دورية أكاديمية
The contralateral limb is no reliable reference to restore coronal alignment in TKA.
| العنوان: | The contralateral limb is no reliable reference to restore coronal alignment in TKA. |
|---|---|
| المؤلفون: | Beckers L; Department of Orthopaedic Surgery and Traumatology, Sint-Jan Hospital, Ruddershove 10, 8000, Bruges, Belgium.; Department of Orthopaedic Surgery and Traumatology, Sint-Lucas Hospital, Sint-Lucaslaan 29, 8310, Bruges, Belgium.; Orthoclinic Orthopaedic Centre Bruges, Gistelsesteenweg 446, 8200, Sint-Andries, Belgium., Colyn W; Department of Orthopaedic Surgery and Traumatology, General Hospital Turnhout, Steenweg op Merksplas 44, 2300, Turnhout, Belgium., Bellemans J; Department of Orthopaedic Surgery and Traumatology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600, Genk, Belgium.; Faculty of Medicine and Life Sciences, Hasselt University, Agoralaan D, 3500, Diepenbeek, Belgium.; GRIT Belgian Sports Clinic, Engels Plein 35, 3000, Leuven, Belgium., Victor J; Department of Orthopaedic Surgery and Traumatology, Sint-Lucas Hospital, Sint-Lucaslaan 29, 8310, Bruges, Belgium.; Orthoclinic Orthopaedic Centre Bruges, Gistelsesteenweg 446, 8200, Sint-Andries, Belgium.; Department of Orthopaedic Surgery, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium., Vandekerckhove PJ; Department of Orthopaedic Surgery and Traumatology, Sint-Jan Hospital, Ruddershove 10, 8000, Bruges, Belgium. pieterjanvandekerckhove@hotmail.com.; Department of Orthopaedic Surgery and Traumatology, Sint-Lucas Hospital, Sint-Lucaslaan 29, 8310, Bruges, Belgium. pieterjanvandekerckhove@hotmail.com.; Orthoclinic Orthopaedic Centre Bruges, Gistelsesteenweg 446, 8200, Sint-Andries, Belgium. pieterjanvandekerckhove@hotmail.com. |
| المصدر: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2022 Feb; Vol. 30 (2), pp. 477-487. Date of Electronic Publication: 2020 Jul 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: Germany NLM ID: 9314730 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-7347 (Electronic) Linking ISSN: 09422056 NLM ISO Abbreviation: Knee Surg Sports Traumatol Arthrosc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2024- : [Hoboken] : Wiley Original Publication: [Heidelberg, Germany] : Springer International, c1993- |
| مواضيع طبية MeSH: | Arthroplasty, Replacement, Knee* , Osteoarthritis, Knee*/surgery, Female ; Femur/surgery ; Humans ; Knee Joint/diagnostic imaging ; Knee Joint/surgery ; Male ; Reproducibility of Results ; Tibia/diagnostic imaging ; Tibia/surgery |
| مستخلص: | Purpose: Implementation of morphometric reference data from the contralateral, unaffected lower limb is suggested when reconstructing the coronal plane alignment in TKA. Limited information, however, is available which confirms this left-to-right symmetry in coronal alignment based upon radiographs. The purpose of the study was, therefore, (1) to verify if a left-to-right symmetry is present and (2) to assess whether the contralateral lower limb would be a reliable reference for reconstructing the frontal plane alignment. Methods: Full-leg standing radiographs of 250 volunteers (male, 125; female,125) were reviewed for three alignment parameters (Hip-Knee-Ankle angle (HKA), Femoral Mechanical Angle (FMA) and Tibial Mechanical Angle (TMA)). Evaluation of assumed left-to-right symmetry was performed according to two coronal alignment classifications (HKA subdivisions (HKA) and limb, femoral and tibial phenotypes (HKA, FMA and TMA)). Inter- and within-subject variability was calculated, along with correlations coefficients (r) and coefficients of determination (r 2 ). Reliability of the contralateral limb as a personalized reference to reconstruct the constitutional alignment was investigated by intervals, expanding by 1° increments (0.5° increment both to varus and valgus) around the right knee alignment parameters. Subsequently, it was verified whether or not the left knee parameters fell within this interval. Results: Symmetrical distribution in coronal alignment was found in 79% (HKA subdivision) and 59% (limb phenotype) of the cohort. Gender differences were present for the most common symmetric limb phenotypes (VAR Conclusion: No strict left-to-right symmetry was observed in coronal alignment measurements. There is insufficient left-to-right agreement to consider the concept of the contralateral unaffected limb as an idealized reference for frontal plane alignment reconstruction based upon full-leg standing radiographs. Level of Evidence: I. (© 2020. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).) |
| References: | Abdel MP, Oussedik S, Parratte S, Lustig S, Haddad FS (2014) Coronal alignment in total knee replacement: historical review, contemporary analysis, and future direction. Bone Jt J 96:857–862. (PMID: 10.1302/0301-620X.96B7.33946) Bellemans J, Colyn W, Vandenneucker H, Victor J (2012) The Chitranjan Ranawat Award: is neutral mechanical alignment normal for all patients? The concept of constitutional varus. Clin Orthop Relat Res 470:45–53. (PMID: 10.1007/s11999-011-1936-521656315) Boonen B, Kerens B, Schotanus MGM, Emans P, Jong B, Kort NP (2016) Inter-observer reliability of measurements performed on digital long-leg standing radiographs and assessment of validity compared to 3D CT-scan. Knee 23:20–24. (PMID: 10.1016/j.knee.2015.08.00826746040) Bowman A, Shunmugam M, Watts AR, Bramwell DC, Wilson C, Krishnan J (2016) Inter-observer and intra-observer reliability of mechanical axis alignment before and after total knee arthroplasty using long leg radiographs. Knee 23:203–208. (PMID: 10.1016/j.knee.2015.11.01326796777) Colyn W, Agricola R, Arnout N, Verhaar J, Bellemans J (2016) How does lower leg alignment differ between soccer players, other athletes, and non-athletic controls? Knee Surg Sports Traumatol Arthrosc 24:3619–3626. (PMID: 10.1007/s00167-016-4348-y27743081) Cooke D, Scudamore A, Li J, Wyss U, Bryant T, Costigan P (1997) Axial lower-limb alignment: comparison of knee geometry in normal volunteers and osteoarthritis patients. Osteoarthr Cartil 5:39–47. (PMID: 10.1016/S1063-4584(97)80030-1) Dargel J, Feiser J, Gotter M, Pennig D, Koebke J (2009) Side differences in the anatomy of human knee joints. Knee Surg Sports Traumatol Arthrosc 17:1368–1376. (PMID: 10.1007/s00167-009-0870-519633830) Eckhoff DG, Jacofsky DJ, Springer BD, Dunbar M, Cherian JJ, Elmallah RK, Mont MA, Greene KA (2016) Bilateral symmetrical comparison of femoral and tibial anatomic features. J Arthroplasty 31:1083–1090. (PMID: 10.1016/j.arth.2015.11.02126989029) Eckstein F, Müller S, Faber SC, Englmeier KH, Reiser M, Putz R (2002) Side differences of knee joint cartilage volume, thickness, and surface area, and correlation with lower limb dominance–an MRI-based study. Osteoarthr Cartil 10:914–921. (PMID: 10.1053/joca.2002.0843) Fahlman L, Sangeorzan E, Chheda N, Lambright D (2014) Older adults without radiographic knee osteoarthritis: knee alignment and knee range of motion. Clin Med Insights Arthritis Musculoskelet Disord 7:1–11. (PMID: 10.4137/CMAMD.S13009244535013891627) Hess S, Moser LB, Amsler F, Behrend H, Hirschmann MT (2019) Highly variable coronal tibial and femoral alignment in osteoarthritic knees: a systematic review. Knee Surg Sports Traumatol Arthrosc 27:1368–1377. (PMID: 10.1007/s00167-019-05506-230989273) Hirschmann MT, Hess S, Behrend H, Amsler F, Leclercq V, Moser LB (2019) Phenotyping of hip–knee–ankle angle in young non-osteoarthritic knees provides better understanding of native alignment variability. Knee Surg Sports Traumatol Arthrosc 27:1378–1384. (PMID: 10.1007/s00167-019-05507-130968238) Hirschmann MT, Moser LB, Amsler F, Behrend H, Leclercq V, Hess S (2019) Phenotyping the knee in young non-osteoarthritic knees shows a wide distribution of femoral and tibial coronal alignment. Knee Surg Sports Traumatol Arthrosc 27:1385–1393. (PMID: 10.1007/s00167-019-05508-030980119) Hirschmann MT, Moser LB, Amsler F, Behrend H, Leclerq V, Hess S (2019) Functional knee phenotypes: a novel classification for phenotyping the coronal lower limb alignment based on the native alignment in young non-osteoarthritic patients. Knee Surg Sports Traumatol Arthrosc 27:1394–1402. (PMID: 10.1007/s00167-019-05509-z30976825) Howell SM, Howell SJ, Kuznik KT, Cohen J, Hull ML (2013) Does a kinematically aligned total knee arthroplasty restore function without failure regardless of alignment category? Clin Orthop Relat Res 471:1000–1007. (PMID: 10.1007/s11999-012-2613-z22996362) Howell S, Papadopoulos S, Kuznik K, Ghaly L, Hull M (2015) Does varus alignment adversely affect implant survival and function six years after kinematically aligned total knee arthroplasty? Int Orthop 39:2117–2124. (PMID: 10.1007/s00264-015-2743-525823516) Hsu RWW, Himeno S, Coventry MB, Chao EYS (1990) Normal axial alignment of the lower extremity and load-bearing distribution at the knee. Clin Orthop Relat Res 255:215–227. (PMID: 10.1097/00003086-199006000-00029) Jacquet C, Laumonerie P, LiArno S, Faizan A, Sharma A, Dagneaux L, Ollivier M (2019) Contralateral preoperative templating of lower limbs’ mechanical angles is a reasonable option. Knee Surg Sports Traumatol Arthrosc 28:1445–1451. (PMID: 10.1007/s00167-019-05524-031073842) Jang K-M, Park J-H, Chang M, Kim Y, Lee D, Park S, Wang JH (2017) Three-Dimensional Evaluation of Similarity of Right and Left Knee Joints. Knee Surg Relat Res 29:307–315. (PMID: 10.5792/ksrr.16.076290460465718788) Moreland JR, Bassett LW, Hanker GJ (1987) Radiographic analysis of the axial alignment of the lower extremity. J Bone Jt Surg Am 69:745–749. (PMID: 10.2106/00004623-198769050-00016) Mullaji AB, Shah S, Shetty GM (2017) Mobile-bearing medial unicompartmental knee arthroplasty restores limb alignment comparable to that of the unaffected contralateral limb. Acta Orthop 88:70–74. (PMID: 10.1080/17453674.2016.125332727794622) Nedopil AJ, Singh AK, Howell SM, Hull ML (2018) Does calipered kinematically aligned TKA restore native left to right symmetry of the lower limb and improve function? J Arthroplasty 33:398–406. (PMID: 10.1016/j.arth.2017.09.03929074324) Parratte S, Pagnamo MW, Trousdale RT, Berry DJ (2010) Effect of postoperative mechanical axis alignment on the fifteen year survival of modern, cemented total knee replacements. J Bone Jt Surg Am 92(12):2143–2149. (PMID: 10.2106/JBJS.I.01398) Sappey-Marinier E, Batailler C, Swan J, Malatray M, Cheze L, Servien E, Lustig S (2020) Primary osteoarthritic knees have more varus coronal alignment of the femur compared to young non-arthritic knees in a large cohort study. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-020-06083-5. (PMID: 10.1007/s00167-020-06083-533165637) Schenk P, Vlachopoulos L, Hingsammer A, Fucentese SF, Fürn- stahl P, (2018) Is the contralateral tibia a reliable template for reconstruction: a three-dimensional anatomy cadaveric study. Knee Surg Sports Traumatol Arthrosc 26:2324–2331. (PMID: 10.1007/s00167-016-4378-527872989) Thienpont E, Schwab PE, Cornu O, Bellemans J, Victor J (2017) Bone morphotypes of the varus and valgus knee. Arch Orthop Trauma Surg 137:393–400. (PMID: 10.1007/s00402-017-2626-x28110363) Vandekerckhove P-JTK, Matlovich N, Teeter MG, MacDonald SJ, Howard JL, Lanting BA (2017) The relationship between constitutional alignment and varus osteoarthritis of the knee. Knee Surg Sports Traumatol Arthrosc 25:2873–2879. (PMID: 10.1007/s00167-016-3994-426831863) Vanlommel L, Vanlommel J, Claes S, Bellemans J (2013) Slight undercorrection following total knee arthroplasty results in superior clinical outcomes in varus knees. Knee Surg Sports Traumatol Arthrosc 21:2325–2330. (PMID: 10.1007/s00167-013-2481-423552665) Victor JMK, Bassens D, Bellemans J, Gürsu S, Dhollander AAM, Verdonk PCM (2014) Constitutional varus does not affect joint line orientation in the coronal plane. Clin Orthop Relat Res 472:98–104. (PMID: 10.1007/s11999-013-2898-623733590) Zahn RK, Renner L, Perka C, Hommel H (2019) Weight-bearing radiography depends on limb loading. Knee Surg Sports Traumatol Arthrosc 27:1470–1476. (PMID: 10.1007/s00167-018-5056-629992465) |
| فهرسة مساهمة: | Keywords: Alignment; Arthroplasty; Contralateral; Coronal; Knee; Knee replacement; Lower extremity; Symmetry |
| تواريخ الأحداث: | Date Created: 20200723 Date Completed: 20220225 Latest Revision: 20220811 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1007/s00167-020-06152-9 |
| PMID: | 32696089 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1433-7347 |
|---|---|
| DOI: | 10.1007/s00167-020-06152-9 |