Navigation-based femorotibial rotation pattern correlated with flexion angle after total knee arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-01

AUTHORS

Kazunari Ishida, Nao Shibanuma, Tomoyuki Matsumoto, Hiroshi Sasaki, Koji Takayama, Tokio Matsuzaki, Katsumasa Tei, Ryosuke Kuroda, Masahiro Kurosaka

ABSTRACT

PURPOSE: To investigate whether intraoperative kinematics obtained by navigation systems can be divided into several kinematic patterns and to assess the correlation between the intraoperative kinematics with maximum flexion angles before and after total knee arthroplasty (TKA). METHOD: Fifty-four posterior-stabilised (PS) TKA implanted using an image-free navigation system were evaluated. At registration and after implantation, tibial internal rotation angles at maximum extension, 30°, 45°, 60°, 90°, and maximum flexion were collected. The rotational patterns were divided into four groups and were examined the correlation with maximum flexion before and after operation. RESULTS: Tibial internal rotation from 90° of flexion to maximum flexion at registration was correlated with maximum flexion angles pre- and postoperatively. The four groups showed statistically different kinematic patterns. The group with tibial external rotation up to 90° of flexion, following tibial internal rotation at registration, achieved better flexion angles, compared to those of another groups (126.7° ± 12.0°, p < 0.05). The group with tibial external rotation showed the worst flexion angles (80.0° ± 40.4°, p < 0.05). Furthermore, the group with limited extension showed worse flexion angles (111.6° ± 8.9°, p < 0.05). CONCLUSION: Navigation-based kinematic patterns found at registration predict postoperative maximum flexion angle in PS TKA. Navigation-based kinematics can be useful information during TKA surgery. LEVEL OF EVIDENCE: Diagnostic studies, development of diagnostic criteria in a consecutive series of patients and a universally applied "gold" standard, Level II. More... »

PAGES

89-95

References to SciGraph publications

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-014-3340-7

    DOI

    http://dx.doi.org/10.1007/s00167-014-3340-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1043945548

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/25261225


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        "description": "PURPOSE: To investigate whether intraoperative kinematics obtained by navigation systems can be divided into several kinematic patterns and to assess the correlation between the intraoperative kinematics with maximum flexion angles before and after total knee arthroplasty (TKA).\nMETHOD: Fifty-four posterior-stabilised (PS) TKA implanted using an image-free navigation system were evaluated. At registration and after implantation, tibial internal rotation angles at maximum extension, 30\u00b0, 45\u00b0, 60\u00b0, 90\u00b0, and maximum flexion were collected. The rotational patterns were divided into four groups and were examined the correlation with maximum flexion before and after operation.\nRESULTS: Tibial internal rotation from 90\u00b0 of flexion to maximum flexion at registration was correlated with maximum flexion angles pre- and postoperatively. The four groups showed statistically different kinematic patterns. The group with tibial external rotation up to 90\u00b0 of flexion, following tibial internal rotation at registration, achieved better flexion angles, compared to those of another groups (126.7\u00b0 \u00b1 12.0\u00b0, p < 0.05). The group with tibial external rotation showed the worst flexion angles (80.0\u00b0 \u00b1 40.4\u00b0, p < 0.05). Furthermore, the group with limited extension showed worse flexion angles (111.6\u00b0 \u00b1 8.9\u00b0, p < 0.05).\nCONCLUSION: Navigation-based kinematic patterns found at registration predict postoperative maximum flexion angle in PS TKA. Navigation-based kinematics can be useful information during TKA surgery.\nLEVEL OF EVIDENCE: Diagnostic studies, development of diagnostic criteria in a consecutive series of patients and a universally applied \"gold\" standard, Level II.", 
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