Influence of Total Knee Arthroplasty on Hip Rotational Range of Motion

被引:2
作者
Kataoka, Tatsunori [1 ]
Oshima, Yasushi [1 ]
Iizawa, Norishige [1 ]
Majima, Tokifumi [1 ]
Takai, Shinro [1 ]
机构
[1] Nippon Med Sch, Dept Orthopaed Surg, Tokyo, Japan
关键词
knee osteoarthritis; total knee arthroplasty; hip rotational movement; CAPSULAR LIGAMENTS; ALIGNMENT;
D O I
10.1272/jnms.JNMS.2020_87-401
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Total knee arthroplasty (TKA) aims to correct the rotation, as well as the alignment and articulation, of the osteoarthritic knee. We hypothesized that, in addition to improving knee kinematics, TKA affects hip rotational movement. The objective of this study was to evaluate variation in lower extremity alignment and hip rotational range of motion (ROM) after TKA. Methods: A total of 47 patients (53 knees) with primary varus knee osteoarthritis who were scheduled for primary TKA at our center were enrolled. Hip rotational ROM was measured with the patient in supine position with 90 degrees flexion of the hip and knee before and 3 weeks after TKA. Plain radiography and computed tomography were used to compare variations in tibial axis alignment and femoral axis alignment after bone resection, which was defined as changes in the joint lines of the distal femur and the proximal tibia. Results: Average internal ROM, and the sum of internal and external hip rotational ROM, increased significantly; however, external hip rotational ROM did not significantly differ after TKA. Imaging findings showed that the axis of the lower leg externally rotated by 2.5 degrees, with a 4 degrees internal rotation of the distal femur and a 6.5 degrees correction of the varus deformity. Conclusion: TKA changed the neutral position of hip rotational movement and increased hip rotational ROM.
引用
收藏
页码:191 / 196
页数:6
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