Radiologic Changes of Ankle Joint after Total Knee Arthroplasty
Background: The authors noticed that ankle joint osteoarthritis was not uncommon when lower extremity malalignment, such as a knee varus deformity, was present as a result of severe osteoarthritis of the knee. The purpose of this study was to analyze radiologic changes of the ankle joint after total...
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| Veröffentlicht in: | Foot & ankle international 2012-12, Vol.33 (12), p.1087-1092 |
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| creator | Lee, Jung Hee Jeong, Bi O |
| description | Background:
The authors noticed that ankle joint osteoarthritis was not uncommon when lower extremity malalignment, such as a knee varus deformity, was present as a result of severe osteoarthritis of the knee. The purpose of this study was to analyze radiologic changes of the ankle joint after total knee arthroplasty.
Methods:
This study included 142 cases in 110 patients who underwent total knee arthroplasty and were followed for at least 3 years. The varus knee group included 128 cases and the valgus knee group included 14 cases. On anteroposterior standing lower extremity radiographs, varus and valgus angles of the knee were measured preoperatively and at the last follow-up. The angle between the ground surface and the distal tibial plafond as well as the upper talus was also measured. In addition, tibial anterior surface angle, talar tilt, space between the medial malleolar distal tip and the medial articular surface of the talus, and medial tibiotalar joint space of the ankle joint were measured.
Results:
Out of 142 cases, 50 (35.2%) had arthritis in the ankle before total knee arthroplasty and 31 (21.8%) had newly developed or progressive arthritis after surgery. In particular, the varus knee group demonstrated statistically significant differences in preoperative varus deformity, preoperative talar tilt, and postoperative correction angle between the cases that developed or had progressive arthritis and those that did not show any changes (p < .05).
Conclusions:
After total knee arthroplasty, arthritis developed or progressed in the ankle of many cases radiographically. In particular, when the preoperative talar tilt increased medial to the ankle or the postoperative correction angle was large, the incidence of arthritis in the ankle joint increased. The authors recommend more cautious follow-up on the symptoms of the ankle joint after total knee arthroplasty.
Level of Evidence: III, Retrospective Study |
| doi_str_mv | 10.3113/FAI.2012.1087 |
| format | Article |
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The authors noticed that ankle joint osteoarthritis was not uncommon when lower extremity malalignment, such as a knee varus deformity, was present as a result of severe osteoarthritis of the knee. The purpose of this study was to analyze radiologic changes of the ankle joint after total knee arthroplasty.
Methods:
This study included 142 cases in 110 patients who underwent total knee arthroplasty and were followed for at least 3 years. The varus knee group included 128 cases and the valgus knee group included 14 cases. On anteroposterior standing lower extremity radiographs, varus and valgus angles of the knee were measured preoperatively and at the last follow-up. The angle between the ground surface and the distal tibial plafond as well as the upper talus was also measured. In addition, tibial anterior surface angle, talar tilt, space between the medial malleolar distal tip and the medial articular surface of the talus, and medial tibiotalar joint space of the ankle joint were measured.
Results:
Out of 142 cases, 50 (35.2%) had arthritis in the ankle before total knee arthroplasty and 31 (21.8%) had newly developed or progressive arthritis after surgery. In particular, the varus knee group demonstrated statistically significant differences in preoperative varus deformity, preoperative talar tilt, and postoperative correction angle between the cases that developed or had progressive arthritis and those that did not show any changes (p < .05).
Conclusions:
After total knee arthroplasty, arthritis developed or progressed in the ankle of many cases radiographically. In particular, when the preoperative talar tilt increased medial to the ankle or the postoperative correction angle was large, the incidence of arthritis in the ankle joint increased. The authors recommend more cautious follow-up on the symptoms of the ankle joint after total knee arthroplasty.
Level of Evidence: III, Retrospective Study</description><identifier>ISSN: 1071-1007</identifier><identifier>EISSN: 1944-7876</identifier><identifier>DOI: 10.3113/FAI.2012.1087</identifier><identifier>PMID: 23199858</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Ankle Joint - diagnostic imaging ; Ankle Joint - physiopathology ; Arthroplasty, Replacement, Knee ; Bone Malalignment - diagnostic imaging ; Bone Malalignment - physiopathology ; Female ; Follow-Up Studies ; Humans ; Knee Joint - diagnostic imaging ; Knee Joint - physiopathology ; Male ; Osteoarthritis - diagnostic imaging ; Osteoarthritis - physiopathology ; Osteoarthritis, Knee - physiopathology ; Osteoarthritis, Knee - surgery ; Postoperative Period ; Preoperative Period ; Radiography ; Retrospective Studies</subject><ispartof>Foot & ankle international, 2012-12, Vol.33 (12), p.1087-1092</ispartof><rights>2012 American Orthopaedic Foot & Ankle Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-ef4fbd622101fae1aed32083d4f1cd9e924317e34022200c76c20f2f32d6cd513</citedby><cites>FETCH-LOGICAL-c394t-ef4fbd622101fae1aed32083d4f1cd9e924317e34022200c76c20f2f32d6cd513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.3113/FAI.2012.1087$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.3113/FAI.2012.1087$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23199858$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Jung Hee</creatorcontrib><creatorcontrib>Jeong, Bi O</creatorcontrib><title>Radiologic Changes of Ankle Joint after Total Knee Arthroplasty</title><title>Foot & ankle international</title><addtitle>Foot Ankle Int</addtitle><description>Background:
The authors noticed that ankle joint osteoarthritis was not uncommon when lower extremity malalignment, such as a knee varus deformity, was present as a result of severe osteoarthritis of the knee. The purpose of this study was to analyze radiologic changes of the ankle joint after total knee arthroplasty.
Methods:
This study included 142 cases in 110 patients who underwent total knee arthroplasty and were followed for at least 3 years. The varus knee group included 128 cases and the valgus knee group included 14 cases. On anteroposterior standing lower extremity radiographs, varus and valgus angles of the knee were measured preoperatively and at the last follow-up. The angle between the ground surface and the distal tibial plafond as well as the upper talus was also measured. In addition, tibial anterior surface angle, talar tilt, space between the medial malleolar distal tip and the medial articular surface of the talus, and medial tibiotalar joint space of the ankle joint were measured.
Results:
Out of 142 cases, 50 (35.2%) had arthritis in the ankle before total knee arthroplasty and 31 (21.8%) had newly developed or progressive arthritis after surgery. In particular, the varus knee group demonstrated statistically significant differences in preoperative varus deformity, preoperative talar tilt, and postoperative correction angle between the cases that developed or had progressive arthritis and those that did not show any changes (p < .05).
Conclusions:
After total knee arthroplasty, arthritis developed or progressed in the ankle of many cases radiographically. In particular, when the preoperative talar tilt increased medial to the ankle or the postoperative correction angle was large, the incidence of arthritis in the ankle joint increased. The authors recommend more cautious follow-up on the symptoms of the ankle joint after total knee arthroplasty.
Level of Evidence: III, Retrospective Study</description><subject>Aged</subject><subject>Ankle Joint - diagnostic imaging</subject><subject>Ankle Joint - physiopathology</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Bone Malalignment - diagnostic imaging</subject><subject>Bone Malalignment - physiopathology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - physiopathology</subject><subject>Male</subject><subject>Osteoarthritis - diagnostic imaging</subject><subject>Osteoarthritis - physiopathology</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Postoperative Period</subject><subject>Preoperative Period</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><issn>1071-1007</issn><issn>1944-7876</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFLwzAUh4Mobk6PXiVHETrzkq5pTzKG0-lAkHkOWfqydXbNTNrD_nszpt48_d7h44P3EXINbCgAxP10PBtyBnwILJcnpA9FmiYyl9lpvJmEBBiTPXIRwoYxkAKKc9LjcYp8lPfJw7suK1e7VWXoZK2bFQbqLB03nzXSF1c1LdW2RU8XrtU1fW0Q6di3a-92tQ7t_pKcWV0HvPrZAfmYPi4mz8n87Wk2Gc8TI4q0TdCmdllmnAMDqxE0loKzXJSpBVMWWPBUgESRMs45Y0ZmhjPLreBlZsoRiAG5PXp33n11GFq1rYLButYNui4oiOp8JKTMI5ocUeNdCB6t2vlqq_1eAVOHZio2U4dm6tAs8jc_6m65xfKP_o0UgbsjEPQK1cZ1vomv_mP7BlpUciw</recordid><startdate>201212</startdate><enddate>201212</enddate><creator>Lee, Jung Hee</creator><creator>Jeong, Bi O</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201212</creationdate><title>Radiologic Changes of Ankle Joint after Total Knee Arthroplasty</title><author>Lee, Jung Hee ; Jeong, Bi O</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c394t-ef4fbd622101fae1aed32083d4f1cd9e924317e34022200c76c20f2f32d6cd513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Ankle Joint - diagnostic imaging</topic><topic>Ankle Joint - physiopathology</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>Bone Malalignment - diagnostic imaging</topic><topic>Bone Malalignment - physiopathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - physiopathology</topic><topic>Male</topic><topic>Osteoarthritis - diagnostic imaging</topic><topic>Osteoarthritis - physiopathology</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Postoperative Period</topic><topic>Preoperative Period</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Jung Hee</creatorcontrib><creatorcontrib>Jeong, Bi O</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Foot & ankle international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Jung Hee</au><au>Jeong, Bi O</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiologic Changes of Ankle Joint after Total Knee Arthroplasty</atitle><jtitle>Foot & ankle international</jtitle><addtitle>Foot Ankle Int</addtitle><date>2012-12</date><risdate>2012</risdate><volume>33</volume><issue>12</issue><spage>1087</spage><epage>1092</epage><pages>1087-1092</pages><issn>1071-1007</issn><eissn>1944-7876</eissn><abstract>Background:
The authors noticed that ankle joint osteoarthritis was not uncommon when lower extremity malalignment, such as a knee varus deformity, was present as a result of severe osteoarthritis of the knee. The purpose of this study was to analyze radiologic changes of the ankle joint after total knee arthroplasty.
Methods:
This study included 142 cases in 110 patients who underwent total knee arthroplasty and were followed for at least 3 years. The varus knee group included 128 cases and the valgus knee group included 14 cases. On anteroposterior standing lower extremity radiographs, varus and valgus angles of the knee were measured preoperatively and at the last follow-up. The angle between the ground surface and the distal tibial plafond as well as the upper talus was also measured. In addition, tibial anterior surface angle, talar tilt, space between the medial malleolar distal tip and the medial articular surface of the talus, and medial tibiotalar joint space of the ankle joint were measured.
Results:
Out of 142 cases, 50 (35.2%) had arthritis in the ankle before total knee arthroplasty and 31 (21.8%) had newly developed or progressive arthritis after surgery. In particular, the varus knee group demonstrated statistically significant differences in preoperative varus deformity, preoperative talar tilt, and postoperative correction angle between the cases that developed or had progressive arthritis and those that did not show any changes (p < .05).
Conclusions:
After total knee arthroplasty, arthritis developed or progressed in the ankle of many cases radiographically. In particular, when the preoperative talar tilt increased medial to the ankle or the postoperative correction angle was large, the incidence of arthritis in the ankle joint increased. The authors recommend more cautious follow-up on the symptoms of the ankle joint after total knee arthroplasty.
Level of Evidence: III, Retrospective Study</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23199858</pmid><doi>10.3113/FAI.2012.1087</doi><tpages>6</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Aged Ankle Joint - diagnostic imaging Ankle Joint - physiopathology Arthroplasty, Replacement, Knee Bone Malalignment - diagnostic imaging Bone Malalignment - physiopathology Female Follow-Up Studies Humans Knee Joint - diagnostic imaging Knee Joint - physiopathology Male Osteoarthritis - diagnostic imaging Osteoarthritis - physiopathology Osteoarthritis, Knee - physiopathology Osteoarthritis, Knee - surgery Postoperative Period Preoperative Period Radiography Retrospective Studies |
| title | Radiologic Changes of Ankle Joint after Total Knee Arthroplasty |
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