Novel alignment measurement technique for total knee arthroplasty using patient specific instrumentation
Introduction This study was designed to evaluate the true accuracy of patient specific instrumentation (PSI) for total knee arthroplasty (TKA) using a new 3D measurement method. Materials and methods Consecutive 21 patients (30 knees) who underwent TKA using computed tomography (CT)-based PSI were r...
Gespeichert in:
| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2017-03, Vol.137 (3), p.401-407 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 407 |
|---|---|
| container_issue | 3 |
| container_start_page | 401 |
| container_title | Archives of orthopaedic and trauma surgery |
| container_volume | 137 |
| creator | Yamamura, Kazumasa Minoda, Yukihide Mizokawa, Shigekazu Ohta, Yoichi Sugama, Ryo Nakamura, Suguru Ueyama, Hideki Nakamura, Hiroaki |
| description | Introduction
This study was designed to evaluate the true accuracy of patient specific instrumentation (PSI) for total knee arthroplasty (TKA) using a new 3D measurement method.
Materials and methods
Consecutive 21 patients (30 knees) who underwent TKA using computed tomography (CT)-based PSI were retrospectively evaluated. Mean patient age was 69.2 years (62 to 77). The postoperative three-dimensional (3D) CT image were superimposed onto the preoperative 3D CT plan and measured the absolute difference in the prosthetic alignment using six parameters: coronal, sagittal, and axial alignment of the femoral and tibial prostheses. Cases in which the difference in the prosthetic alignment was greater than 3° were considered outliers.
Results
For the femoral prosthesis, mean absolute differences between the preoperative 3D CT plan and postoperative 3D CT image were not significantly different and the rates of outliers were 10.0, 33.3, 23.3% in the coronal, sagittal, and axial planes. For the tibial prosthesis, mean absolute differences were significantly larger in the axial plane than in the coronal and sagittal planes (
p
|
| doi_str_mv | 10.1007/s00402-017-2628-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1861566225</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1861566225</sourcerecordid><originalsourceid>FETCH-LOGICAL-p212t-ee50b607ffde5fedd240276aaa16773a60590040a037ed408dc7760d7424a6123</originalsourceid><addsrcrecordid>eNpdkUtLxTAQhYMoen38ADcScOOmOknbJF2K-ALRja5DbKf3Rtu0Jqngvzf1XhFczcB8c5gzh5BjBucMQF4EgAJ4BkxmXHCVqS2yYEVeZHnFxDZZQJWLTEHJ9sh-CG8AjKsKdskeV1DJgvMFWT0On9hR09ml69FF2qMJk8efPmK9cvZjQtoOnsYhmo6-O0RqfFz5YexMiF90CtYt6WiinXfCiLVtbU2tC9FPs06aDO6Q7LSmC3i0qQfk5eb6-eoue3i6vb-6fMhGznjMEEt4FSDbtsGyxabhyaEUxhgmpMyNgLKaXRvIJTYFqKaWUkCT3BRGMJ4fkLO17uiHdHmIurehxq4zDocpaKYEK4XgvEzo6T_0bZi8S9dpzgVT6Xtspk421PTaY6NHb3vjv_TvDxPA10BII7dE_yfDQM9B6XVQOgWl56C0yr8BFw6Elw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261893615</pqid></control><display><type>article</type><title>Novel alignment measurement technique for total knee arthroplasty using patient specific instrumentation</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Yamamura, Kazumasa ; Minoda, Yukihide ; Mizokawa, Shigekazu ; Ohta, Yoichi ; Sugama, Ryo ; Nakamura, Suguru ; Ueyama, Hideki ; Nakamura, Hiroaki</creator><creatorcontrib>Yamamura, Kazumasa ; Minoda, Yukihide ; Mizokawa, Shigekazu ; Ohta, Yoichi ; Sugama, Ryo ; Nakamura, Suguru ; Ueyama, Hideki ; Nakamura, Hiroaki</creatorcontrib><description>Introduction
This study was designed to evaluate the true accuracy of patient specific instrumentation (PSI) for total knee arthroplasty (TKA) using a new 3D measurement method.
Materials and methods
Consecutive 21 patients (30 knees) who underwent TKA using computed tomography (CT)-based PSI were retrospectively evaluated. Mean patient age was 69.2 years (62 to 77). The postoperative three-dimensional (3D) CT image were superimposed onto the preoperative 3D CT plan and measured the absolute difference in the prosthetic alignment using six parameters: coronal, sagittal, and axial alignment of the femoral and tibial prostheses. Cases in which the difference in the prosthetic alignment was greater than 3° were considered outliers.
Results
For the femoral prosthesis, mean absolute differences between the preoperative 3D CT plan and postoperative 3D CT image were not significantly different and the rates of outliers were 10.0, 33.3, 23.3% in the coronal, sagittal, and axial planes. For the tibial prosthesis, mean absolute differences were significantly larger in the axial plane than in the coronal and sagittal planes (
p
< 0.001) and the rates of outliers were 23.3, 36.7, 63.3% in the coronal, sagittal, and axial planes. The rates of outliers for the axial alignment of tibial prosthesis were significantly higher than for the other five planes (
p
= 0.006).
Conclusions
The rotation of the tibial prosthesis with CT-based PSI was less accurate in the axial plane than in the other five planes.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-017-2628-8</identifier><identifier>PMID: 28097422</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Arthroplasty, Replacement, Knee - instrumentation ; Arthroplasty, Replacement, Knee - methods ; Female ; Femur - surgery ; Humans ; Imaging, Three-Dimensional ; Joint surgery ; Knee Arthroplasty ; Knee Joint - diagnostic imaging ; Knee Joint - surgery ; Knee Prosthesis ; Male ; Measurement techniques ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Osteoarthritis, Knee - diagnostic imaging ; Osteoarthritis, Knee - surgery ; Postoperative Period ; Prostheses ; Retrospective Studies ; Rotation ; Surgery, Computer-Assisted - methods ; Tibia - surgery ; Tomography, X-Ray Computed</subject><ispartof>Archives of orthopaedic and trauma surgery, 2017-03, Vol.137 (3), p.401-407</ispartof><rights>Springer-Verlag Berlin Heidelberg 2017</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-p212t-ee50b607ffde5fedd240276aaa16773a60590040a037ed408dc7760d7424a6123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-017-2628-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-017-2628-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28097422$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamamura, Kazumasa</creatorcontrib><creatorcontrib>Minoda, Yukihide</creatorcontrib><creatorcontrib>Mizokawa, Shigekazu</creatorcontrib><creatorcontrib>Ohta, Yoichi</creatorcontrib><creatorcontrib>Sugama, Ryo</creatorcontrib><creatorcontrib>Nakamura, Suguru</creatorcontrib><creatorcontrib>Ueyama, Hideki</creatorcontrib><creatorcontrib>Nakamura, Hiroaki</creatorcontrib><title>Novel alignment measurement technique for total knee arthroplasty using patient specific instrumentation</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Introduction
This study was designed to evaluate the true accuracy of patient specific instrumentation (PSI) for total knee arthroplasty (TKA) using a new 3D measurement method.
Materials and methods
Consecutive 21 patients (30 knees) who underwent TKA using computed tomography (CT)-based PSI were retrospectively evaluated. Mean patient age was 69.2 years (62 to 77). The postoperative three-dimensional (3D) CT image were superimposed onto the preoperative 3D CT plan and measured the absolute difference in the prosthetic alignment using six parameters: coronal, sagittal, and axial alignment of the femoral and tibial prostheses. Cases in which the difference in the prosthetic alignment was greater than 3° were considered outliers.
Results
For the femoral prosthesis, mean absolute differences between the preoperative 3D CT plan and postoperative 3D CT image were not significantly different and the rates of outliers were 10.0, 33.3, 23.3% in the coronal, sagittal, and axial planes. For the tibial prosthesis, mean absolute differences were significantly larger in the axial plane than in the coronal and sagittal planes (
p
< 0.001) and the rates of outliers were 23.3, 36.7, 63.3% in the coronal, sagittal, and axial planes. The rates of outliers for the axial alignment of tibial prosthesis were significantly higher than for the other five planes (
p
= 0.006).
Conclusions
The rotation of the tibial prosthesis with CT-based PSI was less accurate in the axial plane than in the other five planes.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee - instrumentation</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Female</subject><subject>Femur - surgery</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Joint surgery</subject><subject>Knee Arthroplasty</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - surgery</subject><subject>Knee Prosthesis</subject><subject>Male</subject><subject>Measurement techniques</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - diagnostic imaging</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Postoperative Period</subject><subject>Prostheses</subject><subject>Retrospective Studies</subject><subject>Rotation</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Tibia - surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkUtLxTAQhYMoen38ADcScOOmOknbJF2K-ALRja5DbKf3Rtu0Jqngvzf1XhFczcB8c5gzh5BjBucMQF4EgAJ4BkxmXHCVqS2yYEVeZHnFxDZZQJWLTEHJ9sh-CG8AjKsKdskeV1DJgvMFWT0On9hR09ml69FF2qMJk8efPmK9cvZjQtoOnsYhmo6-O0RqfFz5YexMiF90CtYt6WiinXfCiLVtbU2tC9FPs06aDO6Q7LSmC3i0qQfk5eb6-eoue3i6vb-6fMhGznjMEEt4FSDbtsGyxabhyaEUxhgmpMyNgLKaXRvIJTYFqKaWUkCT3BRGMJ4fkLO17uiHdHmIurehxq4zDocpaKYEK4XgvEzo6T_0bZi8S9dpzgVT6Xtspk421PTaY6NHb3vjv_TvDxPA10BII7dE_yfDQM9B6XVQOgWl56C0yr8BFw6Elw</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Yamamura, Kazumasa</creator><creator>Minoda, Yukihide</creator><creator>Mizokawa, Shigekazu</creator><creator>Ohta, Yoichi</creator><creator>Sugama, Ryo</creator><creator>Nakamura, Suguru</creator><creator>Ueyama, Hideki</creator><creator>Nakamura, Hiroaki</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20170301</creationdate><title>Novel alignment measurement technique for total knee arthroplasty using patient specific instrumentation</title><author>Yamamura, Kazumasa ; Minoda, Yukihide ; Mizokawa, Shigekazu ; Ohta, Yoichi ; Sugama, Ryo ; Nakamura, Suguru ; Ueyama, Hideki ; Nakamura, Hiroaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p212t-ee50b607ffde5fedd240276aaa16773a60590040a037ed408dc7760d7424a6123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Knee - instrumentation</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Female</topic><topic>Femur - surgery</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Joint surgery</topic><topic>Knee Arthroplasty</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - surgery</topic><topic>Knee Prosthesis</topic><topic>Male</topic><topic>Measurement techniques</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - diagnostic imaging</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Postoperative Period</topic><topic>Prostheses</topic><topic>Retrospective Studies</topic><topic>Rotation</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Tibia - surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamamura, Kazumasa</creatorcontrib><creatorcontrib>Minoda, Yukihide</creatorcontrib><creatorcontrib>Mizokawa, Shigekazu</creatorcontrib><creatorcontrib>Ohta, Yoichi</creatorcontrib><creatorcontrib>Sugama, Ryo</creatorcontrib><creatorcontrib>Nakamura, Suguru</creatorcontrib><creatorcontrib>Ueyama, Hideki</creatorcontrib><creatorcontrib>Nakamura, Hiroaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamamura, Kazumasa</au><au>Minoda, Yukihide</au><au>Mizokawa, Shigekazu</au><au>Ohta, Yoichi</au><au>Sugama, Ryo</au><au>Nakamura, Suguru</au><au>Ueyama, Hideki</au><au>Nakamura, Hiroaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel alignment measurement technique for total knee arthroplasty using patient specific instrumentation</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>137</volume><issue>3</issue><spage>401</spage><epage>407</epage><pages>401-407</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Introduction
This study was designed to evaluate the true accuracy of patient specific instrumentation (PSI) for total knee arthroplasty (TKA) using a new 3D measurement method.
Materials and methods
Consecutive 21 patients (30 knees) who underwent TKA using computed tomography (CT)-based PSI were retrospectively evaluated. Mean patient age was 69.2 years (62 to 77). The postoperative three-dimensional (3D) CT image were superimposed onto the preoperative 3D CT plan and measured the absolute difference in the prosthetic alignment using six parameters: coronal, sagittal, and axial alignment of the femoral and tibial prostheses. Cases in which the difference in the prosthetic alignment was greater than 3° were considered outliers.
Results
For the femoral prosthesis, mean absolute differences between the preoperative 3D CT plan and postoperative 3D CT image were not significantly different and the rates of outliers were 10.0, 33.3, 23.3% in the coronal, sagittal, and axial planes. For the tibial prosthesis, mean absolute differences were significantly larger in the axial plane than in the coronal and sagittal planes (
p
< 0.001) and the rates of outliers were 23.3, 36.7, 63.3% in the coronal, sagittal, and axial planes. The rates of outliers for the axial alignment of tibial prosthesis were significantly higher than for the other five planes (
p
= 0.006).
Conclusions
The rotation of the tibial prosthesis with CT-based PSI was less accurate in the axial plane than in the other five planes.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28097422</pmid><doi>10.1007/s00402-017-2628-8</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0936-8051 |
| ispartof | Archives of orthopaedic and trauma surgery, 2017-03, Vol.137 (3), p.401-407 |
| issn | 0936-8051 1434-3916 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1861566225 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Arthroplasty, Replacement, Knee - instrumentation Arthroplasty, Replacement, Knee - methods Female Femur - surgery Humans Imaging, Three-Dimensional Joint surgery Knee Arthroplasty Knee Joint - diagnostic imaging Knee Joint - surgery Knee Prosthesis Male Measurement techniques Medicine Medicine & Public Health Middle Aged Orthopedics Osteoarthritis, Knee - diagnostic imaging Osteoarthritis, Knee - surgery Postoperative Period Prostheses Retrospective Studies Rotation Surgery, Computer-Assisted - methods Tibia - surgery Tomography, X-Ray Computed |
| title | Novel alignment measurement technique for total knee arthroplasty using patient specific instrumentation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T03%3A35%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Novel%20alignment%20measurement%20technique%20for%20total%20knee%20arthroplasty%20using%20patient%20specific%20instrumentation&rft.jtitle=Archives%20of%20orthopaedic%20and%20trauma%20surgery&rft.au=Yamamura,%20Kazumasa&rft.date=2017-03-01&rft.volume=137&rft.issue=3&rft.spage=401&rft.epage=407&rft.pages=401-407&rft.issn=0936-8051&rft.eissn=1434-3916&rft_id=info:doi/10.1007/s00402-017-2628-8&rft_dat=%3Cproquest_pubme%3E1861566225%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2261893615&rft_id=info:pmid/28097422&rfr_iscdi=true |