Coronal alignment of the lower limb.

Abstract:

BACKGROUND:The coronal alignment of the lower limb is important for knee reconstruction procedures. However, normal alignment is hard to define because of its wide variation among normal individuals. Our hypothesis was that the variation in the normal anatomy as assessed by radiography is greater than commonly accepted. METHODS:We performed anteroposterior long-leg radiographs on 100 Caucasian patients without any known knee abnormality, to determinate the femorotibial angle, coronal orientation of the distal femoral condyles, and coronal orientation of the proximal tibial condyles. All measurements were performed by the same experienced knee surgeon. RESULT:The mean values observed were close to the values commonly described in the Caucasian population. However, only 15-20% of the cases met the mean values of Moreland et al. (1987) for the individual items, and only 2 cases had the exact normal values. There was a wide variation for all angles measured, with a standard deviation higher than the mean value. INTERPRETATION:The variation in the lower limb axes is wider than commonly believed. There is a need for individual knee reconstruction which takes the specific knee axes of the patient to be operated into account.

journal_name

Acta Orthop

journal_title

Acta orthopaedica

authors

Jenny JY,Boeri C,Ballonzoli L

keywords:

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

403-7

issue

3

eissn

1745-3674

issn

1745-3682

journal_volume

76

pub_type

杂志文章
  • Revision in previously satisfied knee arthroplasty patients is the result of their call on the physician, not on pre-planned follow-up: a retrospective study of 181 patients who underwent revision within 2 years.

    abstract:BACKGROUND:Degree of satisfaction with a knee arthroplasty is said to be correlated to reduced pain and better function. During a validation of the Swedish Knee Arthroplasty Register in 1997, previously operated patients were asked how satisfied they were with their knee. A subgroup of "satisfied" patients was identifi...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670510045372

    authors: Bremander AB,Dunbar M,Knutson K,Petersson IF,Robertsson O

    更新日期:2005-12-01 00:00:00

  • Locking plate osteosynthesis in displaced 4-part fractures of the proximal humerus.

    abstract:BACKGROUND AND PURPOSE:There is considerable uncertainty about the optimal treatment of displaced 4-part fractures of the proximal humerus. Within the last decade, locking plate technology has been considered a breakthrough in the treatment of these complex injuries. METHODS:We systematically identified and reviewed c...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,评审

    doi:10.3109/17453674.2011.588856

    authors: Brorson S,Frich LH,Winther A,Hróbjartsson A

    更新日期:2011-08-01 00:00:00

  • Increasing incidence of club foot with higher population density: incidence and geographical variation in Denmark over a 16-year period--an epidemiological study of 936,525 births.

    abstract:BACKGROUND:The occurrence of club foot (CF) varies between countries and populations, and may be related to endogenous and exogenous factors. We analyzed the occurrence of CF in a whole country over a long period of time (16 years). METHODS:Patients born in Denmark with a foot deformity 1978-93 were identified from th...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670610013114

    authors: Krogsgaard MR,Jensen PK,Kjaer I,Husted H,Lorentzen J,Hvass-Christensen B,Christensen SB,Larsen K,Sonne-Holm S

    更新日期:2006-12-01 00:00:00

  • Outcome assessment of hemiarthroplasty of the shoulder: a 5-year follow-up with 4 evaluation tools.

    abstract:BACKGROUND:Outcome measurement of shoulder arthroplasty is not standardized. We compared 3 scores and 1 evaluation form. PATIENTS AND METHODS:We report on 35 hemiarthroplasties of the shoulder (32 cementless). Mean age of the patients was 62 (29-87) years. After a mean follow-up of 6 years (range 2-18 years) patients ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670610012980

    authors: Krepler P,Wanivenhaus AH,Wurnig C

    更新日期:2006-10-01 00:00:00

  • Postoperative clodronate decreases prosthetic migration: 4-year follow-up of a randomized radiostereometric study of 50 total knee patients.

    abstract:BACKGROUND:We have previously reported that 6 months of oral treatment with clodronate reduced the migration of the NexGen total knee prosthesis during the first postoperative year, as measured by radiostereometry (RSA). We now report the 4-year results. METHODS:This was a double-blind randomized study, using RSA with...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/17453670610013213

    authors: Hilding M,Aspenberg P

    更新日期:2006-12-01 00:00:00

  • Enhanced recovery program for hip and knee replacement reduces death rate.

    abstract:BACKGROUND AND PURPOSE:Multimodal techniques can aid early rehabilitation and discharge of patients following primary joint replacement. We hypothesized that this not only reduces the economic burden of joint replacement by reducing length of stay, but also helps in reduction of early complications. PATIENTS AND METHO...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2011.618911

    authors: Malviya A,Martin K,Harper I,Muller SD,Emmerson KP,Partington PF,Reed MR

    更新日期:2011-10-01 00:00:00

  • Low risk of cardiac events during intramedullary instrumentation of lung cancer metastases.

    abstract:BACKGROUND:Instrumentation, particularly reaming, of the long bones carries the risk of embolic phenomenon. Emboli may result in pulmonary injury, which is usually manifested by desaturation. This pulmonary injury may be particularly relevant if there is diminished pulmonary reserve due to pre-existing lung disease suc...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670710014202

    authors: Clayer MT,Tang X

    更新日期:2007-08-01 00:00:00

  • Periacetabular osteotomy. Good pain relief in symptomatic hip dysplasia, 32 patients followed for 4 years.

    abstract:BACKGROUND:When surgical treatment of dysplastic hip osteoarthrosis is necessary, osteotomy is preferable to fusion or THR. We evaluated periacetabular osteotomy as a method of choice. PATIENTS AND METHODS:We treated 36 symptomatic dysplastic hip joints (32 patients) with the Bernese periacetabular osteotomy (PAO) bet...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/00016470510030346

    authors: Pogliacomi F,Stark A,Wallensten R

    更新日期:2005-02-01 00:00:00

  • Similar mortality with general or regional anesthesia in elderly hip fracture patients.

    abstract:BACKGROUND AND PURPOSE:There is continuing confusion among practitioners with regard to the optimal choice of anesthetic type for repair of hip fractures. We investigated whether type of anesthetic was associated with short-term mortality after hip fracture surgery. PATIENTS AND METHODS:We conducted a retrospective co...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2015.1128781

    authors: Brox WT,Chan PH,Cafri G,Inacio MC

    更新日期:2016-01-01 00:00:00

  • Patient injuries in primary total hip replacement.

    abstract::Background and purpose - Although the results of primary total hip replacements (THRs) are generally excellent, sometimes serious complications arise. Some of these severe complications are considered to be patient injuries. We analyzed primary THR-related patient injuries in a nationwide setting. Patients and methods...

    journal_title:Acta orthopaedica

    pub_type: 评论,杂志文章

    doi:10.3109/17453674.2015.1135662

    authors: Helkamaa T,Hirvensalo E,Huhtala H,Remes V

    更新日期:2016-06-01 00:00:00

  • Preoperative psychosocial risk factors for poor outcomes at 1 and 5 years after total knee replacement.

    abstract::Background and purpose - Psychosocial factors are important risk factors for poor outcomes in the first year after total knee replacement (TKR), however their impact on long-term outcomes is unclear. We aimed to identify preoperative psychosocial risk factors for poor outcomes at 1 year and 5 years after TKR. Patients...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2017.1334180

    authors: Wylde V,Trela-Larsen L,Whitehouse MR,Blom AW

    更新日期:2017-10-01 00:00:00

  • Comparison of optical coherence tomography and histopathology in quantitative assessment of goat talus articular cartilage.

    abstract:BACKGROUND AND PURPOSE:Optical coherence tomography (OCT) is a light-based imaging technique suitable for depiction of thin tissue layers such as articular cartilage. Quantification of results and direct comparison with a reference standard is needed to confirm the role of OCT in cartilage evaluation. MATERIALS AND ME...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2014.979312

    authors: Cernohorsky P,Kok AC,Bruin DM,Brandt MJ,Faber DJ,Tuijthof GJ,Kerkhoffs GM,Strackee SD,van Leeuwen TG

    更新日期:2015-04-01 00:00:00

  • Cementless CUT femoral neck prosthesis: increased rate of aseptic loosening after 5 years.

    abstract:BACKGROUND:Bone-saving hip arthroplasty techniques, which facilitate revision, are gaining importance as the number of hip replacements in younger patients increases. PATIENTS AND METHODS:123 CUT femoral neck prostheses (ESKA Implants, Lübeck, Germany) were implanted in 113 patients (average age 53 years) between 1999...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670710014301

    authors: Ender SA,Machner A,Pap G,Hubbe J,Grashoff H,Neumann HW

    更新日期:2007-10-01 00:00:00

  • Factors that can predict pain with walking, 12 months after total knee arthroplasty.

    abstract::Background and purpose - Functional limitations after total knee arthroplasty (TKA) are common. In this longitudinal study, we wanted to identify subgroups of patients with distinct trajectories of pain-related interference with walking during the first year after TKA and to determine which demographic, clinical, symp...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2016.1237440

    authors: Lindberg MF,Miaskowski C,RustøEn T,Rosseland LA,Cooper BA,Lerdal A

    更新日期:2016-12-01 00:00:00

  • Walking pattern in 9 women with hip dysplasia 18 months after periacetabular osteotomy.

    abstract:BACKGROUND:Periacetabular osteotomy improves radiographic predictors of osteoarthrosis and diminishes pain and functional impairment. No changes in function quantified by gait analysis have yet been documented. We evaluated the functional outcome of periacetabular osteotomy in relation to gait. METHODS:The gait patter...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670610045920

    authors: Pedersen EN,Alkjaer T,Søballe K,Simonsen EB

    更新日期:2006-04-01 00:00:00

  • A new standard radiographic reference for proximal fibular height in children.

    abstract::Background and purpose - To date there is a lack of studies defining the anatomical position of the proximal fibula. This is especially relevant when planning surgical interventions affecting the knee joint such as permanent or temporary epiphysiodesis to correct leg length discrepancies or angular deformities in grow...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1769378

    authors: Frommer A,Niemann M,Gosheger G,Toporowski G,Laufer A,Eveslage M,Bröking JN,Rödl R,Vogt B

    更新日期:2020-10-01 00:00:00

  • How precise is the PRECICE compared to the ISKD in intramedullary limb lengthening? Reliability and safety in 26 procedures.

    abstract:BACKGROUND AND PURPOSE:The PRECICE intramedullary limb lengthening system uses a new technique with a magnetic rod and a motorized external remote controller (ERC) with rotational magnetic field. We evaluated the reliability and safety of the PRECICE system. METHODS:We compared our preliminary results with PRECICE in ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2014.913955

    authors: Schiedel FM,Vogt B,Tretow HL,Schuhknecht B,Gosheger G,Horter MJ,Rödl R

    更新日期:2014-06-01 00:00:00

  • Biological treatment of the knee with platelet-rich plasma or bone marrow aspirate concentrates.

    abstract::- Knee pathologies including focal cartilage injuries, osteoarthritis (OA), and ligament injuries are common. The poor regeneration and healing potential of cartilage has led to the search for other treatment modalities with improved healing capacity. Furthermore, with an increasing elderly population that desires to ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,评审

    doi:10.1080/17453674.2017.1368899

    authors: Moatshe G,Morris ER,Cinque ME,Pascual-Garrido C,Chahla J,Engebretsen L,Laprade RF

    更新日期:2017-12-01 00:00:00

  • Does estrogen alter the mechanical properties of the anterior cruciate ligament? An experimental study in rabbits.

    abstract:BACKGROUND:It is well known that anterior cruciate ligament (ACL) injuries are commoner in female athletes. Accordingly, we hypothesized that serum estrogen may play some role in this sex difference. We evaluated the relationship between serum estrogen levels and the mechanical properties of the ACL in rabbits. ANIMAL...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670610013312

    authors: Komatsuda T,Sugita T,Sano H,Kusakabe T,Watanuki M,Yoshizumi Y,Murakami T,Hashimoto M,Kokubun S

    更新日期:2006-12-01 00:00:00

  • Acetabular cup position and risk of dislocation in primary total hip arthroplasty.

    abstract::Background and purpose - Hip dislocation is one of the most common complications following total hip arthroplasty (THA). Several factors that affect dislocation have been identified, including acetabular cup positioning. Optimal values for cup inclination and anteversion are debatable. We performed a systematic review...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,评审

    doi:10.1080/17453674.2016.1251255

    authors: Seagrave KG,Troelsen A,Malchau H,Husted H,Gromov K

    更新日期:2017-02-01 00:00:00

  • Thermal epiphysiodesis performed with radio frequency in a porcine model.

    abstract:BACKGROUND AND PURPOSE:Current techniques for epiphysiodesis involve opening of cortical windows; use of staples, screws, and tension devices; and fusion with curettes or drills. Complications may have serious consequences. There is a need for a more reliable, precise, and less traumatic procedure that overcomes the kn...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2014.939014

    authors: Shiguetomi-Medina JM,Rahbek O,Abood AA,Stødkilde-Jørgensen H,Møller-Madsen B

    更新日期:2014-09-01 00:00:00

  • Survival and revision causes of hip resurfacing arthroplasty and the Mitch proximal epiphyseal replacement: results from the Danish Hip Arthroplasty Register.

    abstract::Background and purpose - The Mitch proximal epiphyseal replacement (PER) was developed to preserve proximal femoral bone and minimize femoral neck fracture associated with hip resurfacing arthroplasty (HRA). We studied the survival and risk of revision of HRA compared with cementless metal-on-polyethylene (MoP) total ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2019.1646201

    authors: Tang-Jensen M,Kjærsgaard-Andersen P,Poulsen TK,Overgaard S,Varnum C

    更新日期:2019-12-01 00:00:00

  • Poor results from the isoelastic total hip replacement: 14-17-year follow-up of 149 cementless prostheses.

    abstract:BACKGROUND:To overcome the mismatch between a stiff stem and the more elastic bone, the concept of isoelasticity was introduced in the 1970s. This concept was based on the assumption that the implant and the bone should deform as one unit to avoid stress shielding. The Robert Mathys (RM) cementless total hip replacemen...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/00016470510030535

    authors: Trebse R,Milosev I,Kovac S,Mikek M,Pisot V

    更新日期:2005-04-01 00:00:00

  • Impaction grafting of the acetabulum with ceramic bone graft substitute: high survivorship in 43 patients with a mean follow-up period of 4 years.

    abstract:BACKGROUND AND PURPOSE:Loss of bone stock remains a challenge in revision hip surgery. Grafting with allograft is well established, but there are problems with availability, cost, infection, antigenicity, reproducibility, and stability of the created construct. BoneSave is a biphasic porous ceramic consisting of sinter...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2013.824801

    authors: Whitehouse MR,Dacombe PJ,Webb JC,Blom AW

    更新日期:2013-08-01 00:00:00

  • Estimation of the optimum loading of an antibiotic powder in an acrylic bone cement: gentamicin sulfate in SmartSet HV.

    abstract:BACKGROUND:In some countries, commercially available antibiotic powder-loaded acrylic bone cement is routinely used in joint replacement, while, in others, "off-label" formulations are used in selected procedures (where the antibiotic powder is blended manually with the powder of a plain cement in the operating room/th...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670610012700

    authors: Lewis G,Janna S

    更新日期:2006-08-01 00:00:00

  • Tourniquet cuff pressure and nerve injury in knee arthroplasty in a bloodless field: a neurophysiological study.

    abstract:BACKGROUND AND PURPOSE:Tourniquet-related nerve injuries remain a concern in orthopedic surgery. The cuff pressures used today are generally lower, and therefore a decreasing incidence of peripheral nerve injuries might also be expected. However, there have been few neurophysiological studies describing the outcome aft...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/17453674.2013.782525

    authors: Olivecrona C,Blomfeldt R,Ponzer S,Stanford BR,Nilsson BY

    更新日期:2013-04-01 00:00:00

  • Cirrhosis patients have increased risk of complications after hip or knee arthroplasty.

    abstract:BACKGROUND AND PURPOSE:The risk of complications in cirrhosis patients after orthopedic surgery is unclear. We examined this risk after total hip arthroplasty (THA) or total knee arthroplasty (TKA). PATIENTS AND METHODS:Using Danish healthcare registries, we identified all Danish residents who underwent a THA or TKA f...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2014.961397

    authors: Deleuran T,Vilstrup H,Overgaard S,Jepsen P

    更新日期:2015-02-01 00:00:00

  • 9 years' follow-up of 168 pin-fixed supracondylar humerus fractures in children.

    abstract::Background and purpose - The long-term outcome of pin-fixed supracondylar humerus fractures (SCHF) in children is not well known. We assessed the 7- to 12-year outcome in 168 children. Patients and methods - During 2002-2006, 210 domestic children (age 7 (1-14) years) with SCHF (Gartland III 79%, Gartland II 19%, and ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2018.1438765

    authors: Tuomilehto N,Sommarhem A,Nietosvaara AY

    更新日期:2018-06-01 00:00:00

  • The effect of middle-age body weight and physical activity on the risk of early revision hip arthroplasty: a cohort study of 1,535 individuals.

    abstract:BACKGROUND:Overweight and a high level of physical activity are known risk factors for loosening of a total hip arthroplasty (THA) due to primary osteoarthritis. We wanted to investigate how these factors, together with age and sex, affect the risk of revision surgery. PATIENTS AND METHODS:We matched data from the Nor...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670610013493

    authors: Flugsrud GB,Nordsletten L,Espehaug B,Havelin LI,Meyer HE

    更新日期:2007-02-01 00:00:00

  • Effective radiation dose in radiostereometric analysis of the hip.

    abstract::Background and purpose - Radiostereometric analysis (RSA) is the gold standard to study micromotion of joint replacements. RSA requires the acquisition of additional radiographs increasing the radiation dose of patients included in RSA studies. It is important to keep this dose as low as possible. Effective radiation ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1767443

    authors: Blom IF,Koster LA,Brinke BT,Mathijssen NMC

    更新日期:2020-08-01 00:00:00