Functional joint line obliquity after kinematic total knee arthroplasty

Purpose Kinematic total knee arthroplasty (TKA) is an emerging technique, but concerns remain around the effect of implanting the prosthesis in more anatomic orientations. Native knees show variation in joint line orientation relative to the tibial mechanical axis but the joint line remains parallel...

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Bibliographic Details
Published in:International orthopaedics 2016, Vol.40 (1), p.29-34
Main Authors: Hutt, Jonathan, Massé, Vincent, Lavigne, Martin, Vendittoli, Pascal-André
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement, Knee - methods
Biomechanical Phenomena
Humans
Knee Joint - diagnostic imaging
Knee Joint - surgery
Medicine
Medicine & Public Health
Original Paper
Orthopedics
Postoperative Period
Radiography
Weight-Bearing
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Summary:Purpose Kinematic total knee arthroplasty (TKA) is an emerging technique, but concerns remain around the effect of implanting the prosthesis in more anatomic orientations. Native knees show variation in joint line orientation relative to the tibial mechanical axis but the joint line remains parallel to the floor when standing. This study was undertaken to evaluate joint line obliquity relative to the floor when weight-bearing after kinematic TKA to see if a similar effect occurs. Methods Preoperative and postoperative measurements were taken for 55 consecutive kinematically aligned TKAs, including the joint line orientation angle (JLOA), formed between the joint line and a line parallel to the floor. Results The mean medial proximal tibial angle (MPTA) was 3.4° varus pre-operatively (1.7° valgus to 7.9° varus, SD 2.0), and 3.0° varus postoperatively (5.5° valgus to 6.5° varus, SD 2.1). The mean postoperative JLOA was 1.0° varus with a smaller range than the MPTA (2.6° valgus to 6° varus, SD 1.9). The difference between these two measurements was significant (mean 2°, SD 2.5, p  
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-015-2733-7