A novel technique using sensor-based technology to evaluate tibial tray rotation

Orthopedics
Martin W RocheChristopher R Anderson

Abstract

Rotational tibiofemoral congruency and centralized patellar tracking are critical technical factors that affect the postoperative success of total knee arthroplasty (TKA). Several techniques are used to position the femoral component, but there is no validated method for achieving the ideal rotational position of the tibial component. It has been suggested that referencing the midmedial third of the tibial tubercle intraoperatively mitigates positional outliers. This study used data collected from intraoperative sensors to quantify the variability associated with using the midmedial third of the tibial tubercle in 170 patients undergoing primary TKA. With the sensor-equipped trial insert in place, the knee was taken into extension and the location of the femoral condylar contact point on the articular surface of the tibial insert was displayed. Rotational adjustments of the tibial tray were evaluated in real time as the surgeon corrected tray malpositioning. The initial and final angles of tibial tray rotation were captured and recorded with intraoperative video feed. When referencing the tubercle, 53% of patients had asymmetric tibiofemoral congruency in extension. Of those patients, 68% had excessive internal rotation of the ...Continue Reading

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Citations

Dec 15, 2015·Advances in Orthopedics·William A LeoneChristopher R Anderson
May 9, 2016·The Journal of Arthroplasty·Randa K ElmallahMichael A Mont
Sep 7, 2017·Orthopedics·Ahmed SiddiqiNeil P Sheth
Jan 4, 2020·JBJS Reviews·Ahmed SiddiqiAntonia F Chen
Oct 2, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·William M MihalkoHani Haider

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