In Asian women undergoing total knee arthroplasty, lower leg morphology in those with rheumatoid arthritis differed from those with osteoarthritis
Objectives: This retrospective, single-center study aimed to compare leg morphology between patients with rheumatoid arthritis (RA) and those with osteoarthritis (OA) undergoing total knee arthroplasty (TKA). Methods: We enrolled 70 RA and 327 OA female patients undergoing TKA. Hip-knee-ankle angle...
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| Veröffentlicht in: | Modern rheumatology 2020-05, Vol.30 (3), p.489-494 |
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| creator | Takagawa, Shu Mitsugi, Naoto Mochida, Yuichi Taki, Naoya Harigane, Kengo Yukizawa, Yohei Sasaki, Yohei Tsuji, Masaki Sahara, Kagayaki Inaba, Yutaka |
| description | Objectives: This retrospective, single-center study aimed to compare leg morphology between patients with rheumatoid arthritis (RA) and those with osteoarthritis (OA) undergoing total knee arthroplasty (TKA).
Methods: We enrolled 70 RA and 327 OA female patients undergoing TKA. Hip-knee-ankle angle (HKA), femorotibial angle (FTA), valgus correction angle (VCA), and femoral/tibial bowing were measured using full-length radiographs. Femoral bowing of more than 3° or tibial bowing more than 2°, either laterally or medially, was considered substantial. Distribution of these results and the incidence of substantial bowing in RA and OA were compared.
Results: HKA, FTA, and VCA were significantly smaller in RA than those in OA. Femoral bowing was significantly smaller in RA (mean angle: 0.04° ± 3.1°) than that in OA (mean angle: 2.1° ± 3.6°) (p |
| doi_str_mv | 10.1080/14397595.2019.1621420 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2232109603</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2232109603</sourcerecordid><originalsourceid>FETCH-LOGICAL-c390t-83ae11f6fc3855d2d7fd8b9ad1fac0b473063dd586c350916c3105b2b772fa713</originalsourceid><addsrcrecordid>eNp9kc2OEzEQhC0EYpeFRwD5yIEE_8Qz4xur1QIrrcQFzpZn3M4YPO5gexTlNXhiJkqy4sSpWq2vuqQuQt5ytuasYx_5RupWabUWjOs1bwTfCPaMXB_3q7Zh-vllXqAr8qqUn4xJpTv9klxJzrnWjbgmfx4SvS3BJrrHCRKdk4O8xZC2tGK1kf5KANTmOmbcRVvq4QONuIdMI2zphHk3YsTtgYZE64gF6D7UkeYR5slWDO7kDTUU6oL3kMFRn3H6l8ZSAZ-41-SFt7HAm7PekB-f77_ffV09fvvycHf7uBqkZnXVSQuc-8YPslPKCdd61_XaOu7twPpNK1kjnVNdM0jFNF-EM9WLvm2Fty2XN-T96e4u4-8ZSjVTKAPEaBPgXIwQUnCmGyYXVJ3QIWMpGbzZ5TDZfDCcmWMd5lKHOdZhznUsvnfniLmfwD25Lv9fgE8nICSPebJ7zNGZag8Rs882DaEs8H8z_gK6xp1m</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2232109603</pqid></control><display><type>article</type><title>In Asian women undergoing total knee arthroplasty, lower leg morphology in those with rheumatoid arthritis differed from those with osteoarthritis</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><creator>Takagawa, Shu ; Mitsugi, Naoto ; Mochida, Yuichi ; Taki, Naoya ; Harigane, Kengo ; Yukizawa, Yohei ; Sasaki, Yohei ; Tsuji, Masaki ; Sahara, Kagayaki ; Inaba, Yutaka</creator><creatorcontrib>Takagawa, Shu ; Mitsugi, Naoto ; Mochida, Yuichi ; Taki, Naoya ; Harigane, Kengo ; Yukizawa, Yohei ; Sasaki, Yohei ; Tsuji, Masaki ; Sahara, Kagayaki ; Inaba, Yutaka</creatorcontrib><description>Objectives: This retrospective, single-center study aimed to compare leg morphology between patients with rheumatoid arthritis (RA) and those with osteoarthritis (OA) undergoing total knee arthroplasty (TKA).
Methods: We enrolled 70 RA and 327 OA female patients undergoing TKA. Hip-knee-ankle angle (HKA), femorotibial angle (FTA), valgus correction angle (VCA), and femoral/tibial bowing were measured using full-length radiographs. Femoral bowing of more than 3° or tibial bowing more than 2°, either laterally or medially, was considered substantial. Distribution of these results and the incidence of substantial bowing in RA and OA were compared.
Results: HKA, FTA, and VCA were significantly smaller in RA than those in OA. Femoral bowing was significantly smaller in RA (mean angle: 0.04° ± 3.1°) than that in OA (mean angle: 2.1° ± 3.6°) (p < .05). In almost half of the patients with RA (48.6%), femoral bowing occurred medially, whereas femoral bowing occurred laterally in approximately three quarters of OA patients (73.1%). Tibial bowing did not differ. The incidence of substantial femoral bowing was significantly lower in RA (27.1%) than that in OA (43.0%) (p < .05).
Conclusion: RA patients undergoing TKA had different leg morphology than OA patients. These findings have implications for surgical planning.</description><identifier>ISSN: 1439-7595</identifier><identifier>ISSN: 1439-7609</identifier><identifier>EISSN: 1439-7609</identifier><identifier>DOI: 10.1080/14397595.2019.1621420</identifier><identifier>PMID: 31119962</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Aged ; Arthritis, Rheumatoid - surgery ; Arthroplasty, Replacement, Knee - adverse effects ; Arthroplasty, Replacement, Knee - methods ; Female ; Femoral bowing ; Femur - diagnostic imaging ; Genu Varum - diagnostic imaging ; Genu Varum - epidemiology ; Humans ; Knee Joint - surgery ; lower leg alignment ; Middle Aged ; osteoarthritis ; Osteoarthritis, Knee - surgery ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - epidemiology ; rheumatoid arthritis ; Tibia - diagnostic imaging ; total knee arthroplasty</subject><ispartof>Modern rheumatology, 2020-05, Vol.30 (3), p.489-494</ispartof><rights>2019 Japan College of Rheumatology 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-83ae11f6fc3855d2d7fd8b9ad1fac0b473063dd586c350916c3105b2b772fa713</citedby><cites>FETCH-LOGICAL-c390t-83ae11f6fc3855d2d7fd8b9ad1fac0b473063dd586c350916c3105b2b772fa713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31119962$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takagawa, Shu</creatorcontrib><creatorcontrib>Mitsugi, Naoto</creatorcontrib><creatorcontrib>Mochida, Yuichi</creatorcontrib><creatorcontrib>Taki, Naoya</creatorcontrib><creatorcontrib>Harigane, Kengo</creatorcontrib><creatorcontrib>Yukizawa, Yohei</creatorcontrib><creatorcontrib>Sasaki, Yohei</creatorcontrib><creatorcontrib>Tsuji, Masaki</creatorcontrib><creatorcontrib>Sahara, Kagayaki</creatorcontrib><creatorcontrib>Inaba, Yutaka</creatorcontrib><title>In Asian women undergoing total knee arthroplasty, lower leg morphology in those with rheumatoid arthritis differed from those with osteoarthritis</title><title>Modern rheumatology</title><addtitle>Mod Rheumatol</addtitle><description>Objectives: This retrospective, single-center study aimed to compare leg morphology between patients with rheumatoid arthritis (RA) and those with osteoarthritis (OA) undergoing total knee arthroplasty (TKA).
Methods: We enrolled 70 RA and 327 OA female patients undergoing TKA. Hip-knee-ankle angle (HKA), femorotibial angle (FTA), valgus correction angle (VCA), and femoral/tibial bowing were measured using full-length radiographs. Femoral bowing of more than 3° or tibial bowing more than 2°, either laterally or medially, was considered substantial. Distribution of these results and the incidence of substantial bowing in RA and OA were compared.
Results: HKA, FTA, and VCA were significantly smaller in RA than those in OA. Femoral bowing was significantly smaller in RA (mean angle: 0.04° ± 3.1°) than that in OA (mean angle: 2.1° ± 3.6°) (p < .05). In almost half of the patients with RA (48.6%), femoral bowing occurred medially, whereas femoral bowing occurred laterally in approximately three quarters of OA patients (73.1%). Tibial bowing did not differ. The incidence of substantial femoral bowing was significantly lower in RA (27.1%) than that in OA (43.0%) (p < .05).
Conclusion: RA patients undergoing TKA had different leg morphology than OA patients. These findings have implications for surgical planning.</description><subject>Aged</subject><subject>Arthritis, Rheumatoid - surgery</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Female</subject><subject>Femoral bowing</subject><subject>Femur - diagnostic imaging</subject><subject>Genu Varum - diagnostic imaging</subject><subject>Genu Varum - epidemiology</subject><subject>Humans</subject><subject>Knee Joint - surgery</subject><subject>lower leg alignment</subject><subject>Middle Aged</subject><subject>osteoarthritis</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - epidemiology</subject><subject>rheumatoid arthritis</subject><subject>Tibia - diagnostic imaging</subject><subject>total knee arthroplasty</subject><issn>1439-7595</issn><issn>1439-7609</issn><issn>1439-7609</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2OEzEQhC0EYpeFRwD5yIEE_8Qz4xur1QIrrcQFzpZn3M4YPO5gexTlNXhiJkqy4sSpWq2vuqQuQt5ytuasYx_5RupWabUWjOs1bwTfCPaMXB_3q7Zh-vllXqAr8qqUn4xJpTv9klxJzrnWjbgmfx4SvS3BJrrHCRKdk4O8xZC2tGK1kf5KANTmOmbcRVvq4QONuIdMI2zphHk3YsTtgYZE64gF6D7UkeYR5slWDO7kDTUU6oL3kMFRn3H6l8ZSAZ-41-SFt7HAm7PekB-f77_ffV09fvvycHf7uBqkZnXVSQuc-8YPslPKCdd61_XaOu7twPpNK1kjnVNdM0jFNF-EM9WLvm2Fty2XN-T96e4u4-8ZSjVTKAPEaBPgXIwQUnCmGyYXVJ3QIWMpGbzZ5TDZfDCcmWMd5lKHOdZhznUsvnfniLmfwD25Lv9fgE8nICSPebJ7zNGZag8Rs882DaEs8H8z_gK6xp1m</recordid><startdate>20200503</startdate><enddate>20200503</enddate><creator>Takagawa, Shu</creator><creator>Mitsugi, Naoto</creator><creator>Mochida, Yuichi</creator><creator>Taki, Naoya</creator><creator>Harigane, Kengo</creator><creator>Yukizawa, Yohei</creator><creator>Sasaki, Yohei</creator><creator>Tsuji, Masaki</creator><creator>Sahara, Kagayaki</creator><creator>Inaba, Yutaka</creator><general>Taylor & Francis</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>20200503</creationdate><title>In Asian women undergoing total knee arthroplasty, lower leg morphology in those with rheumatoid arthritis differed from those with osteoarthritis</title><author>Takagawa, Shu ; Mitsugi, Naoto ; Mochida, Yuichi ; Taki, Naoya ; Harigane, Kengo ; Yukizawa, Yohei ; Sasaki, Yohei ; Tsuji, Masaki ; Sahara, Kagayaki ; Inaba, Yutaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-83ae11f6fc3855d2d7fd8b9ad1fac0b473063dd586c350916c3105b2b772fa713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Arthritis, Rheumatoid - surgery</topic><topic>Arthroplasty, Replacement, Knee - adverse effects</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Female</topic><topic>Femoral bowing</topic><topic>Femur - diagnostic imaging</topic><topic>Genu Varum - diagnostic imaging</topic><topic>Genu Varum - epidemiology</topic><topic>Humans</topic><topic>Knee Joint - surgery</topic><topic>lower leg alignment</topic><topic>Middle Aged</topic><topic>osteoarthritis</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - epidemiology</topic><topic>rheumatoid arthritis</topic><topic>Tibia - diagnostic imaging</topic><topic>total knee arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takagawa, Shu</creatorcontrib><creatorcontrib>Mitsugi, Naoto</creatorcontrib><creatorcontrib>Mochida, Yuichi</creatorcontrib><creatorcontrib>Taki, Naoya</creatorcontrib><creatorcontrib>Harigane, Kengo</creatorcontrib><creatorcontrib>Yukizawa, Yohei</creatorcontrib><creatorcontrib>Sasaki, Yohei</creatorcontrib><creatorcontrib>Tsuji, Masaki</creatorcontrib><creatorcontrib>Sahara, Kagayaki</creatorcontrib><creatorcontrib>Inaba, Yutaka</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>Modern rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takagawa, Shu</au><au>Mitsugi, Naoto</au><au>Mochida, Yuichi</au><au>Taki, Naoya</au><au>Harigane, Kengo</au><au>Yukizawa, Yohei</au><au>Sasaki, Yohei</au><au>Tsuji, Masaki</au><au>Sahara, Kagayaki</au><au>Inaba, Yutaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In Asian women undergoing total knee arthroplasty, lower leg morphology in those with rheumatoid arthritis differed from those with osteoarthritis</atitle><jtitle>Modern rheumatology</jtitle><addtitle>Mod Rheumatol</addtitle><date>2020-05-03</date><risdate>2020</risdate><volume>30</volume><issue>3</issue><spage>489</spage><epage>494</epage><pages>489-494</pages><issn>1439-7595</issn><issn>1439-7609</issn><eissn>1439-7609</eissn><abstract>Objectives: This retrospective, single-center study aimed to compare leg morphology between patients with rheumatoid arthritis (RA) and those with osteoarthritis (OA) undergoing total knee arthroplasty (TKA).
Methods: We enrolled 70 RA and 327 OA female patients undergoing TKA. Hip-knee-ankle angle (HKA), femorotibial angle (FTA), valgus correction angle (VCA), and femoral/tibial bowing were measured using full-length radiographs. Femoral bowing of more than 3° or tibial bowing more than 2°, either laterally or medially, was considered substantial. Distribution of these results and the incidence of substantial bowing in RA and OA were compared.
Results: HKA, FTA, and VCA were significantly smaller in RA than those in OA. Femoral bowing was significantly smaller in RA (mean angle: 0.04° ± 3.1°) than that in OA (mean angle: 2.1° ± 3.6°) (p < .05). In almost half of the patients with RA (48.6%), femoral bowing occurred medially, whereas femoral bowing occurred laterally in approximately three quarters of OA patients (73.1%). Tibial bowing did not differ. The incidence of substantial femoral bowing was significantly lower in RA (27.1%) than that in OA (43.0%) (p < .05).
Conclusion: RA patients undergoing TKA had different leg morphology than OA patients. These findings have implications for surgical planning.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>31119962</pmid><doi>10.1080/14397595.2019.1621420</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Arthritis, Rheumatoid - surgery Arthroplasty, Replacement, Knee - adverse effects Arthroplasty, Replacement, Knee - methods Female Femoral bowing Femur - diagnostic imaging Genu Varum - diagnostic imaging Genu Varum - epidemiology Humans Knee Joint - surgery lower leg alignment Middle Aged osteoarthritis Osteoarthritis, Knee - surgery Postoperative Complications - diagnostic imaging Postoperative Complications - epidemiology rheumatoid arthritis Tibia - diagnostic imaging total knee arthroplasty |
| title | In Asian women undergoing total knee arthroplasty, lower leg morphology in those with rheumatoid arthritis differed from those with osteoarthritis |
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