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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2018

01-05-2018 | Knee

Case-related factors affecting cutting errors of the proximal tibia in total knee arthroplasty assessed by computer navigation

Authors: Tadashi Tsukeoka, Yoshikazu Tsuneizumi, Kensuke Yoshino, Mashiko Suzuki

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2018

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Abstract

Purpose

The aim of this study was to determine factors that contribute to bone cutting errors of conventional instrumentation for tibial resection in total knee arthroplasty (TKA) as assessed by an image-free navigation system. The hypothesis is that preoperative varus alignment is a significant contributory factor to tibial bone cutting errors.

Methods

This was a prospective study of a consecutive series of 72 TKAs. The amount of the tibial first-cut errors with reference to the planned cutting plane in both coronal and sagittal planes was measured by an image-free computer navigation system. Multiple regression models were developed with the amount of tibial cutting error in the coronal and sagittal planes as dependent variables and sex, age, disease, height, body mass index, preoperative alignment, patellar height (Insall-Salvati ratio) and preoperative flexion angle as independent variables.

Results

Multiple regression analysis showed that sex (male gender) (R = 0.25 p = 0.047) and preoperative varus alignment (R = 0.42, p = 0.001) were positively associated with varus tibial cutting errors in the coronal plane. In the sagittal plane, none of the independent variables was significant.

Conclusion

When performing TKA in varus deformity, careful confirmation of the bone cutting surface should be performed to avoid varus alignment. The results of this study suggest technical considerations that can help a surgeon achieve more accurate component placement.

Level of evidence

IV.
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Metadata
Title
Case-related factors affecting cutting errors of the proximal tibia in total knee arthroplasty assessed by computer navigation
Authors
Tadashi Tsukeoka
Yoshikazu Tsuneizumi
Kensuke Yoshino
Mashiko Suzuki
Publication date
01-05-2018
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2018
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-016-4397-2

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