caa a22 4500 605457360 CHVBK 20210128100223.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00167-014-2957-x doi (NATIONALLICENCE)springer-10.1007/s00167-014-2957-x Using fibula as a reference can be beneficial for the tibial component alignment after total knee arthroplasty, a retrospective study [Elektronische Daten] [Mehmet Erdem, Deniz Gulabi, Gultekin Cecen, Cem Avci, Murat Asci, Fevzi Saglam] Purpose: One of the important factors in a successful arthroplasty is component alignment. The primary objective of this study was to determine whether the fibular shaft reference technique is beneficial for the tibial component position on the postoperative plain radiograph after total knee arthroplasty. Methods: A total of 42 patients between 2009 and 2011 were analysed retrospectively. The surgeon prepared the tibia using an extramedullary cutting guide and set the posterior tibial slope with respect to the fibular reference rod. In the postoperative radiographic measurements, a true anteroposterior and lateral radiograph of the lower leg covering the whole length of the tibia was used. Results: Five patients were excluded as they did not meet the inclusion criteria, four patients were excluded due to improper radiographs and the study group was reduced to 33 patients and 35 knees. The mean preoperative tibiofibular angle was 2.1°±0.8°. The mean postoperative tibial sagittal angle measurements were 83.3°±1.4° (81°-86°). 33 (94%) Knees gained the desired tibial sagittal angle within the desired alignment (5°±3°). The mean postoperative tibial coronal angle was 89.3°±1.5°. The tibial component coronal angle of two knees was more than 3 alignment from the neutral mechanical axis. Conclusion: The major clinical relevance of the technique described in the present study is cost-effectiveness, and it does not require any extra time or surgical equipment. This method can be used as an alternative choice for bulky extremities which is a cause of malalignment of the components. Level of evidence: Retrospective case series, Level IV. Springer-Verlag Berlin Heidelberg, 2014 Knee nationallicence Knee prothesis nationallicence Alignment nationallicence Fibula nationallicence Erdem Mehmet Orthopaedic and Traumatology Department, Faculty of Medicine, Sakarya University, Sakarya, Turkey aut Gulabi Deniz Dr. Lütfi Kırdar Kartal Training and Research Hospital, Semsi Denizer Cad. E5. Yanyol Cevizli Kavsagı, Kartal, 34890, Istanbul, Turkey aut Cecen Gultekin Dr. Lütfi Kırdar Kartal Training and Research Hospital, Semsi Denizer Cad. E5. Yanyol Cevizli Kavsagı, Kartal, 34890, Istanbul, Turkey aut Avci Cem Umraniye Training and Research Hospital, Ümraniye, Istanbul, Turkey aut Asci Murat Tokat State Hospital, Tokat, Turkey aut Saglam Fevzi Dr. Lütfi Kırdar Kartal Training and Research Hospital, Semsi Denizer Cad. E5. Yanyol Cevizli Kavsagı, Kartal, 34890, Istanbul, Turkey aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/7(2015-07-01), 2068-2073 0942-2056 23:7<2068 2015 23 167 https://doi.org/10.1007/s00167-014-2957-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-2957-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Erdem Mehmet Orthopaedic and Traumatology Department, Faculty of Medicine, Sakarya University, Sakarya, Turkey aut NATIONALLICENCE 700 1- Gulabi Deniz Dr. Lütfi Kırdar Kartal Training and Research Hospital, Semsi Denizer Cad. E5. Yanyol Cevizli Kavsagı, Kartal, 34890, Istanbul, Turkey aut NATIONALLICENCE 700 1- Cecen Gultekin Dr. Lütfi Kırdar Kartal Training and Research Hospital, Semsi Denizer Cad. E5. Yanyol Cevizli Kavsagı, Kartal, 34890, Istanbul, Turkey aut NATIONALLICENCE 700 1- Avci Cem Umraniye Training and Research Hospital, Ümraniye, Istanbul, Turkey aut NATIONALLICENCE 700 1- Asci Murat Tokat State Hospital, Tokat, Turkey aut NATIONALLICENCE 700 1- Saglam Fevzi Dr. Lütfi Kırdar Kartal Training and Research Hospital, Semsi Denizer Cad. E5. Yanyol Cevizli Kavsagı, Kartal, 34890, Istanbul, Turkey aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/7(2015-07-01), 2068-2073 0942-2056 23:7<2068 2015 23 167