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Computerized tomography scout view for determining distal femoral resection angle in intramedullary instrumentation of total knee arthroplasty

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

This study aims to investigate the results of distal femoral resection by determining the difference between mechanical and anatomical axes of femur using computerized tomography (CT) scout views in pre-operative planning of total knee arthroplasty. CT scout view of the lower extremities was taken before and after the operation in 16 patients undergoing total knee arthroplasty. Distal femoral resection was performed according to the previously determined ideal resection angle (IRA) using intramedullary instrumentation. At post-operative scanogram, femoral component deviation (FCD) was measured. The results were statistically analyzed. The average IRA was 6.95 (5–9) degrees. At post-operative measurements, the average FCD was 0.63 (0–3) degrees. CT scout films improve the accuracy in distal femoral resection and femoral component alignment.

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References

  1. Aglietti P (2005) Total knee arthroplasty. Where do we stand today? Knee Surg Sports Traumatol Arthrosc 15 (epub ahead of print)

  2. Cates HE, Ritter MA, Keating EM, Faris PM (1993) Intramedullary versus extramedullary femoral alignment systems in total knee. Clin Orthop 286:32–39

    PubMed  Google Scholar 

  3. Chidiac JJ, Shofer FS, Al-Kutoubi A, Laster LL, Ghafari J (2002) Comparison of CT scanograms and cephalometric radiographs in craniofacial imaging. Orthod Craniofac Res 5:104–113

    Article  PubMed  CAS  Google Scholar 

  4. Decking J, Theis C, Achenbach T, Roth E, Nafe B, Eckardt A (2004) Robotic total knee arthroplasty: the accuracy of CT-based component placement. Acta Orthop Scand 75(5):573–579

    Article  PubMed  Google Scholar 

  5. Dixon DR, Morgan R, Hollender LG (2002) Clinical application of spiral tomography in anterior implant placement: case report. J Periodontol 73(10):1202–1209

    Article  PubMed  Google Scholar 

  6. Engh GA, Petersen TL (1990) Comparative experience with intramedullary and extramedullary alignment in total knee arthroplasty. J Arthroplasty 5(1):1–8

    Article  PubMed  CAS  Google Scholar 

  7. Farrar MJ, Newman RJ, Mawhinney RR, King R (1999) Computed tomography scan scout film for measurement of femoral axis in knee replacement. J Arthroplasty 14(8):1030–1031

    Article  PubMed  CAS  Google Scholar 

  8. Honl M, Dierk O, Gauk C, Carrero V, Lampe F, Dries S, Quante M, Schwieger K, Hille E, Morlock M (2003) Comparison of robot assisted and manual implantation of a primary total hip replacement. A prospective study. J Bone Joint Surg Am 85:1470–1478

    PubMed  Google Scholar 

  9. Horton GA, Reckling FW (1995) Femoral pulse as a guide to the mechanical axis in total knee arthroplasty. J Arthroplasty 10(6):780–784

    Article  PubMed  CAS  Google Scholar 

  10. Kinzel V, Scaddan M, Bradley B, Shakespeare D (2004) Varus/valgus alignment of the femur in total knee arthroplasty. Can accuracy be improved by preoperative CT scanning? Knee 11:197–201

    Article  PubMed  Google Scholar 

  11. Lam LO, Shakespeare D (2003) Varus/valgus alignment of the femoral component in total knee arthroplasty. Knee 10:237–241

    Article  PubMed  Google Scholar 

  12. Matsuda Y, Ishii Y, Ichimura K (2004) Identifying the center of the femoral head using ultrasonography to assess the higher accuracy of femoral extramedullary guides in TKA. J Orthop Sci 9(1):6–9

    Article  PubMed  Google Scholar 

  13. McGrory JE, Trousdale RT, Pagnano MW Nigbur M (2002) Preoperative hip to ankle radiographs in total knee arthroplasty. Clin Orthop 404:196–202

    Article  PubMed  Google Scholar 

  14. Nagamine R, Miura H, Bravo CV (2000) Anatomic variations should be considered in total knee arthroplasty. J Orthop Sci 5(3):232–237

    Article  PubMed  CAS  Google Scholar 

  15. Ogata K, Yoshii I, Kawamura H, Miura H, Arizona T, Sugioka Y (1991) Standing radiographs cannot determine the correction in high tibial osteotomy. J Bone Joint Surg 73B(6):927–931

    Google Scholar 

  16. Romanowski CA, Underwood AC, Sprigg A (1994) Reduction of radiation doses in leg lengthening procedures by means of audit and computed tomography scanogram techniques. Br J Radiol 67:1103–1107

    Article  PubMed  CAS  Google Scholar 

  17. Teter KE, Bregman D, Colwell CW Jr (1995) The efficacy of intramedullary femoral alignment in total knee replacement. Clin Orthop 321:117–121

    PubMed  Google Scholar 

  18. Uslu MM, Eksioğlu F, Ozsar B (2004) Arthroplasty in extraarticular deformity of tibia. J Arthroplasty Arthroscopic Surg 15(4):226–229

    Google Scholar 

  19. Uslu M, Ozsar B, Kendi T, Kara S, Tekdemir I, Atik S (2005) The use of computed tomography to determine femoral component size. Bull Hosp Jt Dis 63(1,2):49–53

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, Kirikkale University School of Medicine, Kirikkale, Turkey

    M. Murad Uslu, Baris Ozsar, Meric Cirpar, Fatih Eksioglu & Ozgur Cetik

  2. Department of Radiodiagnostics, Kirikkale University School of Medicine, Kirikkale, Turkey

    Simay Kara

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  1. M. Murad Uslu
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  2. Baris Ozsar
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  3. Meric Cirpar
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  4. Simay Kara
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  5. Fatih Eksioglu
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  6. Ozgur Cetik
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Correspondence to M. Murad Uslu.

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Uslu, M.M., Ozsar, B., Cirpar, M. et al. Computerized tomography scout view for determining distal femoral resection angle in intramedullary instrumentation of total knee arthroplasty. Knee Surg Sports Traumatol Arthr 15, 78–82 (2007). https://doi.org/10.1007/s00167-006-0104-z

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  • DOI: https://doi.org/10.1007/s00167-006-0104-z

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