Rotational alignment in total knee arthroplasty

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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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Effect of rotational alignment on outcome of total knee arthroplasty

BACKGROUND AND PURPOSE Poor outcomes have been linked to errors in rotational alignment of total knee arthroplasty components. The aims of this study were to determine the correlation between rotational alignment and outcome, to review the success of revision for malrotated total knee arthroplasty, and to determine whether evidence-based guidelines for malrotated total knee arthroplasty can be ...

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Evaluation of Distal Femoral Rotational Alignment with Spiral CT Scan before Total Knee Arthroplasty (A Study in Iranian Population)

    Background: Evaluating the landmarks for rotation of the distal femur is a challenge for orthopedic surgeons. Although the posterior femoral condyle axis is a good landmark for surgeons, the surgical transepicondylar axis may be a better option with the help of preoperative CT scanning. The purpose of this study was to ascertain relationships among the axes’ guiding distal femur rotational ...

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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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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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ژورنال

عنوان ژورنال: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology

سال: 2014

ISSN: 2214-6873

DOI: 10.1016/j.asmart.2014.08.001