Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?

Boya, Hakan; ARAÇ, S. Şükrü

Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?

Hakan BOYA, (Başkent University. Medical Faculty, Department of Orthopaedics and Traumatology, Ankara, Turkey)

S. Şükrü ARAÇ (Baskent University, Izmir Zübeyde Hanım Research and Practice Center, Izmir, Turkey)

Acta Orthopaedica et Traumatologica Turcica

0 0

Yıl: 2017 Cilt: 51 Sayı: 6 Sayfa Aralığı: 437 - 441 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?

Öz:

Objective: In our retrospective study, we aimed to investigate the differences between the adductor ratio(AR) in knees with and without osteoarthritis, and its validity in determining the articular level.Methods: Data from 80 knees of 80 patients were retrospectively evaluated. Anteroposterior weightbearing knee radiographs of the patients with and without osteoarthritis (40 knees in each group)were obtained. The adductor ratio was determined using the following formula: ATJL/FW (adductortubercle-joint line distance/femoral width). All radiographs were evaluated at the baseline and at onemonth intervals afterwards. Intraobserver reliability of the two measurements was assessed usinginterclass correlations (ICC). Pearson's correlation test was used to evaluate the correlation between theATJL and the FW. The differences between the adductor ratios of the two groups were evaluated by theindependent samples two-tailed t-test.Results: Most of the ICC values were well above 0.95, indicating a very high intraobserver reliability. Theadductor ratio was signiŞcantly greater in Group 2 in comparison to Group 1 (Mean AR in Group 2:0.522± 0.031 and Mean AR in Group 1: 0.502 ± 0.032; p ¼ 0.005). There was a signiŞcant correlationbetween the ATJL and FW in the groups when assessed both separately and combined.Conclusion: In conclusion, we can assert that if the AR is used to determine the articular level in revisionarthroplasty cases, it may be sensible to measure the FW intraoperatively rather than measuring it onprimary or contralateral radiographs of arthritic patients.Level of evidence: Level III, Diagnostic study.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

1. Figgie 3rd HE. Goldberg VM. Heiple KG. Moller lll HS. Gordon NH.The influence of tibial--patellofemoral location on function of the knee in patients with posterior stabilized condylar knee prosthesis. Bone ]t SurgAm. 1986:68:1035--1040.
2. Fornalski S. McGarry MH. Bui CN. Kim WC. Lee TQ. Biomechanical effects of joint line elevation in total knee arthroplasty. Clin Biomech, 2012;27:824--829.
3. Hoefffel DP. Rubash HE. Revision total knee arthroplasty: current rationale and techniques for femoral component revision. Clin Orthop Relat Res. 2000:3802 116--132,
4. König C. Sharenkov A. Matziolis G, et al. Joint line elevation in revision TKA leads to increased patellofemoral contact forces. Orthop Res. 2010;28:1--5.
5. Laskin RS. Management of the patella during revision total knee replacement arthroplasty. Orthop Clin North Am. 1998;29:355--360.
6. Laskin RS. Joint line position restoration during revision total knee replace-- ment. Clin Orthop Relat Res, 2002;404:169--171.
7. lacono F, Raspugli GF. Filardo G, et al. The adductor tubercle: an important landmark to determine the joint line level in revision total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2016;24:3212--3217.
8. Mason M, Belisle A. Bonutti P. Kolisek FR, Malkani A. Masini M. An accurate and reproducible method for locating the joint line during revision total knee arthroplasty. Arthroplasty. 2006;21:1147--1153,
Servien E, Viskontas D. Giuffre BM. Coolican MR. Parker DA. Reliability of bony landmarks for restoration of the joint line in revision knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2008;16:263--269.
Gürbüz H. Çakar M. Adaş M. Tekin AÇ. Bayraktar MK, Esenyel CZ. Measurement of the knee joint line in Turkish population. Acta Orthop Traumatol Turc. 2015;49:41--44.
Griffin FM, Math K. Scuderi GR. lnsall JN, Poilvache PL. Anatomy of the epi-- condyles of the distal femur: MRI analysis of normal knees. Arthroplasty. 2000;15:354--359.
Romero ]. Seifert B, Reinhardt O, Zeigler O, Kessler O. useful radiologic method for preoperative joint--line determination in revision total knee arthroplasty. Clin Orthop Relat Res. 2010;468:1279--1283.
Luyckx T. Beckers L. Colyn W. Vandenneucker H, Bellemans J. The adductor ratio: new tool for joint line reconstruction in revision TKA. Knee Surg Sports Traumatol Arthroscop. 2014;22:3028--3033.
Kellgren JH, Lawrence JS. Radiological assessment of osteo--arthrosis. Ann Rheum Dis. 1957;62494--501.
Sato T. Koga Y. Sobue T. Omori G. Tanabe Y. Sakamoto M. Quantitative 3-- dimensional analysis of preoperative and postoperative joint lines in total knee arthroplasty: new concept for evaluation of component alignment. ]Arthroplasty. 2007;22:560--568.
Herzog RJ, Silliman JF, Hutton K. Rodkey WG. Steadman JR. Measurements of the intercondylar notch by plain film radiography and magnetic resonance imaging. Aijports Med, 1994;22:204--210.
Sarmah SS, Patel S, Hossain FS. Haddad FS. The radiological assessment of total and unicompartmental knee replacements. Bone jt Surg Br. 2012;94: 1321--1329.
lacono F, bo Presti M. Bruni D. et al. The adductor tubercle: reliable landmark for analyzing the level of femorotibial joint line. Knee Surg Sports Traumatol Arthrosc. 2013ç21z2725--2729.

APA	Boya H, ARAÇ S (2017). Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?. , 437 - 441.
Chicago	Boya Hakan,ARAÇ S. Şükrü Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?. (2017): 437 - 441.
MLA	Boya Hakan,ARAÇ S. Şükrü Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?. , 2017, ss.437 - 441.
AMA	Boya H,ARAÇ S Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?. . 2017; 437 - 441.
Vancouver	Boya H,ARAÇ S Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?. . 2017; 437 - 441.
IEEE	Boya H,ARAÇ S "Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?." , ss.437 - 441, 2017.
ISNAD	Boya, Hakan - ARAÇ, S. Şükrü. "Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?". (2017), 437-441.

APA	Boya H, ARAÇ S (2017). Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?. Acta Orthopaedica et Traumatologica Turcica, 51(6), 437 - 441.
Chicago	Boya Hakan,ARAÇ S. Şükrü Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?. Acta Orthopaedica et Traumatologica Turcica 51, no.6 (2017): 437 - 441.
MLA	Boya Hakan,ARAÇ S. Şükrü Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?. Acta Orthopaedica et Traumatologica Turcica, vol.51, no.6, 2017, ss.437 - 441.
AMA	Boya H,ARAÇ S Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?. Acta Orthopaedica et Traumatologica Turcica. 2017; 51(6): 437 - 441.
Vancouver	Boya H,ARAÇ S Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?. Acta Orthopaedica et Traumatologica Turcica. 2017; 51(6): 437 - 441.
IEEE	Boya H,ARAÇ S "Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?." Acta Orthopaedica et Traumatologica Turcica, 51, ss.437 - 441, 2017.
ISNAD	Boya, Hakan - ARAÇ, S. Şükrü. "Does severe osteoarthritis in knees with varus deformity alter the adductor ratio?". Acta Orthopaedica et Traumatologica Turcica 51/6 (2017), 437-441.