignment

 Neutral/Varus/Valgus

87/1/0

 

16/0/0

  

Stem alignment at final follow up

 Neutral/varus/valgus

85/3/0

 

12/4/0

  

Stem alignment change

 < 2°

87

98.9

9

56.2

 

 ≥ 2° varus

1

1.1

7

43.8

<0.0001

Radiolucent line around the sleeve (> 50%)

 Postoperative 1 year

1

0.9

18

100

<0.0001

 Final follow-up

0

0

18

100

<0.0001

Stress shielding (grade 3/grade 4)

5/4

4.5/3.6

   
  1. SD standard deviation