Is the Surgical Epicondylar Axis the Center of Rotation in the Osteoarthritic Knee?

被引:40
作者
Kobayashi, Hideo [1 ]
Akamatsu, Yasushi [1 ]
Kumagai, Ken [1 ]
Kusayama, Yoshihiro [1 ]
Aratake, Masato [1 ]
Saito, Tomoyuki [1 ]
机构
[1] Yokohama City Univ, Dept Orthopaed Surg, Sch Med, Yokohama, Kanagawa 2360004, Japan
关键词
computed tomography (CT); cylindrical axis; flexion-extension axis (FEA); gender differences; surgical epicondylar axis (SEA); total knee arthroplasty (TKA); INTRAOPERATIVE JOINT GAP; TRANSEPICONDYLAR AXIS; 3-DIMENSIONAL MORPHOLOGY; CRUCIATE LIGAMENT; VIRTUAL-REALITY; FLEXION AXIS; DISTAL FEMUR; IN-VIVO; AXES; ARTHROPLASTY;
D O I
10.1016/j.arth.2014.10.024
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
The relationship between the surgical epicondylar axis (SEA) and the rotational axis of the distal femur remains unclear. We investigated the relationship between the SEA and the distal femur and whether the SEA can be used as the rotational axis of the knee. Angular and linear measurements of 70 femora at 0 degrees, 30 degrees, 60 degrees, 90 degrees, and 120 degrees of flexion were recorded. Results showed that the SEA was a logical and appropriate parameter as a principal axis for knee flexion at least between 0 degrees and 60 degrees of flexion. The study has important implications for the design and positioning of femoral components in total knee arthroplasty. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:479 / 483
页数:5
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