The Correlation between Posterior Tibial Slope and Maximal Angle of Flexion after Total Knee Arthroplasty
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Purpose: The purpose of this study was to evaluate the correlation between the posterior tibial slope and the maximal angle of flexion after total knee arthroplasty. Materials and Methods: Seventy nine cases (63 patients, 60 females and 3 males), which received total knee arthroplasty with the Nexgen LPS system from Jan 2001 to Jan 2004, were enrolled. We divided all cases into two subsets in two ways. Firstly, group A (up to 10°, 44 cases) and group B (over 10°, 35 cases) were divided according to the mean value of the postoperative posterior tibial slope. Secondly, group α (up to -4°, 39 cases) and group β (over -4°, 40 cases) were divided according to the mean difference between the preoperative posterior tibial slope and the postoperative posterior tibial slope. We compared the maximal angle of flexion between group A and group B, group α and group β, respectively. Results: There was no significant difference between group A and group B, and also between group α and group β in terms of maximal angle of flexion. Conclusions: There was no significant correlation between the postoperative posterior tibial solpe and the maximal angle of flexion.
Abstract
Purpose: The purpose of this study was to evaluate the correlation between the posterior tibial slope and the maximal angle of flexion after total knee arthroplasty. Materials and Methods: Seventy nine cases (63 patients, 60 females and 3 males), which received total knee arthroplasty with the Nexgen LPS system from Jan 2001 to Jan 2004, were enrolled. We divided all cases into two subsets in two ways. Firstly, group A (up to 10°, 44 cases) and group B (over 10°, 35 cases) were divided according to the mean value of the postoperative posterior tibial slope. Secondly, group α (up to -4°, 39 cases) and group β (over -4°, 40 cases) were divided according to the mean difference between the preoperative posterior tibial slope and the postoperative posterior tibial slope. We compared the maximal angle of flexion between group A and group B, group α and group β, respectively. Results: There was no significant difference between group A and group B, and also between group α and group β in terms of maximal angle of flexion. Conclusions: There was no significant correlation between the postoperative posterior tibial solpe and the maximal angle of flexion.
참고문헌 (23)
- Cross WW 3rd, "Agreement about indications for total knee arthroplasty", Clin Orthop Relat Res, 446, pp.34~39 (2006)
- Ritter MA, "Effect of range of motion on the success of a total knee arthroplasty", J Arthroplasty, 2, pp.95~97 (1987)
- Schurman DJ, "Total condylar knee replacement. A study of factors influencing range of motion as late as two years after arthroplasty", J Bone Joint Surg Am, 67, pp.1006~1014 (1985)
- Maloney WJ, "The effects of implant design on range of motion after total knee arthroplasty. Total condylar versus posterior stabilized total condylar designs", Clin Orthop Relat Res, (278), pp.147~152 (1992)
- Parsley BS, "Preoperative flexion. Does it influence postoperative flexion after posterior-cruciate-retaining total knee arthroplasty?", Clin Orthop Relat Res, (275), pp.204~210 (1992)
- Harvey IA, "Factors affecting the range of movement of total knee arthroplasty", J Bone Joint Surg Br, 75, pp.950~955 (1993)
- Anouchi YS, "Range of motion in total knee replacement", Clin Orthop Relat Res, (331), pp.87~92 (1996)
- Lizaur A, "Preoperative factors influencing the range of movement after total knee arthroplasty for severe osteoarthritis", J Bone Joint Surg Br, 79, pp.626~629 (1997)
- Schurman DJ, "Prediction of postoperative knee flexion in Insall-Burstein II total knee arthroplasty", Clin Orthop Relat Res, (353), pp.175~184 (1998)
- Kawamura H, "Factors affecting range of flexion after total knee arthroplasty", J Orthop Sci, 6, pp.248~252 (2001)
- Ritter MA, "Predicting range of motion after total knee arthroplasty. Clustering, log-linear regression, and regression tree analysis", J Bone Joint Surg Am, 85, pp.1278~1285 (2003)
- Sultan PG, "Optimizing flexion after total knee arthroplasty: advances in prosthetic design", Clin Orthop Relat Res, (416), pp.167~173 (2003)
- Whiteside LA, "The effect of posterior tibial slope on knee stability after Ortholoc total knee arthroplasty", J Arthroplasty, 3, pp.S51~S57 (1988)
- Walker PS, "Range of motion in total knee arthroplasty. A computer analysis", Clin Orthop Relat Res, (262), pp.227~235 (1991)
- Takatsu T, "The function of posterior tilt of the tibial component following posterior cruciate ligament-retaining total knee arthroplasty", Bull Hosp Jt Dis, 57, pp.195~201 (1998)
- Braun V, "Factors influencing postoperative flextion after mobile bearing total knee arthroplasty", J Bone Joint Surg Br, 83(2), pp.133~ (2001)
- Jojima H, "Effect of tibial slope or posterior cruciate ligament release on knee kinematics", Clin Orthop Relat Res, (426) (2004)
- Bellemans J, "The influence of tibial slope on maximal flexion after total knee arthroplasty", Knee Surg Sports Traumatol Arthrosc, 13, pp.193~196 (2005)
- Kansara D, "The effect of posterior tibial slope on range of motion after total knee arthroplasty", J Arthroplasty, 21, pp.809~813 (2006)
- Massin P, "Optimization of the posterior condylar offset, tibial slope, and condylar roll-back in total knee arthroplasty", J Arthroplasty, 21, pp.889~896 (2006)
- Malviya A, "Predicting range of movement after knee replacement: the importance of posterior condylar offset and tibial slope", Knee Surg Sports Traumatol Arthrosc, 17, pp.491~498 (2009)
- Gogia PP, "Reliability and validity of goniometric measurements at the knee", Phys Ther, 67, pp.192~195 (1987)
- Watkins MA, "Reliability of goniometric measurements and visual estimates of knee range of motion obtained in a clinical setting", Phys Ther, 71, pp.90~96 (1991)