[PDF][PDF] Current review of surgical management options for rotational alignment of the femoral and tibial component in total knee replacement

B Cretu, C Cîrstoiu, S Cristea - RJMM, 2019 - revistamedicinamilitara.ro
RJMM, 2019revistamedicinamilitara.ro
Rotational malalignment complication following TKA, is common but can be avoided with
proper surgical technique. This paper reviews the literature regarding rotational alignment
during TKA, femoral and tibial rotation, and highlights the techniques prior in obtaining
proper rotational positioning, nevertheless correct positioning in all three planes is
important. Proper femoral component positioning in the axial plane is done using as
landmarks the posterior condylar line (PCL), surgical transepicondylar axis (sTEA) …
Abstract
Rotational malalignment complication following TKA, is common but can be avoided with proper surgical technique. This paper reviews the literature regarding rotational alignment during TKA, femoral and tibial rotation, and highlights the techniques prior in obtaining proper rotational positioning, nevertheless correct positioning in all three planes is important.
Proper femoral component positioning in the axial plane is done using as landmarks the posterior condylar line (PCL), surgical transepicondylar axis (sTEA), anatomical transepicondylar axis and the trochlear anteroposterior (AP) axis. The paper describes the angular relationships between these landmarks and the distal femur. Axial tibial positioning is done when using intraarticular landmarks, the combination of more than one landmark could be a solution for solving this problem.
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