Averaging rotational landmarks during total knee arthroplasty reduces component malrotation caused by femoral asymmetry

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Averaging rotational landmarks during total knee arthroplasty reduces component malrotation caused by femoral asymmetry

BACKGROUND Femoral component malrotation is a common cause of patient dissatisfaction after total knee arthroplasty. The sulcus line (SL) is more accurate than Whiteside's line as it corrects for variation in the coronal orientation of the groove. The hypothesis is that averaging the SL and posterior condylar axis (PCA) will reduce femoral malrotation. METHODS The component was inserted at a ...

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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...

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Combining the Sulcus Line and Posterior Condylar Axis Reduces Femoral Malrotation in Total Knee Arthroplasty

This open-access article is published and distributed under the Creative Commons Attribution NonCommercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article witho...

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Averaging different alignment axes improves femoral rotational alignment in computer-navigated total knee arthroplasty.

BACKGROUND Computer navigation systems generally establish the rotational alignment axis of the femoral component on the basis of user-defined anatomic landmarks. However, navigation systems can also record knee kinematics and average alignment axes established with multiple techniques. We hypothesized that establishing femoral rotational alignment with the use of kinematic techniques is more a...

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The variability of femoral rotational alignment in total knee arthroplasty.

BACKGROUND Several reference axes are used to establish femoral rotational alignment during total knee arthroplasty, but debate continues with regard to which axis is most accurately and easily identified during surgery. Computer-assisted navigation systems have been developed in an attempt to more accurately and consistently align implants during total knee arthroplasty, but it is unknown if n...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery and Research

سال: 2017

ISSN: 1749-799X

DOI: 10.1186/s13018-017-0575-2