دورية أكاديمية
أعرض في EDS

Standard Radiographs Are Not Sufficient for Assessing Knee Mechanical Axis in Patients With Advanced Osteoarthritis.

التفاصيل البيبلوغرافية
العنوان: Standard Radiographs Are Not Sufficient for Assessing Knee Mechanical Axis in Patients With Advanced Osteoarthritis.
المؤلفون: Stickley CD; Department of Kinesiology and Rehabilitation Sciences, University of Hawaii, Honolulu, Hawaii; Department of Anatomy, Biochemistry and Physiology, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii., Wages JJ; Department of Kinesiology and Rehabilitation Sciences, University of Hawaii, Honolulu, Hawaii; Colorado Springs Orthopaedic Group, Colorado Springs, Colorado., Hetzler RK; Department of Kinesiology and Rehabilitation Sciences, University of Hawaii, Honolulu, Hawaii., Andrews SN; Department of Kinesiology and Rehabilitation Sciences, University of Hawaii, Honolulu, Hawaii., Nakasone CK; Bone and Joint Clinic, Straub Hospital, Honolulu, Hawaii.
المصدر: The Journal of arthroplasty [J Arthroplasty] 2017 Mar; Vol. 32 (3), pp. 1013-1017. Date of Electronic Publication: 2016 Sep 28.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Taylor and Francis Country of Publication: United States NLM ID: 8703515 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8406 (Electronic) Linking ISSN: 08835403 NLM ISO Abbreviation: J Arthroplasty Subsets: MEDLINE
أسماء مطبوعة: Publication: New Brunswick, NJ : Taylor and Francis
Original Publication: [New York, NY : Churchill Livingstone, c1986-
مواضيع طبية MeSH: Arthroplasty, Replacement, Knee*, Knee Joint/*diagnostic imaging , Osteoarthritis, Knee/*diagnostic imaging , Radiography/*standards, Adult ; Aged ; Aged, 80 and over ; Algorithms ; Ankle Joint/diagnostic imaging ; Bone Malalignment/surgery ; Female ; Femur/surgery ; Humans ; Knee/surgery ; Knee Joint/surgery ; Lower Extremity/surgery ; Male ; Middle Aged ; Osteoarthritis, Knee/surgery ; Radiography/methods ; Retrospective Studies ; Sex Factors
مستخلص: Background: The use of standard radiographs, and measured tibiofemoral angle (TFA), to assess lower extremity alignment is commonly practiced despite limited knowledge of its relationship to the mechanical axis (MA), as measured on hip-to-ankle (HTA) radiographs. This study assessed the predictive accuracy of previously developed equations, developed gender-specific regression equations using predictors from standard radiographs, and the clinical effectiveness of these equations in a large sample of cases using HTA radiographs as a gold standard.
Methods: The MA was measured on HTA radiographs, whereas TFA and femoral angle were measured on standard radiographs in 788 cases diagnosed with knee osteoarthritis.
Results: Multiple regression analyses indicated that TFA, femoral angle, and height were the strongest factors associated with the predicting MA, accounting for 83% of the variance for men and 86% for women, but were able to predict only the actual MA within ±3° in 66% of men and 69% of women. When applied to previously reported regression equations with similar results, the best predicative accuracy obtained within ±3° was 61% and 63% of men and women, respectively.
Conclusion: Standard radiographs are not sufficient for determining MA, and HTA radiographs should be used while making surgical decisions aimed at correcting alignment to within ±3° or for assessing alignment post-total knee arthroplasty. In addition, surgical alignment outcomes reported in previous research using standard radiographs should be viewed with caution.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: hip-to-ankle radiographs; mechanical axis; osteoarthritis; standard radiographs; total knee arthroplasty
تواريخ الأحداث: Date Created: 20161105 Date Completed: 20171120 Latest Revision: 20220330
رمز التحديث: 20231215
DOI: 10.1016/j.arth.2016.09.024
PMID: 27810307
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-8406
DOI:10.1016/j.arth.2016.09.024