Influence of offset stem couplers in femoral revision knee arthroplasty: A radiographic study

被引:9
作者
Brilhault, Jean M. [1 ]
Ries, Michael D. [2 ]
机构
[1] Univ Tours, Dept Orthopaed Surg, CHRU Tours, F-37044 Tours 09, France
[2] Univ Calif San Francisco, Mission Bay Orthopaed Inst, Dept Orthopaed Surg, San Francisco, CA 94158 USA
关键词
Revision total knee arthroplasty; Posterior femoral condylar offset; Modular stem; Stem alignment; POSTERIOR CONDYLAR OFFSET; FLEXION; TKA; RESTORATION; KINEMATICS; COMPONENT;
D O I
10.1016/j.knee.2011.02.005
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
We questioned whether the use of offset femoral stem would result in modifying the posterior femoral condylar offset (PFCO) in revision knee arthroplasty (RTKA). We measured both PFCO and stem alignment on lateral radiographs of two cohorts: 91 knees with straight stems and 35 knees with offset coupled stems. A higher PCOR was observed in knees with an offset stem compared to knees with straight stem. Knees with an offset stem had a better alignment within the intramedullary canal. Our conclusion is that the use of a modular offset coupler with femoral stem in RTKA compared to a modular straight stem both increases the posterior condylar offset and improves alignment of the stem within the intramedullary canal. (C) 2011 Elsevier B.V. All rights reserved.
引用
收藏
页码:112 / 115
页数:4
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