Medial joint line elevation of the tibia measured during surgery has a significant correlation with the limb alignment changes following ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-04-16

AUTHORS

Yuichi Kuroda, Koji Takayama, Kazunari Ishida, Shinya Hayashi, Shingo Hashimoto, Masanori Tsubosaka, Takehiko Matsushita, Takahiro Niikura, Kotaro Nishida, Ryosuke Kuroda, Tomoyuki Matsumoto

ABSTRACT

PurposeThis study aimed to determine the correlation between the change in joint line height calculated from the resected bone and insert thickness during surgery and the change in limb alignment following unicompartmental knee arthroplasty (UKA). It was hypothesized that joint line elevation is correlated with the change in limb alignment.MethodsA total of 74 consecutive patients diagnosed with either isolated medial compartmental osteoarthritis (38 patients) or spontaneous osteonecrosis of the knee (36 patients) were included. The thickness of the proximal tibial and distal femoral bony cuts was measured during surgery; using these values, the medial joint line elevation of the tibia (MJLET) and medial joint line reduction of the femur (MJLRF) were defined. The correlation between the amount of change in the hip–knee–ankle (HKA) angle before and after surgery (δHKA) and the thickness of the tibial insert (TI), MJLET, or MJLRF were evaluated.ResultsThe mean values of δHKA, TI, MJLET, and MJLRF were 5.0° ± 2.6°, 8.5 ± 0.8, 4.4 ± 1.3, and 0.0 ± 1.1 mm, respectively. The δHKA had a significant, but weak-positive correlation with the TI (P = 0.02), and moderate-positive correlation with MJLET (P < 0.001). However, no correlation was observed between δHKA and MJLRF.ConclusionsThe MJLET measured during surgery had a significant moderate-positive correlation with the change in limb alignment following medial UKA. For clinical relevance, the surgeon can predict postoperative limb alignment after UKA by considering, intraoperatively, both the insert thickness and the depth of resection at the proximal tibia thus minimizing technical error to obtain an optimal alignment after UKA.Level of evidenceDiagnostic study, level II. More... »

PAGES

3468-3473

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00167-018-4935-1

DOI

http://dx.doi.org/10.1007/s00167-018-4935-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1103394231

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29663012


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69 line reduction
70 medial compartmental osteoarthritis
71 medial joint line elevation
72 medial joint line reduction
73 medial unicompartmental knee arthroplasty
74 moderate-positive correlation
75 optimal alignment
76 osteoarthritis
77 osteonecrosis
78 patients
79 postoperative limb alignment
80 proximal tibia
81 reduction
82 relevance
83 resection
84 significant correlation
85 significant moderate-positive correlation
86 spontaneous osteonecrosis
87 study
88 surgeons
89 surgery
90 technical errors
91 thickness
92 tibia
93 tibial inserts
94 total
95 unicompartmental knee arthroplasty
96 values
97 values of δHKA
98 weak-positive correlation
99 δHKA
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