Prospective study to determine restoration of posterior condylar offset and the risk of anterior femoral notching in total knee arthroplasty using posterior referencing technique (With Biomet, Vanguard Implant)

Journal Title: National Journal of Clinical Orthopaedics - Year 2018, Vol 2, Issue 4

Abstract

Objectivest: Otal knee replacement surgery has been definitive management for severe grade osteoarthritis. Literature shows that posterior referencing accurately restores posterior condylar offset relative to anterior referencing but there are chances of anterior femoral notching and anterior femoral notching in turn may lead to peri-prosthetic fracture. Various studies shows that anterior referencing technique affects the flexion gap tightness. This study is intended to assess the restoration of posterior condylar offset and the chances of anterior femoral notching in total knee replacement using posterior referencing technique by observing pre-operative and post-operative knee x-ray true lateral view. Methodology: This is a prospective observational study of 50 consecutive cases of knee joint osteoarthritis, Posterior condylar offset was measured using picture archiving and communication systems (PACS). Post-operative X-rays knee joint true lateral views were observed for anterior femoral notching. Results: In 49 knee replacements posterior condylar offset was restored within 0 cm to +0.3 cm. In one case pco increase beyond +0.3cm. In none of the cases pco decreased. In none of the cases anterior femoral notching was seen. Conclusion: This study concludes that in total knee replacement using posterior referencing technique, most of the cases posterior condylar offset is restored and chances of anterior femoral notching is negligible. Further studies needed with larger number of cases.

Authors and Affiliations

Dr. Sonu Mehta, Dr. Shailandra Pandey, Dr. Tapan Jain, Dr. Deepak Aher, Dr. Hari prakash Lokku

Keywords

Related Articles

Role of platelet rich plasma in chronic tennis elbow

Introduction: Chronic tennis elbow is a common problem, for which current available treatments are often unsatisfactory. Biologic therapies, such as platelet rich plasma (PRP) injections, aimed at stimulating healing of...

To assess the functional results of surgical management of distal humerus fractures in adults involving the articular surface

Introduction: Distal humerus fractures are uncommon injuries that account for fewer than 2% of all adult fractures. The complex shape of the elbow joint, the adjacent neurovascular architecture, and the sparse soft tissu...

Surgical outcome of fracture both bones forearm in children using tens

Introduction: Injuries to the shaft of the radius and ulnar are the most common reasons for children to receive orthopedic care and are among the most challenging to the orthopedist because of the treatment complexity an...

Management of proximal humeral fractures with philos locking plate: A prospective study

Introduction: Proximal humeral fractures are the second most common fractures of the upper extremity accounting for 4% to 5% of all fractures. The treatment of proximal humeral fractures is divided into non-operative and...

Role of micronutrients in uptake of sequestrum in paediatric chronic diaphyseal osteomyelitis: An analysis of 15 cases

Background: The socioeconomic status and the healthcare delivery system in developing countries has made chronic osteomyelitis as one of the pressing concerns. The main issue is the ability of microorganism to persist in...

Download PDF file
  • EP ID EP506967
  • DOI -
  • Views 75
  • Downloads 0

How To Cite

Dr. Sonu Mehta, Dr. Shailandra Pandey, Dr. Tapan Jain, Dr. Deepak Aher, Dr. Hari prakash Lokku (2018). Prospective study to determine restoration of posterior condylar offset and the risk of anterior femoral notching in total knee arthroplasty using posterior referencing technique (With Biomet, Vanguard Implant). National Journal of Clinical Orthopaedics, 2(4), 37-42. https://www.europub.co.uk/articles/-A-506967