No radiographic difference between patient-specific guiding and conventional Oxford UKA surgery

Verfasser / Beitragende:
[Bart Kerens, Martijn Schotanus, Bert Boonen, Nanne Kort]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1324-1329
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-2849-0  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2849-0 
245 0 0 |a No radiographic difference between patient-specific guiding and conventional Oxford UKA surgery  |h [Elektronische Daten]  |c [Bart Kerens, Martijn Schotanus, Bert Boonen, Nanne Kort] 
520 3 |a Purpose: Implant position is an important factor in unicompartmental knee arthroplasty (UKA) surgery. Results on conventional UKA alignment are commonly described in literature. Patient-specific guiding (PSG) is a new technique for positioning the Oxford UKA. Our hypothesis is that PSG improves component position without affecting the HKA angle. Methods: This prospective study compares the results of our first thirty cases of cementless Oxford UKA using PSG with thirty cases using conventional outlining. Baseline characteristics for both groups were identical. Details on handling of the guide, estimated blood loss and operation time were recorded. Postoperative screened radiographs and standing long-leg radiographs of both groups were compared. Results: Median AP position of the femoral component was 3 degrees varus (−5 to 9) using PSG versus 2 degrees varus (−10 to 8) for the conventional group. For the femoral flexion, this was 9 degrees flexion (0-16) using PSG versus 12 degrees flexion (0-20). The tibial median AP position was 1 degree varus (−3 to 7) using PSG versus 2 degrees varus (−5 to 10). The median tibial posterior slope was 5 degrees (1-10) using PSG versus 5 degrees (0-12). All guides aligned well. No conversion to conventional outlining was performed, and no significant changes had to be made to the original approved plan. Operation time, estimated blood loss and postoperative haemoglobin drop were not significantly different between both groups. Discussion: Implant position was not different between both groups, even in the early phase of the learning curve. Perioperative results were not different between both groups. Level of evidence: III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Unicompartmental knee arthroplasty  |2 nationallicence 
690 7 |a Patient specific  |2 nationallicence 
690 7 |a Oxford  |2 nationallicence 
690 7 |a Guiding  |2 nationallicence 
700 1 |a Kerens  |D Bart  |u Department of Orthopedic Surgery, AZ Monica, Deurne, Belgium  |4 aut 
700 1 |a Schotanus  |D Martijn  |u Department of Orthopedic Surgery, Orbis Medisch Centrum, Sittard, The Netherlands  |4 aut 
700 1 |a Boonen  |D Bert  |u Department of Surgery, VieCuri Medical Centre, Venlo, The Netherlands  |4 aut 
700 1 |a Kort  |D Nanne  |u Department of Orthopedic Surgery, Orbis Medisch Centrum, Sittard, The Netherlands  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1324-1329  |x 0942-2056  |q 23:5<1324  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2849-0  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2849-0  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kerens  |D Bart  |u Department of Orthopedic Surgery, AZ Monica, Deurne, Belgium  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Schotanus  |D Martijn  |u Department of Orthopedic Surgery, Orbis Medisch Centrum, Sittard, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Boonen  |D Bert  |u Department of Surgery, VieCuri Medical Centre, Venlo, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kort  |D Nanne  |u Department of Orthopedic Surgery, Orbis Medisch Centrum, Sittard, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1324-1329  |x 0942-2056  |q 23:5<1324  |1 2015  |2 23  |o 167