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Published in: Archives of Orthopaedic and Trauma Surgery 11/2015

01-11-2015 | Knee Arthroplasty

Can rotational alignment of total knee arthroplasty be measured on MRI?

Authors: Mirco Sgroi, M. Faschingbauer, K. Javaheripour-Otto, H. Reichel, T. Kappe

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2015

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Abstract

Background and purpose

The aim of this study was to investigate the potential of MRI to determine rotational alignment after TKA in comparison to the gold standard, CT.

Methods

Rotational alignment was measured in the transverse plane on CT and MR-images in 14 patients prior to TKA revision. Differences between CT and MRI measurements were analysed.

Results

There was a strong correlation between CT and MRI measurements for both the tibial (r = 0.929) and femoral (r = 0.942) components with a mean difference of 0.47 ± 1.3 and 0.13 ± 3.2 degrees, respectively.

Interpretation

Despite artefact formation, it can be concluded that the rotational alignment of metallic TKA components can be measured by MRI as accurately as by CT.
Literature
1.
go back to reference Bell SW, Young P, Drury C, Smith J, Anthony I, Jones B, Blyth M, McLean A (2014) Component rotational alignment in unexplained painful primary total knee arthroplasty. Knee 21(1):272–277CrossRefPubMed Bell SW, Young P, Drury C, Smith J, Anthony I, Jones B, Blyth M, McLean A (2014) Component rotational alignment in unexplained painful primary total knee arthroplasty. Knee 21(1):272–277CrossRefPubMed
2.
go back to reference Berger RA, Crossett LS, Jacobs JJ, Rubash HE (1998) Malrotation causing patellofemoral complications after total knee arthroplasty. Clin Orthop Relat Res 356:144–153CrossRefPubMed Berger RA, Crossett LS, Jacobs JJ, Rubash HE (1998) Malrotation causing patellofemoral complications after total knee arthroplasty. Clin Orthop Relat Res 356:144–153CrossRefPubMed
3.
go back to reference Berger RA, Rubash HE (2001) Rotational instability and malrotation after total knee arthroplasty. Orthop Clin North Am 32:639–647CrossRefPubMed Berger RA, Rubash HE (2001) Rotational instability and malrotation after total knee arthroplasty. Orthop Clin North Am 32:639–647CrossRefPubMed
4.
go back to reference Berger RA, Rubash HE, Seel MJ, Thompson WH, Crossett LS (1993) Determining the rotational alignment of the femoral component in total knee arthroplasty using the epicondylar axis. Clin Orthop Relat Res 286:40–47PubMed Berger RA, Rubash HE, Seel MJ, Thompson WH, Crossett LS (1993) Determining the rotational alignment of the femoral component in total knee arthroplasty using the epicondylar axis. Clin Orthop Relat Res 286:40–47PubMed
5.
go back to reference Carpenter RD, Brilhault J, Majumdar S, Ries MD (2009) Magnetic resonance imaging of in vivo patellofemoral kinematics after total knee arthroplasty. Knee 16:332–336CrossRefPubMed Carpenter RD, Brilhault J, Majumdar S, Ries MD (2009) Magnetic resonance imaging of in vivo patellofemoral kinematics after total knee arthroplasty. Knee 16:332–336CrossRefPubMed
6.
go back to reference Griffin AM, White LM, Kandel R, Wunder JS (2000) Musculoskeletal images. Soft-tissue mass at the site of a previous total knee arthroplasty. Can J Surg 43:332–333PubMedCentralPubMed Griffin AM, White LM, Kandel R, Wunder JS (2000) Musculoskeletal images. Soft-tissue mass at the site of a previous total knee arthroplasty. Can J Surg 43:332–333PubMedCentralPubMed
7.
go back to reference Heyse TJ, le Chong R, Davis J, Boettner F, Haas SB, Potter HG (2012) MRI analysis for rotation of total knee components. Knee 19:571–575CrossRefPubMed Heyse TJ, le Chong R, Davis J, Boettner F, Haas SB, Potter HG (2012) MRI analysis for rotation of total knee components. Knee 19:571–575CrossRefPubMed
8.
go back to reference Heyse TJ, Tibesku CO (2014) Improved femoral component rotation in TKA using patient-specific instrumentation. Knee 21(1):268–271CrossRefPubMed Heyse TJ, Tibesku CO (2014) Improved femoral component rotation in TKA using patient-specific instrumentation. Knee 21(1):268–271CrossRefPubMed
9.
go back to reference Hofmann S, Romero J, Roth-Schiffl E, Albrecht T (2003) Rotational malalignment of the components may cause chronic pain or early failure in total knee arthroplasty. Orthopade 32:469–476PubMed Hofmann S, Romero J, Roth-Schiffl E, Albrecht T (2003) Rotational malalignment of the components may cause chronic pain or early failure in total knee arthroplasty. Orthopade 32:469–476PubMed
10.
go back to reference Jazrawi LM, Birdzell L, Kummer FJ, Di Cesare PE (2000) The accuracy of computed tomography for determining femoral and tibial total knee arthroplasty component rotation. J Arthroplasty 15:761–766CrossRefPubMed Jazrawi LM, Birdzell L, Kummer FJ, Di Cesare PE (2000) The accuracy of computed tomography for determining femoral and tibial total knee arthroplasty component rotation. J Arthroplasty 15:761–766CrossRefPubMed
11.
go back to reference Kosy JD, Eyres KS, Toms AD (2010) The value of magnetic resonance imaging in investigating a painful total knee arthroplasty. J Arthroplasty 26:977PubMed Kosy JD, Eyres KS, Toms AD (2010) The value of magnetic resonance imaging in investigating a painful total knee arthroplasty. J Arthroplasty 26:977PubMed
12.
go back to reference Lee KY, Slavinsky JP, Ries MD, Blumenkrantz G, Majumdar S (2005) Magnetic resonance imaging of in vivo kinematics after total knee arthroplasty. J Magn Reson Imaging 21:172–178CrossRefPubMed Lee KY, Slavinsky JP, Ries MD, Blumenkrantz G, Majumdar S (2005) Magnetic resonance imaging of in vivo kinematics after total knee arthroplasty. J Magn Reson Imaging 21:172–178CrossRefPubMed
13.
go back to reference Longstaff LM, Sloan K, Stamp N, Scaddan M, Beaver R (2009) Good alignment after total knee arthroplasty leads to faster rehabilitation and better function. J Arthroplasty 24:570–578CrossRefPubMed Longstaff LM, Sloan K, Stamp N, Scaddan M, Beaver R (2009) Good alignment after total knee arthroplasty leads to faster rehabilitation and better function. J Arthroplasty 24:570–578CrossRefPubMed
14.
go back to reference Miller MC, Zhang AX, Petrella AJ, Berger RA, Rubash HE (2001) The effect of component placement on knee kinetics after arthroplasty with an unconstrained prosthesis. J Orthop Res 19:614–620CrossRefPubMed Miller MC, Zhang AX, Petrella AJ, Berger RA, Rubash HE (2001) The effect of component placement on knee kinetics after arthroplasty with an unconstrained prosthesis. J Orthop Res 19:614–620CrossRefPubMed
15.
go back to reference Murakami AM, Hash TW, Hepinstall MS, Lyman S, Nestor BJ, Potter HG (2012) MRI evaluation of rotational alignment and synovitis in patients with pain after total knee replacement. J Bone Joint Surg Br 94:1209–1215CrossRefPubMed Murakami AM, Hash TW, Hepinstall MS, Lyman S, Nestor BJ, Potter HG (2012) MRI evaluation of rotational alignment and synovitis in patients with pain after total knee replacement. J Bone Joint Surg Br 94:1209–1215CrossRefPubMed
16.
go back to reference Nicoll D, Rowley DI (2010) Internal rotational error of the tibial component is a major cause of pain after total knee replacement. J Bone Joint Surg Br 92:1238–1244CrossRefPubMed Nicoll D, Rowley DI (2010) Internal rotational error of the tibial component is a major cause of pain after total knee replacement. J Bone Joint Surg Br 92:1238–1244CrossRefPubMed
17.
go back to reference Sofka CM, Ghelman B (2003) Radiographic tools for assessment of pathologic cartilage calcification. Curr Opin Rheumatol 15:296–301CrossRefPubMed Sofka CM, Ghelman B (2003) Radiographic tools for assessment of pathologic cartilage calcification. Curr Opin Rheumatol 15:296–301CrossRefPubMed
18.
go back to reference Sofka CM, Potter HG, Figgie M, Laskin R (2003) Magnetic resonance imaging of total knee arthroplasty. Clin Orthop Relat Res 406:129–135CrossRefPubMed Sofka CM, Potter HG, Figgie M, Laskin R (2003) Magnetic resonance imaging of total knee arthroplasty. Clin Orthop Relat Res 406:129–135CrossRefPubMed
19.
go back to reference Thompson JA, Hast MW, Granger JF, Piazza SJ, Siston RA (2011) Biomechanical effects of total knee arthroplasty component malrotation: a computational simulation. J Orthop Res 29:969–975CrossRefPubMed Thompson JA, Hast MW, Granger JF, Piazza SJ, Siston RA (2011) Biomechanical effects of total knee arthroplasty component malrotation: a computational simulation. J Orthop Res 29:969–975CrossRefPubMed
20.
go back to reference Victor J (2009) Rotational alignment of the distal femur: a literature review. Orthop Traumatol Surg Res 95:365–372CrossRefPubMed Victor J (2009) Rotational alignment of the distal femur: a literature review. Orthop Traumatol Surg Res 95:365–372CrossRefPubMed
21.
go back to reference Hung CLW, Pan YW, Yuen CK, Bong LH, Sha LWL, Man SWH (2009) Interobserver and intraobserver error in distal femur transepicondylar axis measurement with computed tomography. J Arthroplasty 24:96–100CrossRef Hung CLW, Pan YW, Yuen CK, Bong LH, Sha LWL, Man SWH (2009) Interobserver and intraobserver error in distal femur transepicondylar axis measurement with computed tomography. J Arthroplasty 24:96–100CrossRef
22.
go back to reference Zihlmann, Stacoff A, Romero J, Quervain IK, Stussi E (2005) Biomechanical background and clinical observations of rotational malalignment in TKA: literature review and consequences. Clin Biomech (Bristol, Avon) 20:661–668CrossRef Zihlmann, Stacoff A, Romero J, Quervain IK, Stussi E (2005) Biomechanical background and clinical observations of rotational malalignment in TKA: literature review and consequences. Clin Biomech (Bristol, Avon) 20:661–668CrossRef
Metadata
Title
Can rotational alignment of total knee arthroplasty be measured on MRI?
Authors
Mirco Sgroi
M. Faschingbauer
K. Javaheripour-Otto
H. Reichel
T. Kappe
Publication date
01-11-2015
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 11/2015
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-015-2289-4

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