Easy Identification of Mechanical Axis during Total Knee Arthroplasty

نویسندگان

  • Jai-Gon Seo
  • Young-Wan Moon
  • Sang-Min Kim
  • Byung-Chul Jo
  • Sang-Hoon Park
چکیده

PURPOSE We devised an intraoperatively identifiable mechanical axis (IIMA) as a reference of alignment in total knee arthroplasty (TKA). MATERIALS AND METHODS Between February 2010 and January 2011, primary TKAs were consecutively performed on 672 patients (1007 knees) using an IIMA as a reference in the coronal plane. RESULTS The alignment of the lower extremity improved from a mean of 11.4±6.7° (-10.3-34.4°) of varus preop. to 0.7±3.5° (-5.2-8.6°) immediately after surgery. Mean alignment of the femoral component in the coronal plane was 89.3±2.3° (83.4-97.2°) postop. and mean alignment of the tibial component was 90.4±2.2° (85.1-94.2°) postop. CONCLUSION This study showed that IIMA could be of considerable value as a new guider of alignment that is easily accessible and highly effective during total knee arthroplasty.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Different References for Valgus Cut Angle in Total Knee Arthroplasty

Background: The valgus cut angle (VCA) of the distal femur in Total Knee Arthroplasty (TKA) is measured preoperativelyon three-joint alignment radiographs. The anatomical axis of the femur can be described as the anatomical axis of thefull length of the femur or as the anatomical axis of the distal half of the femur, which may result in different anglesin some cases. During TKA, the anatomical ...

متن کامل

The Effect of Sagittal Femoral Bowing on the Femoral Component Position in Total Knee Arthroplasty

Background: In the current study, we investigated that how sagittal femoral bowing can affect the sagittal alignment ofthe femoral component in total knee arthroplasty (TKA).Methods: There were 25 patients underwent TKA. Long leg radiography in lateral view was performed. The sagittalfemoral bowing (SFB) and component alignment in relation to the sagittal mechanical axis and distal anterior cor...

متن کامل

How precise is the identification of the center of the femoral head during total knee arthroplasty?

BACKGROUND AND PURPOSE Identification of the center of the femoral head in the coronal plane is essential during total knee arthroplasty. We evaluated a new method for localization of the center of the hip, thereby detecting the neutral mechanical axis using inter-femoral head center distances (X) measured from a radiograph. Our proposed method was compared with 3 commonly used methods using la...

متن کامل

Radiologic Assessment of Distal Femur Cutting Angle in Varus Knee Candidates for Total Knee Arthroplasty

Background: In a total knee arthroplasty surgery the goal is to produce 90 degree angle between the knee articular lobe and the mechanical femoral line. Most orthopedic surgeons usually utilize a 5 to 7 degree for distal femoral cutting angle. In this study we will aim at clearing this question, that whether the” five-seven degree” distal femoral cutting angle supposed to be an equable spectrum...

متن کامل

A simple technique to aid intraoperative identification of the tibial mechanical axis during total knee replacement

BACKGROUND Successful total knee replacement (TKR) requires accurate component placement and coronal plane malalignment of greater than 3o varus/valgus from the mechanical axis has been shown to predispose to early failure.1–3 An extramedullary alignment jig is most commonly used to identify the mechanical axis. The distal end of the jig should be centred over the ankle mortise, which can be di...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 54  شماره 

صفحات  -

تاریخ انتشار 2013