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Year 2019, Volume: 13 Issue: 3, 174 - 182, 31.12.2019

Abstract

References

  • Referans1 Garriga, C., et al., Impact of a national enhanced recovery after surgery programme on patient outcomes of primary total knee replacement: an interrupted time series analysis from "The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man". Osteoarthritis Cartilage, 2019. 27(9): p. 1280-1293. Referans2 Ritter, M.A., et al., Postoperative alignment of total knee replacement. Its effect on survival. Clin Orthop Relat Res, 1994(299): p. 153-6. Referans3 Bargren, J.H., J.D. Blaha, and M.A. Freeman, Alignment in total knee arthroplasty. Correlated biomechanical and clinical observations. Clin Orthop Relat Res, 1983(173): p. 178-83. Referans4 Berend, M.E., et al., Tibial component failure mechanisms in total knee arthroplasty. Clin Orthop Relat Res, 2004(428): p. 26-34. Referans5 Larose, G., et al., Can total knee arthroplasty restore the correlation between radiographic mechanical axis angle and dynamic coronal plane alignment during gait? Knee, 2019. 26(3): p. 586-594. Referans6 Kim, C.W. and C.R. Lee, Effects of Femoral Lateral Bowing on Coronal Alignment and Component Position after Total Knee Arthroplasty: A Comparison of Conventional and Navigation-Assisted Surgery. Knee Surg Relat Res, 2018. 30(1): p. 64-73. Referans7 O'Rourke, M.R., et al., Osteolysis associated with a cemented modular posterior-cruciate-substituting total knee design : five to eight-year follow-up. J Bone Joint Surg Am, 2002. 84(8): p. 1362-71. Referans8 Yehyawi, T.M., et al., Variances in sagittal femoral shaft bowing in patients undergoing TKA. Clin Orthop Relat Res, 2007. 464: p. 99-104. Referans9 Jethanandani, R., et al., Biomechanical Consequences of Anterior Femoral Notching in Cruciate-Retaining Versus Posterior-Stabilized Total Knee Arthroplasty. Am J Orthop (Belle Mead NJ), 2016. 45(5): p. E268-72. Referans10 Nagamine, R., et al., Femoral shaft bowing influences the correction angle for high tibial osteotomy. J Orthop Sci, 2007. 12(3): p. 214-8. Referans11 Vaidya, S.V., et al., Anthropometric measurements to design total knee prostheses for the Indian population. J Arthroplasty, 2000. 15(1): p. 79-85. Referans12 Schiffner, E., et al., Neutral or Natural? Functional Impact of the Coronal Alignment in Total Knee Arthroplasty. J Knee Surg, 2019. 32(8): p. 820-824. Referans13 Okamoto, Y., et al., Sagittal Alignment of the Femoral Component and Patient Height Are Associated With Persisting Flexion Contracture After Primary Total Knee Arthroplasty. J Arthroplasty, 2019. 34(7): p. 1476-1482. Referans14 Asada, S., et al., Influence of the sagittal reference axis on the femoral component size. J Arthroplasty, 2013. 28(6): p. 943-9. Referans15 Lustig, S., et al., Relationship between the surgical epicondylar axis and the articular surface of the distal femur: an anatomic study. Knee Surg Sports Traumatol Arthrosc, 2008. 16(7): p. 674-82. Referans16 Booth, R.E., Jr., Sex and the total knee: gender-sensitive designs. Orthopedics, 2006. 29(9): p. 836-8. Referans17 Ritter, M.A., et al., The effect of femoral notching during total knee arthroplasty on the prevalence of postoperative femoral fractures and on clinical outcome. J Bone Joint Surg Am, 2005. 87(11): p. 2411-4. Referans18 Rand, J.A. and M.B. Coventry, Ten-year evaluation of geometric total knee arthroplasty. Clin Orthop Relat Res, 1988(232): p. 168-73. Referans19 Huang, T.W., et al., Computed tomography evaluation in total knee arthroplasty: computer-assisted navigation versus conventional instrumentation in patients with advanced valgus arthritic knees. J Arthroplasty, 2014. 29(12): p. 2363-8. Referans20 Mullaji, A., et al., Comparison of limb and component alignment using computer-assisted navigation versus image intensifier-guided conventional total knee arthroplasty: a prospective, randomized, single-surgeon study of 467 knees. J Arthroplasty, 2007. 22(7): p. 953-9. Referans21 Kuriyama, S., et al., Bone-femoral component interface gap after sagittal mechanical axis alignment is filled with new bone after cementless total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2018. 26(5): p. 1478-1484. Referans22 Tao, K., M. Cai, and S.H. Li, The anteroposterior axis of the tibia in total knee arthroplasty for chinese knees. Orthopedics, 2010. 33(11): p. 799. Referans23 Boldt, J.G., et al., Femoral component rotation and arthrofibrosis following mobile-bearing total knee arthroplasty. Int Orthop, 2006. 30(5): p. 420-5. Referans24 Bellemans, J., et al., Fluoroscopic analysis of the kinematics of deep flexion in total knee arthroplasty. Influence of posterior condylar offset. J Bone Joint Surg Br, 2002. 84(1): p. 50-3. Referans25 Mitsuyasu, H., et al., Enlarged post-operative posterior condyle tightens extension gap in total knee arthroplasty. J Bone Joint Surg Br, 2011. 93(9): p. 1210-6.

Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty

Year 2019, Volume: 13 Issue: 3, 174 - 182, 31.12.2019

Abstract

Objectives: A proper morphometric analysis of the anatomy of the distal femur is of utmost importance for providing correct alignment for the survival of total knee arthroplasty (TKA). Herein, we aimed to conduct a detailed morphometric analysis of the distal femur, including the differences between men and women. We also aimed to determine landmarks in the sagittal and coronal planes for positioning of the femoral component during TKA and demonstrate the data that may affect clinical outcome.

Methods: Two-hundred adult femurs from the collection of anatomy department were enrolled in this study. Three-dimensional reconstruction of computed tomography scans were performed on these femurs. Differences between the reference axes and lines in the sagittal and coronal planes were obtained from the images, and correlation coefficients of the collected data were analyzed. All measurements were compared between men and women.

Results: The calculated mean angles between the sagittal mechanical axis, anterior cortical axis and distal medullary axis were found as 5.14±1.67° and 4.12±2.41°, respectively, and the mean angle difference between the posterior condylar line (PCL) and the epicondylar axis (EA) was 4.37±2.18°. The angle difference between PCL and EA was higher in females (p=0.047).

Conclusion: In addition to the gender-dependent anthropomorphic differences between the distal femurs of females and males, differences between the measurements used as reference in conventional TKA techniques may affect the post-operative alignment.

References

  • Referans1 Garriga, C., et al., Impact of a national enhanced recovery after surgery programme on patient outcomes of primary total knee replacement: an interrupted time series analysis from "The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man". Osteoarthritis Cartilage, 2019. 27(9): p. 1280-1293. Referans2 Ritter, M.A., et al., Postoperative alignment of total knee replacement. Its effect on survival. Clin Orthop Relat Res, 1994(299): p. 153-6. Referans3 Bargren, J.H., J.D. Blaha, and M.A. Freeman, Alignment in total knee arthroplasty. Correlated biomechanical and clinical observations. Clin Orthop Relat Res, 1983(173): p. 178-83. Referans4 Berend, M.E., et al., Tibial component failure mechanisms in total knee arthroplasty. Clin Orthop Relat Res, 2004(428): p. 26-34. Referans5 Larose, G., et al., Can total knee arthroplasty restore the correlation between radiographic mechanical axis angle and dynamic coronal plane alignment during gait? Knee, 2019. 26(3): p. 586-594. Referans6 Kim, C.W. and C.R. Lee, Effects of Femoral Lateral Bowing on Coronal Alignment and Component Position after Total Knee Arthroplasty: A Comparison of Conventional and Navigation-Assisted Surgery. Knee Surg Relat Res, 2018. 30(1): p. 64-73. Referans7 O'Rourke, M.R., et al., Osteolysis associated with a cemented modular posterior-cruciate-substituting total knee design : five to eight-year follow-up. J Bone Joint Surg Am, 2002. 84(8): p. 1362-71. Referans8 Yehyawi, T.M., et al., Variances in sagittal femoral shaft bowing in patients undergoing TKA. Clin Orthop Relat Res, 2007. 464: p. 99-104. Referans9 Jethanandani, R., et al., Biomechanical Consequences of Anterior Femoral Notching in Cruciate-Retaining Versus Posterior-Stabilized Total Knee Arthroplasty. Am J Orthop (Belle Mead NJ), 2016. 45(5): p. E268-72. Referans10 Nagamine, R., et al., Femoral shaft bowing influences the correction angle for high tibial osteotomy. J Orthop Sci, 2007. 12(3): p. 214-8. Referans11 Vaidya, S.V., et al., Anthropometric measurements to design total knee prostheses for the Indian population. J Arthroplasty, 2000. 15(1): p. 79-85. Referans12 Schiffner, E., et al., Neutral or Natural? Functional Impact of the Coronal Alignment in Total Knee Arthroplasty. J Knee Surg, 2019. 32(8): p. 820-824. Referans13 Okamoto, Y., et al., Sagittal Alignment of the Femoral Component and Patient Height Are Associated With Persisting Flexion Contracture After Primary Total Knee Arthroplasty. J Arthroplasty, 2019. 34(7): p. 1476-1482. Referans14 Asada, S., et al., Influence of the sagittal reference axis on the femoral component size. J Arthroplasty, 2013. 28(6): p. 943-9. Referans15 Lustig, S., et al., Relationship between the surgical epicondylar axis and the articular surface of the distal femur: an anatomic study. Knee Surg Sports Traumatol Arthrosc, 2008. 16(7): p. 674-82. Referans16 Booth, R.E., Jr., Sex and the total knee: gender-sensitive designs. Orthopedics, 2006. 29(9): p. 836-8. Referans17 Ritter, M.A., et al., The effect of femoral notching during total knee arthroplasty on the prevalence of postoperative femoral fractures and on clinical outcome. J Bone Joint Surg Am, 2005. 87(11): p. 2411-4. Referans18 Rand, J.A. and M.B. Coventry, Ten-year evaluation of geometric total knee arthroplasty. Clin Orthop Relat Res, 1988(232): p. 168-73. Referans19 Huang, T.W., et al., Computed tomography evaluation in total knee arthroplasty: computer-assisted navigation versus conventional instrumentation in patients with advanced valgus arthritic knees. J Arthroplasty, 2014. 29(12): p. 2363-8. Referans20 Mullaji, A., et al., Comparison of limb and component alignment using computer-assisted navigation versus image intensifier-guided conventional total knee arthroplasty: a prospective, randomized, single-surgeon study of 467 knees. J Arthroplasty, 2007. 22(7): p. 953-9. Referans21 Kuriyama, S., et al., Bone-femoral component interface gap after sagittal mechanical axis alignment is filled with new bone after cementless total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2018. 26(5): p. 1478-1484. Referans22 Tao, K., M. Cai, and S.H. Li, The anteroposterior axis of the tibia in total knee arthroplasty for chinese knees. Orthopedics, 2010. 33(11): p. 799. Referans23 Boldt, J.G., et al., Femoral component rotation and arthrofibrosis following mobile-bearing total knee arthroplasty. Int Orthop, 2006. 30(5): p. 420-5. Referans24 Bellemans, J., et al., Fluoroscopic analysis of the kinematics of deep flexion in total knee arthroplasty. Influence of posterior condylar offset. J Bone Joint Surg Br, 2002. 84(1): p. 50-3. Referans25 Mitsuyasu, H., et al., Enlarged post-operative posterior condyle tightens extension gap in total knee arthroplasty. J Bone Joint Surg Br, 2011. 93(9): p. 1210-6.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Mehmet Şimşek 0000-0002-8081-0550

Murat Bozkurt

Publication Date December 31, 2019
Published in Issue Year 2019 Volume: 13 Issue: 3

Cite

APA Şimşek, M., & Bozkurt, M. (2019). Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty. Anatomy, 13(3), 174-182.
AMA Şimşek M, Bozkurt M. Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty. Anatomy. December 2019;13(3):174-182.
Chicago Şimşek, Mehmet, and Murat Bozkurt. “Clinical Significance of the Relationship Between 3D Analysis of the Distal Femur and Femoral Shaft Anatomy in Total Knee Arthroplasty”. Anatomy 13, no. 3 (December 2019): 174-82.
EndNote Şimşek M, Bozkurt M (December 1, 2019) Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty. Anatomy 13 3 174–182.
IEEE M. Şimşek and M. Bozkurt, “Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty”, Anatomy, vol. 13, no. 3, pp. 174–182, 2019.
ISNAD Şimşek, Mehmet - Bozkurt, Murat. “Clinical Significance of the Relationship Between 3D Analysis of the Distal Femur and Femoral Shaft Anatomy in Total Knee Arthroplasty”. Anatomy 13/3 (December 2019), 174-182.
JAMA Şimşek M, Bozkurt M. Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty. Anatomy. 2019;13:174–182.
MLA Şimşek, Mehmet and Murat Bozkurt. “Clinical Significance of the Relationship Between 3D Analysis of the Distal Femur and Femoral Shaft Anatomy in Total Knee Arthroplasty”. Anatomy, vol. 13, no. 3, 2019, pp. 174-82.
Vancouver Şimşek M, Bozkurt M. Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty. Anatomy. 2019;13(3):174-82.

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).