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Knee Surgery, Sports Traumatology, Arthroscopy
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 11/2017

02.08.2017 | Knee

No influence of femoral component rotation by the lateral femoral posterior condylar cartilage remnant technique on clinical outcomes in navigation-assisted TKA

verfasst von: Seong Hwan Kim, Yong-Beom Park, Dae Woong Ham, Jae-Sung Lee, Min-Ku Song, Han-Jun Lee

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 11/2017

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Abstract

Purpose

To investigate whether cartilage thickness in the lateral femoral posterior condyle affects the femoral rotation angles on navigation and clinical outcomes of navigation-assisted total knee arthroplasty (TKA).

Methods

This is a prospective randomized study of navigation-assisted TKA. Fifty cases underwent TKA without removal of the lateral posterior femoral cartilage (Group 1), and 56 cases underwent TKA with removal of the lateral posterior femoral cartilage (Group 2). The femoral rotation was evaluated using CT and compared with navigation values. The angle between the clinical transepicondylar axis and posterior condylar axis measured on CT was defined as the femoral rotation angle on CT. Elevation of the joint line and patellar measurements were also evaluated.

Results

The clinical outcomes were not statistically different in the two groups. The radiographic measurements were not statistically different except femoral rotation angle on navigation. The mean femoral rotation angle of navigation was 4.0° ± 2.2° without cartilage removal and 5.1° ± 2.5° with cartilage removal. The reliability and validity were high between the femoral rotation angle on navigation in the cartilage removal group and that on CT, but there were no differences in clinical outcomes between the two groups.

Conclusion

There was little effect of navigation-assisted TKA on radiographic and clinical outcomes, although femoral rotational differences were caused by the lateral femoral posterior condylar cartilage. Although the rotational differences due to cartilage would be within the clinical safety margin, surgeons should consider that difference during TKA.

Level of evidence

Lower quality randomized trial (no masking), Level II.
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Metadaten
Titel
No influence of femoral component rotation by the lateral femoral posterior condylar cartilage remnant technique on clinical outcomes in navigation-assisted TKA
verfasst von
Seong Hwan Kim
Yong-Beom Park
Dae Woong Ham
Jae-Sung Lee
Min-Ku Song
Han-Jun Lee
Publikationsdatum
02.08.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 11/2017
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-017-4662-z

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