The Impact of Wear and Lift-Off on Coronal Plane Alignment in TKA and Implications to Future Constrained Revision: A Retrieval Study

Current discussion exists whether to position a total knee arthroplasty (TKA) in slight undercorrection in varus osteoarthritis. The goal of this study was to analyse the effect of wear and lateral lift-off in primary TKA on coronal plane alignment and the implication to future constrained revision...

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Vydáno v:	The Journal of arthroplasty Ročník 30; číslo 11; s. 2017 - 2020
Hlavní autoři:	Vandekerckhove, Pieter-Jan T.K., Teeter, Matthew G., Naudie, Douglas D.R., Howard, James L., MacDonald, Steven J., Lanting, Brent A.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States Elsevier Inc 01.11.2015
Témata:	Aged Aged, 80 and over Arthroplasty, Replacement, Knee - methods Arthroplasty, Replacement, Knee - statistics & numerical data Bone Anteversion - complications Bone Anteversion - surgery constrained coronal plane alignment Humans Knee Joint - surgery lift-off Male Middle Aged Orthopedics Osteoarthritis, Knee - complications Osteoarthritis, Knee - surgery Reoperation retrieval study total knee arthroplasty wear coronal plane alignment wear total knee arthroplasty lift-off constrained retrieval study
ISSN:	0883-5403, 1532-8406
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Abstract	Current discussion exists whether to position a total knee arthroplasty (TKA) in slight undercorrection in varus osteoarthritis. The goal of this study was to analyse the effect of wear and lateral lift-off in primary TKA on coronal plane alignment and the implication to future constrained revision TKA. Seventy-six retrieved tibial inserts were analysed for the ratio of wear (RW), lateral lift-off and implications for future constrained revision surgery according to the coronal plane alignment. The RW significantly affects the coronal plane alignment in TKA. Progressive wear and lateral lift-off were seen with progressive varus alignment. However, there was no difference in constrained revision between mild varus and moderate varus aligned TKAs.
AbstractList	Current discussion exists whether to position a total knee arthroplasty (TKA) in slight undercorrection in varus osteoarthritis. The goal of this study was to analyse the effect of wear and lateral lift-off in primary TKA on coronal plane alignment and the implication to future constrained revision TKA. Seventy-six retrieved tibial inserts were analysed for the ratio of wear (RW), lateral lift-off and implications for future constrained revision surgery according to the coronal plane alignment. The RW significantly affects the coronal plane alignment in TKA. Progressive wear and lateral lift-off were seen with progressive varus alignment. However, there was no difference in constrained revision between mild varus and moderate varus aligned TKAs. Abstract Current discussion exists whether to position a total knee arthroplasty (TKA) in slight undercorrection in varus osteoarthritis. The goal of this study was to analyse the effect of wear and lateral lift-off in primary TKA on coronal plane alignment and the implication to future constrained revision TKA. Seventy-six retrieved tibial inserts were analysed for the ratio of wear (RW), lateral lift-off and implications for future constrained revision surgery according to the coronal plane alignment. The RW significantly affects the coronal plane alignment in TKA. Progressive wear and lateral lift-off were seen with progressive varus alignment. However, there was no difference in constrained revision between mild varus and moderate varus aligned TKAs.
Author	Naudie, Douglas D.R. MacDonald, Steven J. Teeter, Matthew G. Lanting, Brent A. Howard, James L. Vandekerckhove, Pieter-Jan T.K.
Author_xml	– sequence: 1 givenname: Pieter-Jan T.K. surname: Vandekerckhove fullname: Vandekerckhove, Pieter-Jan T.K. organization: Department of Orthopaedic Surgery, London Health Sciences Centre Ontario, Canada – sequence: 2 givenname: Matthew G. surname: Teeter fullname: Teeter, Matthew G. organization: Department of Orthopaedic Surgery, London Health Sciences Centre Ontario, Canada – sequence: 3 givenname: Douglas D.R. surname: Naudie fullname: Naudie, Douglas D.R. organization: Department of Orthopaedic Surgery, London Health Sciences Centre Ontario, Canada – sequence: 4 givenname: James L. surname: Howard fullname: Howard, James L. organization: Department of Orthopaedic Surgery, London Health Sciences Centre Ontario, Canada – sequence: 5 givenname: Steven J. surname: MacDonald fullname: MacDonald, Steven J. organization: Department of Orthopaedic Surgery, London Health Sciences Centre Ontario, Canada – sequence: 6 givenname: Brent A. surname: Lanting fullname: Lanting, Brent A. organization: Department of Orthopaedic Surgery, London Health Sciences Centre Ontario, Canada
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Cites_doi	10.3928/0147-7447-19990301-06 10.1054/arth.2003.50103 10.1016/j.knee.2011.11.003 10.3109/17453674.2014.913225 10.1007/s11999-011-1936-5 10.1016/j.arth.2006.02.166 10.1016/j.jbiomech.2004.02.024 10.1016/j.arth.2006.02.101 10.1016/j.arth.2009.04.034 10.1007/s11999-009-1112-3 10.1007/s00167-009-0983-x 10.1016/S0883-5403(99)90078-5 10.1054/arth.2002.35796 10.1016/j.knee.2010.04.012
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Snippet	Current discussion exists whether to position a total knee arthroplasty (TKA) in slight undercorrection in varus osteoarthritis. The goal of this study was to... Abstract Current discussion exists whether to position a total knee arthroplasty (TKA) in slight undercorrection in varus osteoarthritis. The goal of this...
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SubjectTerms	Aged Aged, 80 and over Arthroplasty, Replacement, Knee - methods Arthroplasty, Replacement, Knee - statistics & numerical data Bone Anteversion - complications Bone Anteversion - surgery constrained coronal plane alignment Humans Knee Joint - surgery lift-off Male Middle Aged Orthopedics Osteoarthritis, Knee - complications Osteoarthritis, Knee - surgery Reoperation retrieval study total knee arthroplasty wear
Title	The Impact of Wear and Lift-Off on Coronal Plane Alignment in TKA and Implications to Future Constrained Revision: A Retrieval Study
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