Fibular axes are not a reliable landmark for tibial mechanical axes of osteoarthritic knees that underwent total knee arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-11

AUTHORS

Yuichi Kuroda, Kazunari Ishida, Tomoyuki Matsumoto, Hiroshi Sasaki, Tokio Matsuzaki, Shinya Oka, Koji Takayama, Katsumasa Tei, Takehiko Matsushita, Nobuhiro Tsumura, Ryosuke Kuroda, Masahiro Kurosaka

ABSTRACT

PURPOSE: The sagittal fibular axis serves as an intra-operative landmark during conventional total knee arthroplasty (TKA); however, only a few relevant anatomical studies have been published regarding its use as an extramedullary guide. Furthermore, the correlation between the coronal fibular and tibial mechanical axes in osteoarthritic knees has been only reported once. Here, the hypothesis of this study is that the fibula can be a reliable intra-operative landmark, in the sagittal and coronal planes, among patients with osteoarthritis who have undergone TKA. METHODS: Osteoarthritic knees (n = 62) after TKA were evaluated using three-dimensional image-matching software. The angles between the tibial mechanical axis and the fibular shaft axis were measured in the sagittal and coronal planes. Moreover, correlations between the angles and patient-specific factors were evaluated. RESULTS: The mean angle between the tibial mechanical and fibular shaft axes was 2.6° ± 2.3° for posterior inclination in the sagittal plane and 0.9° ± 2.0° for varus inclination in the coronal plane. The percentage of subjects with the fibular shaft axis within 2° of the tibial mechanical axis was 17.7 and 69.3 % in the sagittal and coronal planes, respectively. No patient-specific factors were correlated with the angle between the tibial mechanical and fibular shaft axes. CONCLUSIONS: The angle between the tibial mechanical and fibular shaft axes differed among patients, independent of patient-specific factors, and did not appear to be a reliable intra-operative landmark. Surgeons should use values from individual pre-operative evaluations of the axis as reference for conventional TKA. LEVEL OF EVIDENCE: Case series with no comparison group, Level IV. More... »

PAGES

3362-3367

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00167-014-3170-7

DOI

http://dx.doi.org/10.1007/s00167-014-3170-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1037385305

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25079132


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    "description": "PURPOSE: The sagittal fibular axis serves as an intra-operative landmark during conventional total knee arthroplasty (TKA); however, only a few relevant anatomical studies have been published regarding its use as an extramedullary guide. Furthermore, the correlation between the coronal fibular and tibial mechanical axes in osteoarthritic knees has been only reported once. Here, the hypothesis of this study is that the fibula can be a reliable intra-operative landmark, in the sagittal and coronal planes, among patients with osteoarthritis who have undergone TKA.\nMETHODS: Osteoarthritic knees (n = 62) after TKA were evaluated using three-dimensional image-matching software. The angles between the tibial mechanical axis and the fibular shaft axis were measured in the sagittal and coronal planes. Moreover, correlations between the angles and patient-specific factors were evaluated.\nRESULTS: The mean angle between the tibial mechanical and fibular shaft axes was 2.6\u00b0 \u00b1 2.3\u00b0 for posterior inclination in the sagittal plane and 0.9\u00b0 \u00b1 2.0\u00b0 for varus inclination in the coronal plane. The percentage of subjects with the fibular shaft axis within 2\u00b0 of the tibial mechanical axis was 17.7 and 69.3 % in the sagittal and coronal planes, respectively. No patient-specific factors were correlated with the angle between the tibial mechanical and fibular shaft axes.\nCONCLUSIONS: The angle between the tibial mechanical and fibular shaft axes differed among patients, independent of patient-specific factors, and did not appear to be a reliable intra-operative landmark. Surgeons should use values from individual pre-operative evaluations of the axis as reference for conventional TKA.\nLEVEL OF EVIDENCE: Case series with no comparison group, Level IV.", 
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Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

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curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00167-014-3170-7'

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curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00167-014-3170-7'

Turtle is a human-readable linked data format.

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RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00167-014-3170-7'


 

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