ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
The intercondylar notch ceiling: an accurate reference for distal femoral resection in total knee arthroplasty for severely degenerated varus knees.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Lateral distal femoral condyle has more uniform cartilage wear in varus knee osteoarthritis.Scientific reports · 2024Article
- Coronal plane femoral bowing in Far East Asians: implications for the strategy of distal femoral resection in total knee arthroplasty.Journal of orthopaedic surgery and research · 2022Article
- The femoral intercondylar notch is an accurate landmark for the resection depth of the distal femur in total knee arthroplasty.Knee surgery & related research · 2022Article
- Towards planning of osteotomy around the knee with quantitative inclusion of the adduction moment: a biomechanical approach.Journal of experimental orthopaedics · 2021Article
- Morphological classification of the femoral trochlear groove based on a quantitative measurement of computed tomographic models.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
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Authors and funding
6 authors.
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Abstract
purposeTo measure the distance from the intercondylar ceiling to the lowest point of the medial and lateral femoral condyles in a healthy population so to obtain a clearly discernible and accurate landmark for proper distal femoral resection during total knee arthroplasty (TKA).
methodsThree-dimensional models of the lower extremities of 100 healthy Chinese subjects were constructed using computed tomography scans. The distance between the distal surface of the medial femoral condyle and the intercondylar notch ceiling, in the direction of the femoral mechanical axis, was measured.
resultsThe mean distance from the distal surface of the medial femoral condyle to the intercondylar notch ceiling was 9.1 ± 1.4 and 8.2 ± 1.4 mm in male and female subjects, respectively. Interestingly, this distance did not differ significantly with varying sizes of the distal femur.
conclusionsThe intercondylar notch ceiling could be used as an accurate landmark to determine the proper distal femoral resection level during TKA. For the clinical relevance, the distal femoral bone cut should be at the level of the intercondylar notch ceiling when using the most of the current TKA prosthesis systems.
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