1. Femoral matched tibia component rotation has little effect on the tibial torsion after total knee arthroplasty
- Author
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Soo Hyun Kim, Young-Sik Jeon, Ji Hoon Bae, Sang-Gyun Kim, Ja-Woon Lee, and Jeong-Seok Choi
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,Knee Joint ,Total knee arthroplasty ,03 medical and health sciences ,0302 clinical medicine ,Function score ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Femur ,Tibia ,Arthroplasty, Replacement, Knee ,Orthodontics ,030222 orthopedics ,business.industry ,Torsion (mechanics) ,030229 sport sciences ,Osteoarthritis, Knee ,musculoskeletal system ,surgical procedures, operative ,Orthopedic surgery ,Surgery ,Tibial torsion ,Rotational axis ,Knee Prosthesis ,business ,Oxford knee score - Abstract
Tibiofemoral synchronization technique matches the rotational alignment of the tibial component to the femoral component during the total knee arthroplasty (TKA). The rotational axis of the proximal tibia can be changed by this technique, which affects tibial torsion postoperatively. The purpose of this study was to investigate whether the tibiofemoral synchronization technique affect the tibial torsion, and the lower limb rotation after primary TKA. It was hypothesised that the tibial torsion would change after primary TKA. Ninety-three posterior stabilised TKAs from 89 patients were included from January 2017 to December 2018. Mechanical hip–knee–ankle axis (mHKA), in plain radiographs, femoral anteversion, tibial torsion, femoral neck-malleolar angle (FNMA), and rotational alignment of the femoral and the tibial components in pre- and postoperative CT scans were measured by two blinded observers. The primary outcome was a postoperative change in femoral anteversion, tibial torsion and FNMA. Clinical outcomes were evaluated using the American Knee Society Knee Score (AKSKS)/Function Score (AKSFS), and Oxford Knee Score (OKS) preoperatively and at 1 year after TKA. Patients’ perception of changes in the foot progression angle after TKA was investigated. Statistical significance was set at p
- Published
- 2021
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