ArticleInternational orthopaedics2015
Femoral rotation influences dynamic alignment of the lower extremity in total knee arthroplasty.
Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- A new parameter in the era of robotic total knee arthroplasty: Coronal alignment at 90° of flexion impacts clinical outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Implant placement parameters are associated with post operative dynamic varus and valgus knee angle in robotic assisted TKA.Scientific reports · 2025Article
- Combined femoral and tibial component total knee arthroplasty device rotation measurement is reliable and predicts clinical outcome.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023Article
- Changes in the femoral varus and rotational profiles are correlated in women with varus osteoarthritic lower limbs.Archives of orthopaedic and trauma surgery · 2023Article
- Coronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee.Scientific reports · 2021Observational
- A Comparison of Dynamic and Static Hip-Knee-Ankle Angle during Gait in Knee Osteoarthritis Patients and Healthy Individuals.Applied bionics and biomechanics · 2021Article
- Relationships between Morphological Changes of Lower Limbs and Gender During Medial Compartment Knee Osteoarthritis.Orthopaedic surgery · 2019Article
- Article
- Is computed tomography an accurate and reliable method for measuring total knee arthroplasty component rotation?International orthopaedics · 2016Article
- Intra-operative gaps affect outcome and postoperative kinematics in vivo following cruciate-retaining total knee arthroplasty.International orthopaedics · 2016Article
- Using the anatomical tibial axis for total knee arthroplasty alignment may lead to an internal rotation error.International orthopaedics · 2015Article
- Improved femoral component rotation in advanced genu valgum deformity using computer-assisted measured resection total knee arthroplasty.Journal of orthopaedic surgery and research · 2015Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeBesides the long-leg standing X-ray film focusing on static standing mechanical alignment of the lower extremity, dynamic alignment from full extension to 90° flexion after total knee arthroplasty (TKA) is rarely mentioned. Computer-assisted surgical technology enables surgeons to measure and assess knee behaviour during surgery. This study was designed to analyse the influences of femoral rotation on dynamic alignment of the lower extremity in TKA.
methodsSeventy-six consecutive patients with end-stage knee osteoarthritis were enrolled. External rotation osteotomy of the distal femur during TKA was completed according to the pre-operative external rotation angle (ERA), intra-operative transepicondylar axis (TEA) and anteroposterior (AP) line. Passive dynamic alignment of the lower extremity during knee flexion was recorded. The variation trend of hip-knee-ankle (HKA) alignment and the influences of femoral external rotation osteotomy were analysed.
resultsPostoperative deviation of HKA alignment from 0° to 90° flexion was associated with the rotational alignment of the femoral component (r = -0.769, p < 0.001). Variation trend of HKA alignment during knee flexion tended to be varus, valgus and neutral according to the selected angle of external rotation osteotomy of the distal femur.
conclusionExternal rotation osteotomy of the distal femur played a crucial role in determining dynamic HKA alignment in TKA.
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