Effects of different prosthetic instrumentations on tibial bone resection in total knee arthroplasty

Abstract Our aim was to assess the accuracy of the obtained posterior tibial slope (PTS) with a fixed angle cutting block. 247 TKAs in 213 patients were reviewed. We included 104 Legion Prosthesis, 76 U2 Knee Prosthesis, 46 NexGen LPS-Flex Prosthesis, and 21 Vanguard Knee System products. Preoperati...

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Autores principales:	Yufeng Lu, Xuechao Yuan, Feng Qiao, Yangquan Hao
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/24d993821ac84e72a578ac7bae2c6920
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spelling	oai:doaj.org-article:24d993821ac84e72a578ac7bae2c69202021-12-02T13:26:25ZEffects of different prosthetic instrumentations on tibial bone resection in total knee arthroplasty10.1038/s41598-021-86787-x2045-2322https://doaj.org/article/24d993821ac84e72a578ac7bae2c69202021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86787-xhttps://doaj.org/toc/2045-2322Abstract Our aim was to assess the accuracy of the obtained posterior tibial slope (PTS) with a fixed angle cutting block. 247 TKAs in 213 patients were reviewed. We included 104 Legion Prosthesis, 76 U2 Knee Prosthesis, 46 NexGen LPS-Flex Prosthesis, and 21 Vanguard Knee System products. Preoperative and postoperative PTS were measured via expanded lateral tibia radiographs. For postoperative PTS, the Legion group had significantly smaller slopes than the U2 Knee group and Vanguard group. However, there was no significant difference between the Legion and NexGen groups, and no significant difference among the NexGen, U2 Knee, and Vanguard groups. Multiple linear regression showed that the different tibial lengths and preoperative PTS had statistically significant effects on postoperative PTS. However, there were weak correlations between the tibial length and PTS, and between preoperative and postoperative PTS. For TKA, although the PTS is not completely consistent with the angle of the cutting block, using conventional tibial bone resection technology with different tibial cutting instrumentations provided by various manufacturers in TKA can obtain safe PTS.Yufeng LuXuechao YuanFeng QiaoYangquan HaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yufeng Lu Xuechao Yuan Feng Qiao Yangquan Hao Effects of different prosthetic instrumentations on tibial bone resection in total knee arthroplasty
description	Abstract Our aim was to assess the accuracy of the obtained posterior tibial slope (PTS) with a fixed angle cutting block. 247 TKAs in 213 patients were reviewed. We included 104 Legion Prosthesis, 76 U2 Knee Prosthesis, 46 NexGen LPS-Flex Prosthesis, and 21 Vanguard Knee System products. Preoperative and postoperative PTS were measured via expanded lateral tibia radiographs. For postoperative PTS, the Legion group had significantly smaller slopes than the U2 Knee group and Vanguard group. However, there was no significant difference between the Legion and NexGen groups, and no significant difference among the NexGen, U2 Knee, and Vanguard groups. Multiple linear regression showed that the different tibial lengths and preoperative PTS had statistically significant effects on postoperative PTS. However, there were weak correlations between the tibial length and PTS, and between preoperative and postoperative PTS. For TKA, although the PTS is not completely consistent with the angle of the cutting block, using conventional tibial bone resection technology with different tibial cutting instrumentations provided by various manufacturers in TKA can obtain safe PTS.
format	article
author	Yufeng Lu Xuechao Yuan Feng Qiao Yangquan Hao
author_facet	Yufeng Lu Xuechao Yuan Feng Qiao Yangquan Hao
author_sort	Yufeng Lu
title	Effects of different prosthetic instrumentations on tibial bone resection in total knee arthroplasty
title_short	Effects of different prosthetic instrumentations on tibial bone resection in total knee arthroplasty
title_full	Effects of different prosthetic instrumentations on tibial bone resection in total knee arthroplasty
title_fullStr	Effects of different prosthetic instrumentations on tibial bone resection in total knee arthroplasty
title_full_unstemmed	Effects of different prosthetic instrumentations on tibial bone resection in total knee arthroplasty
title_sort	effects of different prosthetic instrumentations on tibial bone resection in total knee arthroplasty
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/24d993821ac84e72a578ac7bae2c6920
work_keys_str_mv	AT yufenglu effectsofdifferentprostheticinstrumentationsontibialboneresectionintotalkneearthroplasty AT xuechaoyuan effectsofdifferentprostheticinstrumentationsontibialboneresectionintotalkneearthroplasty AT fengqiao effectsofdifferentprostheticinstrumentationsontibialboneresectionintotalkneearthroplasty AT yangquanhao effectsofdifferentprostheticinstrumentationsontibialboneresectionintotalkneearthroplasty
_version_	1718393018196688896

Effects of different prosthetic instrumentations on tibial bone resection in total knee arthroplasty

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