Accuracy of patient specific cutting blocks in total knee arthroplasty.

Abstract:

BACKGROUND:Long-term survival of total knee arthroplasty (TKA) is mainly determined by optimal positioning of the components and prosthesis alignment. Implant positioning can be optimized by computer assisted surgery (CAS). Patient specific cutting blocks (PSCB) seem to have the potential to improve component alignment compared to the conventional technique and to be comparable to CAS. METHODS:113 knees were selected for PSI and included in this study. Pre- and postoperative mechanical axis, represented by the hip-knee-angle (HKA), the proximal tibial angle (PTA), the distal femoral angle (DFA), and the tibial slope (TS) were measured and the deviation from expected ideal values was calculated. RESULTS:With a margin of error of ±3°, success rates were 81.4% for HKA, 92.0% for TPA, and 94.7% for DFA. With the margin of error for alignments extended to ±4°, we obtained a success rate of 92.9% for the HKA, 98.2% for the PTA, and 99.1% for the DFA. The TS showed postoperative results of 2.86±2.02° (mean change 1.76±2.85°). CONCLUSION:PSCBs for TKA seem to restore the overall leg alignment. Our data suggest that each individual component can be implanted accurately and the results are comparable to the ones in CAS.

journal_name

Biomed Res Int

authors

Helmy N,Dao Trong ML,Kühnel SP

doi

10.1155/2014/562919

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

562919

eissn

2314-6133

issn

2314-6141

journal_volume

2014

pub_type

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