Internal rotational error of the tibial component is a major cause of pain after total knee replacement

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Internal rotational error of the tibial component is a major cause of pain after total knee replacement.

This study used CT analysis to determine the rotational alignment of 39 painful and 26 painless fixed-bearing total knee replacements (TKRs) from a cohort of 740 NexGen Legacy posterior-stabilised and cruciate-retaining prostheses implanted between May 1996 and August 2003. The mean rotation of the tibial component was 4.3 degrees of internal rotation (25.4 degrees internal to 13.9 degrees exte...

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Combined Rotational Alignment Change after Total Knee Arthroplasty in Different Tibial Component Designs: Implications for Optimal Tibial Component Rotational Alignment

Purpose The rotational alignment of the femoral and tibial components is closely related to the results after total knee arthroplasty (TKA). In this study, we measured the combined rotational alignment change (ΔCR) after TKA and compared the different influence of symmetric and asymmetric tibial component designs on the combined rotational alignment. Materials and Methods Eighty-four patients...

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Determining the rotational alignment of the tibial component at total knee replacement: a comparison of two techniques.

We prospectively assessed the benefits of using either a range-of-movement technique or an anatomical landmark method to determine the rotational alignment of the tibial component during total knee replacement. We analysed the cut proximal tibia intraoperatively, determining anteroposterior axes by the range-of-movement technique and comparing them with the anatomical anteroposterior axis. We f...

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Anterior tibial curved cortex is a reliable landmark for tibial rotational alignment in total knee arthroplasty

BACKGROUND Rotational alignment of the tibial component is important for long-term success of total knee arthroplasty (TKA). This study aimed to compare five axes in normal and osteoarthritic (OA) knees to determine a reliable landmark for tibial rotational alignment in TKA. METHODS One hundred twenty patients with OA knees and 40 with normal knees were included. The angle between a line perp...

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An unusual cause of locking after total knee replacement.

Locking after total knee replacement is uncommon and is generally caused by the formation of fibrous tissue around the patella. We report an unusual cause of locking resulting from intermittent occlusion of the popliteal artery, which was tethered to cement at the posterior aspect of the tibial component.

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 2010

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.92b9.23516