Preoperative assessment of femoral rotation and its relationship with coronal alignment: A magnetic resonance imaging study

被引:13
作者
McDougall, Catherine J. [1 ]
Gallie, Price [2 ]
Whitehouse, Sarah L. [3 ]
机构
[1] Prince Charles Hosp, Rode Rd, Chermside, Qld 4032, Australia
[2] Gold Coast Univ Hosp, Coast Orthopaed, 1 Hosp Blvd, Southport, Qld 4215, Australia
[3] Queensland Univ Technol, Prince Charles Hosp, Rode Rd, Chermside, Qld 4032, Australia
关键词
Total knee replacement; Rotational alignment; Osteoarthritis; MRI;
D O I
10.1016/j.jor.2016.06.009
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This MRI study explores the individual variation of the rotational axes of the distal femur, and investigate the relationship of this variation with overall coronal alignment in the osteoarthritic knee, The mean surgical epicondylar axis (SEA) was 1.7 degrees, anatomical epicondylar axis (AEA) 5.6 degrees and AP trochlea axis (APA) 94.3 degrees external rotation, compared to the posterior condylar line. Investigating this relationship between different coronal alignment groups, there were statistically significant differences between excessive varus and excessive valgus knees for SEA (0.9: 3.0 p < 0.001) and AEA (4.7: 7.0 p < 0.001). There was no statistical difference for APA (93.9: 95.3 p = 0.238). Crown Copyright (C) 2016 Published by Elsevier, a division of Reed Elsevier India, Pvt. Ltd on behalf of Prof. PK Surendran Memorial Education Foundation. All rights reserved.
引用
收藏
页码:290 / 293
页数:4
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