Total Knee Arthroplasty using Intramedullary Tibial Cutting Guide.
- Author:
Seoung Il BIN
1
;
June Won CHOI
;
Tae Seok NAM
Author Information
1. Department of Orthopedic Surgery, Asan Medical Center, College of Medicine, Ulsan University, Seoul, Korea. sibin@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Total knee replacement arthropasty;
Intramedullary tibial cutting guide
- MeSH:
Arthroplasty*;
Arthroplasty, Replacement, Knee;
Axis, Cervical Vertebra;
Knee*;
Leg;
Radiography;
Tibia
- From:Journal of the Korean Knee Society
2003;15(1):17-21
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the tibia osteotome angle and whole leg alignment in total knee replacement arthroplasty using intramedullary tibia guide. MATERIALS AND METHODS: Amongst 343 cases of TKA using an intramedullary tibial cutting guide from November 1998 to August 2001, 160 cases who took a standing whole leg AP simple roentgenography within 1 year were selected. Post-operatively, the angle formed by the tibial anatomical axis and tibial component, along with the angle formed between the femoral anatomical axis and tibial anatomical axis were measured. RESULTS: The average angle between the tibial anatomical axis and tibial component was 89.5 degrees (84 degrees~94 degrees), 133 cases(83.1%) were within the range of 90 degrees +/- 2 degrees and amongst these 66 cases(41.3%) were 90 degrees. The average angle formed between the femoral anatomical axis and tibial anatomical axis was 5.6 degrees(0 degrees~11 degrees). CONCLUSION: When used properly, an intramedullary tibial cutting guide in TKA result in satisfactory tibial osteotome angle and whole leg alignment in TKA.
