Have a personal or library account? Click to login
An Intraoperative Method for Measuring Acetabular Cup Inclination and Anteversion in Total Hip Arthroplasty Using an Inertial Measurement Unit Cover

An Intraoperative Method for Measuring Acetabular Cup Inclination and Anteversion in Total Hip Arthroplasty Using an Inertial Measurement Unit

Open Access
|Apr 2026

References

  1. Thomas, B. J., Stiehl, J. B. (2004). Basic of total hip replacement surgery. In Navigation and Robotics in Total Joint and Spine Surgery. Springer, 49–57. https://doi.org/10.1007/978-3-642-59290-4_6
  2. Siddiqi, A., Levine, B. R., Springer, B. D. (2022). Highlights of the 2021 American joint replacement registry annual report. Arthroplasty Today, 13, 205–207. https://doi.org/10.1016/j.artd.2022.01.020
  3. Singh, J. A., Yu, S., Chen, L., Cleveland, J. D. (2019). Rates of total joint replacement in the United States: Future projections to 2020–2040 using the national inpatient sample. The Journal of Rheumatology, 46 (9), 1134–1140. https://doi.org/10.3899/jrheum.170990
  4. Lewinnek, G. E., Lewis, J. L., Tarr, R., Compere, C. L., Zimmerman, J. R. (1978). Dislocations after total hip-replacement arthroplasties. Journal of Bone & Joint Surgery, 60 (2), 217–220. https://doi.org/10.2106/00004623-197860020-00014
  5. Sadhu, A., Nam, D., Coobs, B. R., Barrack, T. N., Nunley, R. M., Barrack, R. L. (2017). Acetabular component position and the risk of dislocation following primary and revision total hip arthroplasty: A matched cohort analysis. Journal of Arthroplasty, 32 (3), 987–991. https://doi.org/10.1016/j.arth.2016.08.008
  6. Bunn, A., Colwell, C. W., D’Lima, D. (2012). Bony impingement limits design-related increases in hip range of motion. Clinical Orthopaedics & Related Research, 470 (2), 418–427. https://doi.org/10.1007/s11999-011-2096-3
  7. Nutt, J. L., Papanikolaou, K., Kellett, C. F. (2013). (ii) Complications of total hip arthroplasty. Orthopaedics & Trauma, 27 (5), 272–276. https://doi.org/10.1016/j.mporth.2013.08.012
  8. van Duren, B. H., Royeca, J. M., Cunningham, C. M., Lamb, J. N., Brew, C. J., Pandit, H. (2021). Can the use of an inclinometer improve acetabular cup inclination in total hip arthroplasty? A review of the literature. HIP International, 31 (5), 609–617. https://doi.org/10.1177/1120700020946716
  9. Maillot, C., Harman, C., Villet, L., Cobb, J., Rivière, C. (2019). Modern cup alignment techniques in total hip arthroplasty: A systematic review. Orthopaedics & Traumatology: Surgery & Research, 105 (5), 907–913. https://doi.org/10.1016/j.otsr.2019.03.015
  10. Spencer-Gardner, L., Pierrepont, J., Topham, M., Baré, J., McMahon, S., Shimmin, A. J. (2016). Patient-specific instrumentation improves the accuracy of acetabular component placement in total hip arthroplasty. The Bone & Joint Journal, 98-B (10), 1342–1346. https://doi.org/10.1302/0301-620X.98B10.37808
  11. Miura, T., Yamamoto, N., Shiroshita, A., Tsuge, T., Saitsu, A., Yoshitani, J., Nakao, S., Takami, K. (2024). Comparison of implant placement accuracy between manual, robot-assisted, computer-navigated, augmented reality navigated, patient-specific instrumentation, and accelerometer navigated total hip arthroplasty: A systematic review and network meta-analysis. JBJS Reviews, 12 (11), e24:00120. https://doi.org/10.2106/JBJS.RVW.24.00120
  12. Ryan, J. A., Jamali, A. A., Bargar, W. L. (2010). Accuracy of computer navigation for acetabular component placement in THA. Clinical Orthopaedics and Related Research, 468 (1), 169–177. https://doi.org/10.1007/s11999-009-1003-7
  13. Darrith, B., Bell, J. A., Culvern, C., Della Valle, C. J. (2018). Can the use of an inclinometer improve the positioning of the acetabular component in total hip arthroplasty? The Bone & Joint Journal, 100-B (7), 862–866. https://doi.org/10.1302/0301-620x.100b7.bjj-2017-1607.r1
  14. O’Neill, C. K. J., Hill, J. C., Patterson, C. C., Molloy, D. O., Gill, H. S., Beverland, D. E. (2018). Reducing variability in apparent operative inclination during total hip arthroplasty: Findings of a randomised controlled trial. HIP International, 28 (3), 234–239. https://doi.org/10.1177/1120700018777485
  15. Gu, C., Yu, Y., He, X., Zhang, L., Xi, Z., Liu, Y., Li, G., Zhang, M. (2025). A portable inertial navigation system for total hip arthroplasty targeting direct anterior approach. IEEE Transactions on Instrumentation and Measurement, 74, 4004013. https://doi.org/10.1109/TIM.2025.3548784
  16. Chen, H., Yang, Z., Zhang, J., Liu, J., Tang, H., Zhou, Y., Zhu, B., Wang, Z. (2021). An IMU-based real-time measuring system for acetabular prosthesis implant angles in THR surgeries. IEEE Sensors Journal, 21 (17), 19407–19415. https://doi.org/10.1109/JSEN.2021.3091583
  17. Tang, H., Zhou, Y., Mai, B., Zhu, B., Chen, P., Fu, Y., Wang, G. (2025). Component orientation measurements in total hip arthroplasty using an inertial measurement unit-based smart trial system. Arthroplasty, 7, 36. https://doi.org/10.1186/s42836-025-00312-3
  18. Murray, D. W. (1993). The definition and measurement of acetabular orientation. The Bone & Joint Journal, 75-B (2), 228–232. https://doi.org/10.1302/0301-620x.75b2.8444942
  19. Corke, P. (2023). Representing position and orientation. In Robotics, Vision and Control. Springer, STAR 146, 23–86. https://doi.org/10.1007/978-3-031-06469-2_2
  20. Siciliano, B., Sciavicco, L., Villani, L., Oriolo, G. (2009). Robotics: Modelling, Planning and Control. Springer. https://doi.org/10.1007/978-1-84628-642-1
  21. Crassidis, J. L., Junkins, J. L. (2000). Attitude representations and the Euler angles. Journal of Guidance, Control, and Dynamics, 23 (6), 1077–1080.
  22. Markley, F. L., Crassidis, J. L. (2014). Fundamentals of Spacecraft Attitude Determination and Control. Springer. https://doi.org/10.1007/978-1-4939-0802-8
Language: English
Page range: 117 - 126
Submitted on: Jun 3, 2025
|
Accepted on: Mar 10, 2026
|
Published on: Apr 11, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: Volume open

© 2026 Shaojie Su, Zhenwei Wei, Yangsheng Chen, Zhaofeng Lin, published by Slovak Academy of Sciences, Institute of Measurement Science
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.