Intra- and postoperative assessment of femoral component rotation in total knee arthroplasty: an EKA knee expert group clinical review.
Arthroplasty, Replacement, Knee
/ methods
Femur
/ diagnostic imaging
Humans
Imaging, Three-Dimensional
/ methods
Knee
/ surgery
Knee Joint
/ surgery
Knee Prosthesis
Osteoarthritis, Knee
/ diagnostic imaging
Postoperative Period
Range of Motion, Articular
Reoperation
/ statistics & numerical data
Reproducibility of Results
Rotation
Tomography, X-Ray Computed
/ methods
Anatomical landmarks
Clinical outcome
Femoral component rotation
Gap balance technique
Grand piano sign
Hybrid technique
Knee replacement
Measured resection technique
Postoperative CT
Total knee arthroplasty
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
24
12
2019
accepted:
16
04
2020
pubmed:
1
5
2020
medline:
5
5
2021
entrez:
1
5
2020
Statut:
ppublish
Résumé
Malrotation of the femoral component after primary total knee arthroplasty (TKA) is one of the most important problems leading to painful TKA requiring revision surgery. A comprehensive systematic review of the literature was performed to present current evidence on how to optimally place the femoral component in TKA. Several landmarks and techniques for intraoperative determination of femoral component placement and examination of their reliability were analyzed. 2806 articles were identified and 21 met the inclusion criteria. As there is no unquestioned gold standard, numerous approaches are possible which come along with specific advantages and disadvantages. In addition, imaging modalities and measurements regarding postoperative femoral component rotation were also investigated. Femoral component rotation measurements on three-dimensional (3D) reconstructed computerised tomography (CT) images displayed intraclass correlation coefficients (ICC) above 0.85, significantly better than those performed in radiographics or two-dimensional (2D) CT images. Thus, 3D CT images to accurately evaluate the femoral prosthetic component rotation are recommended, especially in unsatisfied patients after TKA. The EKA Femoral Rotation Focus Group has not identified a single best reference method to determine femoral component rotation, but surgeons mostly prefer the measured resection technique using at least two landmarks for cross-checking the rotation. III.
Identifiants
pubmed: 32350578
doi: 10.1007/s00167-020-06006-4
pii: 10.1007/s00167-020-06006-4
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
772-782Références
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