The distal tibiofibular syndesmosis is a reliable landmark for 3° varus tibial resection in total knee arthroplasty : a radiological evaluation on 1296 cases
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..
PURPOSE: The purpose of this study was to evaluate the reproducibility and the accuracy of distal tibiofibular syndesmosis (DTFS) as landmark to perform controlled varus tibial resections during total knee arthroplasty (TKA). The hypothesis was that DTFS can be used to perform an accurate 3° varus tibial cut.
METHODS: A retrospective analysis on a consecutive series of standard weightbearing full-length anteroposterior views of the lower limbs radiographic images was conducted. For each radiograph, the hip-knee-ankle (HKA) angle, the angle between the tibial mechanical axis and the line connecting the centre of the tibial spines and the DTFS (tibiofibular angle, TFA) and the medial proximal tibial angle (MPTA) were calculated. Each measurement was carried out twice by three independent observers, and intra- and inter-observer measurement reliability were assessed using the intraclass correlation coefficient (ICC) analysis.
RESULTS: A total of 1296 lower limbs were analysed from a series of 648 weightbearing full-length anteroposterior radiographs. The ICC were > 90% for all measurements. The mean TFA value was 2.94 ± 0.68 (range 2.38-3.51). No differences were detected comparing the mean TFA value on the right and left limb (p = 0.795) as well as comparing the values in male and female patients (p = 0.691). Linear regression analysis did not find statistically significant correlation between TFA and MPTA, or TFA and HKA angles, respectively.
CONCLUSION: The distal tibiofibular syndesmosis is a reliable and easy reproducible radiographic landmark that can be used when planning a 3° varus tibial cut. Future studies are needed to confirm the validity of this method also in clinical settings.
LEVEL OF EVIDENCE: IV, retrospective case series.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:144 |
|---|---|
| Enthalten in: |
Archives of orthopaedic and trauma surgery - 144(2024), 2 vom: 14. Feb., Seite 879-885 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Perelli, Simone [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Anatomical landmark |
|---|
| Anmerkungen: |
Date Completed 30.01.2024 Date Revised 02.03.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1007/s00402-023-05099-z |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM363569162 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM363569162 | ||
| 003 | DE-627 | ||
| 005 | 20240302232327.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00402-023-05099-z |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1314.xml |
| 035 | |a (DE-627)NLM363569162 | ||
| 035 | |a (NLM)37864591 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Perelli, Simone |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The distal tibiofibular syndesmosis is a reliable landmark for 3° varus tibial resection in total knee arthroplasty |b a radiological evaluation on 1296 cases |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 30.01.2024 | ||
| 500 | |a Date Revised 02.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. | ||
| 520 | |a PURPOSE: The purpose of this study was to evaluate the reproducibility and the accuracy of distal tibiofibular syndesmosis (DTFS) as landmark to perform controlled varus tibial resections during total knee arthroplasty (TKA). The hypothesis was that DTFS can be used to perform an accurate 3° varus tibial cut | ||
| 520 | |a METHODS: A retrospective analysis on a consecutive series of standard weightbearing full-length anteroposterior views of the lower limbs radiographic images was conducted. For each radiograph, the hip-knee-ankle (HKA) angle, the angle between the tibial mechanical axis and the line connecting the centre of the tibial spines and the DTFS (tibiofibular angle, TFA) and the medial proximal tibial angle (MPTA) were calculated. Each measurement was carried out twice by three independent observers, and intra- and inter-observer measurement reliability were assessed using the intraclass correlation coefficient (ICC) analysis | ||
| 520 | |a RESULTS: A total of 1296 lower limbs were analysed from a series of 648 weightbearing full-length anteroposterior radiographs. The ICC were > 90% for all measurements. The mean TFA value was 2.94 ± 0.68 (range 2.38-3.51). No differences were detected comparing the mean TFA value on the right and left limb (p = 0.795) as well as comparing the values in male and female patients (p = 0.691). Linear regression analysis did not find statistically significant correlation between TFA and MPTA, or TFA and HKA angles, respectively | ||
| 520 | |a CONCLUSION: The distal tibiofibular syndesmosis is a reliable and easy reproducible radiographic landmark that can be used when planning a 3° varus tibial cut. Future studies are needed to confirm the validity of this method also in clinical settings | ||
| 520 | |a LEVEL OF EVIDENCE: IV, retrospective case series | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Anatomical landmark | |
| 650 | 4 | |a Coronal tibial resection | |
| 650 | 4 | |a Distal tibiofibular syndesmosis | |
| 650 | 4 | |a Limb alignment | |
| 650 | 4 | |a Radiological landmark | |
| 650 | 4 | |a Total knee arthroplasty | |
| 700 | 1 | |a Costa, Giuseppe Gianluca |e verfasserin |4 aut | |
| 700 | 1 | |a Russo, Arcangelo |e verfasserin |4 aut | |
| 700 | 1 | |a Hinarejos, Pedro |e verfasserin |4 aut | |
| 700 | 1 | |a Torres-Claramunt, Raul |e verfasserin |4 aut | |
| 700 | 1 | |a Sanchez-Soler, Juan |e verfasserin |4 aut | |
| 700 | 1 | |a Morales-Avalos, Rodolfo |e verfasserin |4 aut | |
| 700 | 1 | |a Monllau, Juan Carlos |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Archives of orthopaedic and trauma surgery |d 1996 |g 144(2024), 2 vom: 14. Feb., Seite 879-885 |w (DE-627)NLM01295120X |x 1434-3916 |7 nnns |
| 773 | 1 | 8 | |g volume:144 |g year:2024 |g number:2 |g day:14 |g month:02 |g pages:879-885 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s00402-023-05099-z |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 144 |j 2024 |e 2 |b 14 |c 02 |h 879-885 | ||