An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty
Yıl: 2014 Cilt: 25 Sayı: 2 Sayfa Aralığı: 70 - 74 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty
Öz: Amaç: Bu çalışmada primer total diz protezi uygulamalarında posteriyor kondiler aks (PKA)+3 derece dış rotasyon (DR) çizgisi ve klinik transepikondiler aks (kTEA) çizgisi arasındaki farklılık ve her iki teknik arasındaki tutarlılık araştırıldı.Hastalar ve yöntemler: Yirmi dört hastanın [3 erkek (%12.5), 21 kadın (%87.5); ortalama yaş 67 (59-80 yaş)] 36 dizi [12 hastada her iki diz aynı seansta eşzamanlı olarak ameliyat edildi (%50)] çalışmaya alındı. Cerrahi sırasında distal femur kesisini takiben kesi yüzeyine koter ucu ile PKA+3° DR çizgisi ve kTEA çizgisi çizildi. Distal femur üzerinde bulunan her iki çizgi dijital kamera ile kaydedildi ve PKA+3° DR çizgisi referans alınarak çizgiler arasındaki ilişki araştırıldı [paralel, iç rotasyon (İR), DR]. İstatistiksel analiz McNamara ki kare testi ve Kappa (k) değeri ile yapıldı.Bulgular: Görüntüler değerlendirildiğinde, kTEA çizgisinin PKA+3° DR çizgisine kıyasla 22 dizde (%61.2) paralel olduğu, 14 dizde ise paralel olmadığı (%38.8) [10 dizde İR (%71.5), 4 dizde DR (%28.5)] tespit edildi. Çizgiler arasında belirgin bir farklılık (McNamara ki kare=12.7±1; p<0.001) ve teknikler arasında düşük oranda tutarlılık (k=0.00055) vardı.Sonuç: Cerrahi sırasında femoral komponent rotasyonunun tespitinde kullanılan PKA+3° DR çizgisi ve kTEA çizgisi arasındaki farklı sonuçlar, olasılıkla tekniklerin uygulama dezavantajlarına ve distal femurun anatomik farklılıklarına bağlıdır. Bu nedenle, iki teknikten birinin diğerinin sonucunu kontrol etmek için kullanılması güvenli değildir.
Anahtar Kelime: Konular:
Primer total diz artroplastide arka kondiler aks +3 derece dış rotasyon çizgisi veklinik transepikondiler aks çizgisi teknikleri arasındaki tutarlılığın araştırılması
Öz: Objectives: This study aims to investigate discrepancy between posterior condylar axis (PCA)+3 degree external rotation (ER) line and clinical transepicondylar axis (cTEA) line and consistency between the both techniques in primary total knee arthroplasty. Patients and methods: Thirty-six knees [Bilateral knees were operated simultaneously in 12 patients (50%)] in 24 patients [3 men (12.5%), 21 women (87.5%); average age 67 (59-80 age)] were included in the study. During surgery, PCA+3° ER line and cTEA line were drawn on the distal femoral cutting surface by electrocautery pencil following distal femoral cut. The both lines on distal femur were recorded by digital camera and relationship between lines was ascertained in reference to PCA+3° ER line [parallel, internal rotation (IR), ER]. Statistical analysis was performed by the McNamara chi square test and Kappa (k) value. Results: Assessment of the images revealed that cTEA line in comparison to PCA+3° ER line was parallel in 22 knees (61.2%), but not parallel in 14 knees (38.8%) [IR in 10 knees (71.5%), ER in 4 knees (28.5%)]. There was a significant difference (McNamara chi square=12.7±1; p<0.001) and poor consistency (k=0.00055) between both lines and techniques, respectively. Conclusion: For determination of femoral component rotation in surgery setting, different results between cTEA and PCA+3° ER techniques possibly may due to disadvantages of techniques and anatomic variation of distal femur. Thus, using both techniques to check each other's results seems unsafe
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Boya H, ÖZCAN Ö, Maralcan G (2014). An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty. , 70 - 74. |
| Chicago | Boya Hakan,ÖZCAN Özal,Maralcan Gokhan An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty. (2014): 70 - 74. |
| MLA | Boya Hakan,ÖZCAN Özal,Maralcan Gokhan An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty. , 2014, ss.70 - 74. |
| AMA | Boya H,ÖZCAN Ö,Maralcan G An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty. . 2014; 70 - 74. |
| Vancouver | Boya H,ÖZCAN Ö,Maralcan G An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty. . 2014; 70 - 74. |
| IEEE | Boya H,ÖZCAN Ö,Maralcan G "An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty." , ss.70 - 74, 2014. |
| ISNAD | Boya, Hakan vd. "An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty". (2014), 70-74. |
| APA | Boya H, ÖZCAN Ö, Maralcan G (2014). An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 25(2), 70 - 74. |
| Chicago | Boya Hakan,ÖZCAN Özal,Maralcan Gokhan An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 25, no.2 (2014): 70 - 74. |
| MLA | Boya Hakan,ÖZCAN Özal,Maralcan Gokhan An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.25, no.2, 2014, ss.70 - 74. |
| AMA | Boya H,ÖZCAN Ö,Maralcan G An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2014; 25(2): 70 - 74. |
| Vancouver | Boya H,ÖZCAN Ö,Maralcan G An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2014; 25(2): 70 - 74. |
| IEEE | Boya H,ÖZCAN Ö,Maralcan G "An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 25, ss.70 - 74, 2014. |
| ISNAD | Boya, Hakan vd. "An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 25/2 (2014), 70-74. |
