Tibial Cut Accuracy in Mechanically Aligned Total Knee Arthroplasty Using Extensor Hallucis Longus Tendon to Determine Extramedullary Tibial Guide Position
| Autor: | Pablo Besa, Claudio Calvo, Julio Espinosa, Gerardo Ledermann, Rafael Vega, María Jesús Lira, Sebastián Irarrázaval, Raimundo Vial, Mario Orrego, Manuela Angulo, Luis Irribarra, Catalina Vidal |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Knee Joint Radiography Total knee arthroplasty law.invention Intramedullary rod Tendons 03 medical and health sciences 0302 clinical medicine law Medicine Humans Orthopedics and Sports Medicine Femoral component Arthroplasty Replacement Knee Retrospective Studies Orthodontics 030222 orthopedics Tibia business.industry 030229 sport sciences musculoskeletal system Extensor hallucis longus tendon Tendon Anatomical landmark Position (obstetrics) medicine.anatomical_structure Surgery Ankle business |
| Zdroj: | The journal of knee surgery. 35(12) |
| ISSN: | 1938-2480 |
| Popis: | This study aimed to determine the tibial cut (TC) accuracy using extensor hallucis longus (EHL) tendon as an anatomical landmark to position the total knee arthroplasty (TKA) extramedullary tibial guide (EMTG), and its impact on the TKA mechanical alignment (MA). We retrospectively studied 96 TKA, performed by a single surgeon, using a femoral tailored intramedullary guide technique. Seventeen were prior to the use of the EHL and 79 used the EHL tendon to position the EMTG. We analyzed preoperative and postoperative standing total lower extremity radiographs to determine the tibial component angle (TCA) and the correction in MA, comparing pre-EHL use and post-EHL technique incorporation. Mean TCA was 88.89 degrees and postoperative MA was neutral in 81% of patients. Pre- and postoperative MAs were not correlated. As a conclusion of this study, using the EHL provides a safe and easy way to determine the position of EMTG. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|