Utility of Preoperative Femoral Neck Geometry in Predicting Femoral Stem Anteversion

This study investigated the relationships between the preoperative femoral anteversions and the femoral stem anteversion using CT scans and CT-based 3D models to determine whether any preoperative anteversion measurement correlates with the postoperative stem anteversion. Pre-operative and post-operative CT scans of 19 hips with THAs were evaluated. Five preoperative anatomical femoral anteversion measurements (CT-Head, CT-Below Head, CT-Neck, 3D-Head, and 3D-Neck) were compared with the postoperative femoral stem anteversion. The preoperative CT-Neck anteversion measurement was most correlated with the postoperative stem anteversion (r = 0.761, P = 0.002) with the narrowest ranges of the differences (− 10.2° to 11.0°). The preoperative anteversions using the femoral neck geometry from CT scans can be used for the estimation of the postoperative femoral stem anteversion in THA.