کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6211374 1267213 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Radiographic outcome of limb-based versus knee-based patient specific guides in total knee arthroplasty
ترجمه فارسی عنوان
نتیجه رادیوگرافی راهنماهای خاص مبتنی بر اندام مبتنی بر اندام در زانو در آرتروپلاستی کل زانو
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی


- Comparative study of two patient-specific guide systems in total knee arthroplasty
- Accuracy and component alignment analyzed though post-op Perth CT scan protocol
- PSG systems restore neutral mechanical alignment in all 3 planes
- We recommend leg MR PSG over knee-only MR PSG for increased precision of alignment

BackgroundPatient specific guides (PSG's) were developed to improve overall component alignment in total knee arthroplasty (TKA). The aim of this study was to undertake a comparative radiographic study of two commonly used PSG and determine whether the radiographic technique used to construct the PSG had a significant effect on overall alignment.MethodsThis prospective cohort study examined the accuracy of limb-based (n = 112) versus knee-based (n = 105) MR PSG in restoring the mechanical axis in three planes according to post-operative Perth CT scan protocol.ResultsLimb-based MR and knee-based MR PSG systems both restored overall hip-knee-ankle angle (HKAA), femoral coronal alignment, tibial coronal alignment, femoral sagittal alignment, tibial sagittal alignment and femoral rotation alignment to within 3° of a neutral mechanical axis with similar precision (91.1% vs. 86.7% p = 0.30, 97.3% vs. 96.2% p = 0.63, 97.3% vs. 97.1% p = 0.94, 94.6% vs. 89.4% p = 0.16, 90.2% vs. 81.0% p = 0.05, 91.1% vs. 86.7% p = 0.30, respectively). However, when the secondary outcome measure of alignment within 2° was assessed, limb-based MR PSG restored HKAA, femoral coronal and tibial sagittal alignment with greater precision than knee-based MR PSG (73.2% vs. 64.8% p = 0.016, 93.8% vs. 80.8% p = 0.004 and 82.1% vs. 62.9% p = 0.001, respectively).ConclusionsThe findings of this study recommend the use of limb-based MR PSG for improved precision in the restoration of neutral mechanical alignment over knee-based MR PSG in TKA.Level of EvidenceTherapeutic level III

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Knee - Volume 21, Issue 6, December 2014, Pages 1244-1249
نویسندگان
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