Is computed tomography an accurate and reliable method for measuring total knee arthroplasty component rotation?

Abstract:

PURPOSE:Computed tomography (CT) is widely used to assess component rotation in patients with poor results after total knee arthroplasty (TKA). The purpose of this study was to simultaneously determine the accuracy and reliability of CT in measuring TKA component rotation. METHODS:TKA components were implanted in dry-bone models and assigned to two groups. The first group (n = 7) had variable femoral component rotations, and the second group (n = 6) had variable tibial tray rotations. CT images were then used to assess component rotation. Accuracy of CT rotational assessment was determined by mean difference, in degrees, between implanted component rotation and CT-measured rotation. Intraclass correlation coefficient (ICC) was applied to determine intra-observer and inter-observer reliability. RESULTS:Femoral component accuracy showed a mean difference of 2.5° and the tibial tray a mean difference of 3.2°. There was good intra- and inter-observer reliability for both components, with a femoral ICC of 0.8 and 0.76, and tibial ICC of 0.68 and 0.65, respectively. CONCLUSIONS:CT rotational assessment accuracy can differ from true component rotation by approximately 3° for each component. It does, however, have good inter- and intra-observer reliability.

journal_name

Int Orthop

authors

Figueroa J,Guarachi JP,Matas J,Arnander M,Orrego M

doi

10.1007/s00264-015-2917-1

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

709-14

issue

4

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-015-2917-1

journal_volume

40

pub_type

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