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Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2014 / Cilt: 25 - Sayı: 2

Primer total diz artroplastide arka kondiler aks +3 derece dış rotasyon çizgisi veklinik transepikondiler aks çizgisi teknikleri arasındaki tutarlılığın araştırılması

An investigation of consistency between posterior condylar axis +3 degree external rotation line and clinical transepicondylar axis line techniques in primary total knee arthroplasty

Hakan BOYA
Gökhan MARALCAN
Özal ÖZCAN
Pages
70–74
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

There was a significant difference (McNamara chi square=12.7±1; p

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: This study aims to investigate discrepancy between posterior condylar axis (PCA)+3 degree external rotation (ER) line and clinical transepicondylar axis (cTEA) line and consistency between the both techniques in primary total knee arthroplasty.
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Key Findings & Data:Patients and methods: Thirty-six knees [Bilateral knees were operated simultaneously in 12 patients (50%)] in 24 patients [3 men (12.5%), 21 women (87.5%); average age 67 (59-80 age)] were included in the study.
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Conclusion & Impact:There was a significant difference (McNamara chi square=12.7±1; p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to investigate discrepancy between posterior condylar axis (PCA)+3 degree external rotation (ER) line and clinical transepicondylar axis (cTEA) line and consistency between the both techniques in primary total knee arthroplasty. Patients and methods: Thirty-six knees [Bilateral knees were operated simultaneously in 12 patients (50%)] in 24 patients [3 men (12.5%), 21 women (87.5%); average age 67 (59-80 age)] were included in the study. During surgery, PCA+3° ER line and cTEA line were drawn on the distal femoral cutting surface by electrocautery pencil following distal femoral cut. The both lines on distal femur were recorded by digital camera and relationship between lines was ascertained in reference to PCA+3° ER line [parallel, internal rotation (IR), ER]. Statistical analysis was performed by the McNamara chi square test and Kappa (k) value. Results: Assessment of the images revealed that cTEA line in comparison to PCA+3° ER line was parallel in 22 knees (61.2%), but not parallel in 14 knees (38.8%) [IR in 10 knees (71.5%), ER in 4 knees (28.5%)]. There was a significant difference (McNamara chi square=12.7±1; p

Özet

Amaç: Bu çalışmada primer total diz protezi uygulamalarında posteriyor kondiler aks (PKA)+3 derece dış rotasyon (DR) çizgisi ve klinik transepikondiler aks (kTEA) çizgisi arasındaki farklılık ve her iki teknik arasındaki tutarlılık araştırıldı.Hastalar ve yöntemler: Yirmi dört hastanın [3 erkek (%12.5), 21 kadın (%87.5); ortalama yaş 67 (59-80 yaş)] 36 dizi [12 hastada her iki diz aynı seansta eşzamanlı olarak ameliyat edildi (%50)] çalışmaya alındı. Cerrahi sırasında distal femur kesisini takiben kesi yüzeyine koter ucu ile PKA+3° DR çizgisi ve kTEA çizgisi çizildi. Distal femur üzerinde bulunan her iki çizgi dijital kamera ile kaydedildi ve PKA+3° DR çizgisi referans alınarak çizgiler arasındaki ilişki araştırıldı [paralel, iç rotasyon (İR), DR]. İstatistiksel analiz McNamara ki kare testi ve Kappa (k) değeri ile yapıldı.Bulgular: Görüntüler değerlendirildiğinde, kTEA çizgisinin PKA+3° DR çizgisine kıyasla 22 dizde (%61.2) paralel olduğu, 14 dizde ise paralel olmadığı (%38.8) [10 dizde İR (%71.5), 4 dizde DR (%28.5)] tespit edildi. Çizgiler arasında belirgin bir farklılık (McNamara ki kare=12.7±1; p

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Cite This Article

BOYA, H., MARALCAN, G., ÖZCAN, Ö. (2022). Primer total diz artroplastide arka kondiler aks +3 derece dış rotasyon çizgisi veklinik transepikondiler aks çizgisi teknikleri arasındaki tutarlılığın araştırılması. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 25 - Sayı: 2, 70–74. https://ajindex.com/articles/498600

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