全膝关节置换术中两种胫骨假体旋转对线技术的临床比较

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Abstract Objective To investigate the clinical effect of two kinds of alignment technique in Total knee arthroplasty(TKA) on the reduction of rotation malalignment of tibial prosthesis.Methods A total of 60 cases who received primary TKA surgery in the Affiliated Lianyungang Hospital of Xuzhou Medical University(the First People′s Hospital of Lianyungang) from April 2015 to April 2019 were divided into groups A and B based on the simple random number table method,with 30 patients in each group.Group A: rotation alignment technique of tibial prosthesis based on Akagi line,Group B: based on Insall line.At the last follow-up,the clinical efficacy after TKA was evaluated according to knee society score (KSS),and the rotation angle of tibial prosthesis was measured using CT image data.Results A total of 60 patients were followed up for 12 to 48 months,with an average of (22.9±5.5) months.The KSS score at the last followup after operation was higher than that before the operation,and the difference was statistically significant (P＜0.05);there was no significant difference in the KSS score between the groups before and at the last follow-up (P＞0.05).There was no statistically significant difference in the overall excellent and good rate between the two groups (P＞0.05);at the last follow-up,the overall angle of external rotation of tibial prosthesis in the A group ([3.2±1.3]°) was better than that in the B group ([6.4±3.2]°),and the difference was statistically significant (P＜0.05).The external rotation angle of tibial prosthesis in A group was less than that in B group,and the internal rotation angle was greater than that in B group (P＜0.05).The ratio of external rotation of tibial prosthesis in group A was lower than that in group B,while the ratio of internal rotation was higher than that in group B,the difference was statistically significant (P＜0.05).Conclusion The technique based on Akagi line can effectively reduce the malalignment of tibial prosthesis after TKA,which is better than the technique based on Insall line method.

Key words： Total knee arthroplasty Knee joint Tibial prosthesis Rotation Alignment

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	Articles by authors
	DONG Yue-fu1 WANG Guo-dong
	ZHANG-Zhen
	MOU Zhi-fang
	JIANG Sheng-bo1
	LIU Xu-dong
	LIU-Jian

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DONG Yue-fu1 WANG Guo-dong,ZHANG-Zhen,MOU Zhi-fang, et al. Clinical comparison of two kinds of tibial prosthesis rotation alignment techniques in total knee arthroplasty[J]. 中国当代医药, 2020, 27(34): 78-80转84.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I34/78

[1]	Ma DS，Wang ZW，Wen L，et al.Improving tibial component coronal alignment during total knee arthroplasty with the use of a double-check technique[J].Orthop Surg，2019，11（6）：1013-1019.
[2]	Dong Y，Zhang Z，Dong W，et al.An optimization method for implantation parameters of individualized TKA tibial prosthesis based on finite element analysis and orthogonal experimental design[J].BMC Musculoskelet Disord，2020，21（1）：165.
[3]	Van Onsem S，Verstraete M，Dhont S，et al.Improved walking distance and range of motion predict patient satisfaction after TKA[J].Knee Surg Sports Traumatol Arthrosc，2018，26（11）：3272-3279.
[4]	Saffi M，Spangehl MJ，Clarke HD，et al.Measuring tibial component rotation following total knee arthroplasty：What Is the Best Method[J].J Arthroplasty，2019，34（7S）：S355-S360.
[5]	Bedard M，Vince KG，Redfern J，et al.Internal rotation of the tibial component is frequent in stiff total knee arthroplasty[J].Clin Orthop Relat Res，2011，469（8）：2346-2355.
[6]	Ohmori T，Kabata T，Kajino Y，et al.A proposed new rotating reference axis for the tibial component after proximal tibial resection in total knee arthroplasty[J].PLoS One，2018，13（12）：e0209317.
[7]	Ushio T，Mizu-uchi H，Okazaki K，et al.The anteroposterior axis of the proximal tibia can change after tibial resection in total knee arthroplasty：computer simulation using Asian osteoarthritis knee[J].J Arthroplasty，2017，32（3）：1006-1012.
[8]	Saffarini M，Nover L，Tandogan R，et al.The original Akagi line is the most reliable：a systematic review of landmarks for rotational alignment of the tibial component in TKA[J].Knee Surg Sports Traumatol Arthrosc，2019，27（4）：1018-1027.
[9]	Van Houten AH，Kosse NM，Wessels M，et al.Measurement techniques to determine tibial rotation after total knee arthroplasty are less accurate than we think[J].Knee，2018，25（4）：663-668.
[10]	Mahmood FF，Holloway NJ，Deakin AH，et al.A new landmark for measuring tibial component rotation after total knee arthroplasty[J].Knee，2019，26（3）：779-786.
[11]	Akagi M，Oh M，Nonaka T，et al.An anteroposterior axis of the tibia for total knee arthroplasty[J].Clin Orthop Relat Res，2004，（420）：213-219.
[12]	Kim YH，Park JW，Kim JS，et al.The relationship between the survival of total knee arthroplasty and postoperative coronal，sagittal and rotational alignment of knee prosthesis[J].Int Orthop，2014，38（2）：379-385.
[13]	Insall JN.Surgical technique and instrumentation in TKA.In：INsallJN，ed.SurgeryoftheKnee[M].NewYorkNY：Churchill Livingstone：1993：739-893.
[14]	Kawahara S，Okazaki K，Matsuda S，et al.Medial sixth of the patellar tendon at the tibial attachment is useful for the anterior reference in rotational alignment of the tibial component[J].Knee Surg Sports Traumatol Arthrosc，2014，22（5）：1070-1075.
[15]	Schiapparelli FF，Amsler F，Hirschmann MT.Medial parapatellar approach leads to internal rotation of tibial component in total knee arthroplasty [J].Knee Surg Sports Traumatol Arthrosc，2018，26（5）：1564-1570.
[16]	Popescu R，Haritinian EG，Cristea S.Methods of intra-and post-operative determination of the position of the tibial component during total knee replacement[J].Int Orthop，2020，44（1）：119-128.