Imaging of symptomatic total knee arthroplasty with cone beam computed tomography

Acta Radiologica
Antti JaromaHeikki Kröger

Abstract

Computed tomography (CT) can be used to assess the rotational alignment of prosthesis components to identify possible underlying causes of symptomatic total knee arthroplasty (TKA). The use of cone beam computed tomography (CBCT) for the imaging of extremities is relatively new, although it has been widely used in dental imaging. To assess the intra- and inter-observer reproducibility of CBCT, as well as to validate CBCT for TKA component and periprosthetic bone diagnostics. CBCT scans were performed on 18 patients the day before a scheduled revision TKA, from which the intra- and inter-observer reproducibility were assessed. Component rotation and loosening were evaluated. Perioperative bone defects were classified. The inter-observer intraclass coefficient correlation (ICC) for femoral component rotation was 0.41 (95% confidence interval [CI] = 0.12-0.69). For the tibial component, the ICC was 0.87 (95% CI = 0.74-0.94). Intra-observer reproducibilities were 0.70 (95% CI = 0.35-0.87) and 0.92 (95% CI = 0.80-0.97), respectively. The sensitivity for tibial component loosening was 97% and the specificity was 85%. The reliability of bone defect classification was only weak to moderate. Two-dimensional (2D) CBCT scanning provides r...Continue Reading

References

Jan 26, 1999·Clinical Orthopaedics and Related Research·R A BergerH E Rubash
Dec 13, 2006·International Journal of Radiation Oncology, Biology, Physics·Yongbin ZhangLei Dong
Aug 4, 2007·The Journal of Bone and Joint Surgery. British Volume·P N BakerUNKNOWN National Joint Registry for England and Wales
Sep 6, 2007·The Journal of Bone and Joint Surgery. British Volume·D W Elson, I J Brenkel
Jul 14, 2009·Orthopaedics & Traumatology, Surgery & Research : OTSR·J Victor
Oct 22, 2009·Clinical Orthopaedics and Related Research·Robert B BourneKory D J Charron
Feb 12, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michael T HirschmannNiklaus F Friederich
Aug 23, 2011·Journal of Orthopaedic Surgery·Yi Yan QiuFu Yuen Ng
Nov 17, 2011·The Journal of Arthroplasty·Lucian B SolomonDonald W Howie
Jun 7, 2012·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Donald A TyndallUNKNOWN American Academy of Oral and Maxillofacial Radiology
Oct 17, 2012·International Orthopaedics·Amir SternheimDavid Backstein
Nov 3, 2012·Archives of Orthopaedic and Trauma Surgery·Ralf BiegerHeiko Reichel
Jul 3, 2013·Clinical Orthopaedics and Related Research·Beau KonigsbergKevin L Garvin
Nov 20, 2013·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Harri T KokkonenJuha Töyräs
May 8, 2014·International Journal of Dentistry·Yousef A Aljehani
Jun 26, 2014·The Journal of Arthroplasty·Yukihide MinodaHiroaki Nakamura
Jun 8, 2015·Nuclear Medicine Communications·Pelin ArıcanBülent Özkurt
Oct 28, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Eduard J De ValkEduard L A R Mutsaerts
Oct 30, 2016·International Journal of Radiation Oncology, Biology, Physics·Mark KorpicsJohn C Roeske
May 4, 2017·The British Journal of Radiology·Cosimo NardiStefano Colagrande

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray

Software Mentioned

MPR
SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.