التفاصيل البيبلوغرافية
| العنوان: |
What Is the Correlation between Coronal Plane Alignment Measured on Pre- and Postoperative Weight-bearing Radiographs and Intraoperative Navigation When Stress Is Applied to the Knee? |
| المؤلفون: |
O‘Neill, Tony J., McAuliffe, Michael, Pillay, Tristan, Garg, Gautam, Whitehouse, Sarah L., Crawford, Ross |
| المصدر: |
Journal of Knee Surgery |
| بيانات النشر: |
Thieme Medical Publishers |
| سنة النشر: |
2024 |
| المجموعة: |
Queensland University of Technology: QUT ePrints |
| مصطلحات موضوعية: |
computer assisted surgery, coronal alignment, Knee osteoarthritis, long leg radiographs, Total knee arthroplasty |
| الوصف: |
This study examines the correlation between the weight-bearing (WB) long leg radiograph (LLR) derived hip-knee-ankle angle (HKAA) and intra-operative supine computer-assisted surgery (CAS) derived HKAA measurements at the beginning and end of total knee arthroplasty (TKA). The primary aim of the study was to determine if weight-bearing alignment could be mimicked or inferred based on intra-operative alignment findings. We conducted a prospective analysis from a cohort of 129 TKAs undergoing a CAS TKA at a single centre by a single surgeon. The HKAA was recorded using the CAS navigation system immediately post registration of navigation data and after implantation of the prosthesis. The intra-operative HKAA was recorded in both the supine ‘resting’ position of the knee and also whilst the knee was manipulated in an effort to replicate the patient’s weight-bearing alignment. These measurements were compared to the HKAA recorded on pre- and post-operative WB LLRs. There was a strong correlation between the pre-operative WB LLR HKAA and the intra-operative pre-implant CAS derived stressed HKAA (R= 0.946). However, there was no correlation between the post-operative WB LLR HKAA and the post-implant insertion HKAA as measured intra-operatively via CAS for either a ‘resting’ or ‘stressed’ position of the operated knee (R = 0.165 and R = 0.041, respectively). Thus, the interpretation of intra-operative alignment data is potentially problematic. Despite technological advances in the development and utilization of computer navigation and robotics in arthroplasty to help obtain the optimal alignment, it would seem apparent from our study this alignment does not correlate to upright stance post-operatively. Surgeons should apply caution to the strength of assumptions they place on intra-operative coronal plane alignment findings. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| Relation: |
https://eprints.qut.edu.au/247193/1/164619890.pdf; O‘Neill, Tony J., McAuliffe, Michael, Pillay, Tristan, Garg, Gautam, Whitehouse, Sarah L., & Crawford, Ross (2024) What Is the Correlation between Coronal Plane Alignment Measured on Pre- and Postoperative Weight-bearing Radiographs and Intraoperative Navigation When Stress Is Applied to the Knee? Journal of Knee Surgery.; https://eprints.qut.edu.au/247193/; Faculty of Engineering; School of Mechanical, Medical & Process Engineering |
| الاتاحة: |
https://eprints.qut.edu.au/247193/ |
| Rights: |
free_to_read ; http://creativecommons.org/licenses/by-nc/4.0/ ; Consult author(s) regarding copyright matters ; This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au |
| رقم الانضمام: |
edsbas.79047D77 |
| قاعدة البيانات: |
BASE |