The Imperial Joint Line Congruency Measurement is a valuable tool in total knee arthroplasty.

<h4>Background</h4>Preservation of joint line height is an important factor in post-operative function after Total Knee Arthroplasty (TKA). This is the first study investigating the reliability of the novel Imperial Joint Line Congruency Measurement (IJLCM) technique for the assessment o...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ravi Popat, Kieran Dhillon, Piyush Mahapatra, Hasaan Khan, Dinesh Nathwani
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b366e91395704164b740084ce1ff2412
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b366e91395704164b740084ce1ff2412
record_format	dspace
spelling	oai:doaj.org-article:b366e91395704164b740084ce1ff24122021-12-02T20:06:20ZThe Imperial Joint Line Congruency Measurement is a valuable tool in total knee arthroplasty.1932-620310.1371/journal.pone.0257325https://doaj.org/article/b366e91395704164b740084ce1ff24122021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257325https://doaj.org/toc/1932-6203<h4>Background</h4>Preservation of joint line height is an important factor in post-operative function after Total Knee Arthroplasty (TKA). This is the first study investigating the reliability of the novel Imperial Joint Line Congruency Measurement (IJLCM) technique for the assessment of joint line height using plain radiographs.<h4>Methods</h4>The reliability of two techniques used to measure joint line height on pre-operative and post-operative plain radiographs is presented. 120 patients that underwent TKA from 6 different international centres were included. Measurements were performed using each technique by two senior orthopaedic surgeons at two different timepoints (test-retest). Two undergraduate medical students performed joint line measurements using the most reproducible of the two techniques on 40 pre-operative and post-operative images to establish the reliability of the measurement technique.<h4>Results</h4>The IJLCM demonstrated an average absolute difference of 1.83mm (CI 1.56-2.10mm) and excellent inter and intra-rater reliability between senior orthopaedic surgeons (>0.92 (CI 0.88-0.94) when measuring joint line height on plain radiographs. Overall Crohnbach's alpha over 0.92 confirmed internal consistency. Measurements performed using the control technique as previously described by Figgie et al. had an average absolute difference of 5.75mm (5.17-6.32mm). Comparison of measurements by senior orthopaedic surgeons and medical students using the IJLCM technique with ANOVA and student's t-test demonstrated acceptable agreement and inter-rater reliability of >0.92 (0.87-0.95).<h4>Conclusion</h4>This study shows excellent accuracy, precision, and reliability of the novel IJLCM technique. Furthermore, excellent agreement between senior orthopaedic surgeons and medical students when using the IJLCM could be shown. The IJLCM technique is reliable for joint line assessment.Ravi PopatKieran DhillonPiyush MahapatraHasaan KhanDinesh NathwaniPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257325 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ravi Popat Kieran Dhillon Piyush Mahapatra Hasaan Khan Dinesh Nathwani The Imperial Joint Line Congruency Measurement is a valuable tool in total knee arthroplasty.
description	<h4>Background</h4>Preservation of joint line height is an important factor in post-operative function after Total Knee Arthroplasty (TKA). This is the first study investigating the reliability of the novel Imperial Joint Line Congruency Measurement (IJLCM) technique for the assessment of joint line height using plain radiographs.<h4>Methods</h4>The reliability of two techniques used to measure joint line height on pre-operative and post-operative plain radiographs is presented. 120 patients that underwent TKA from 6 different international centres were included. Measurements were performed using each technique by two senior orthopaedic surgeons at two different timepoints (test-retest). Two undergraduate medical students performed joint line measurements using the most reproducible of the two techniques on 40 pre-operative and post-operative images to establish the reliability of the measurement technique.<h4>Results</h4>The IJLCM demonstrated an average absolute difference of 1.83mm (CI 1.56-2.10mm) and excellent inter and intra-rater reliability between senior orthopaedic surgeons (>0.92 (CI 0.88-0.94) when measuring joint line height on plain radiographs. Overall Crohnbach's alpha over 0.92 confirmed internal consistency. Measurements performed using the control technique as previously described by Figgie et al. had an average absolute difference of 5.75mm (5.17-6.32mm). Comparison of measurements by senior orthopaedic surgeons and medical students using the IJLCM technique with ANOVA and student's t-test demonstrated acceptable agreement and inter-rater reliability of >0.92 (0.87-0.95).<h4>Conclusion</h4>This study shows excellent accuracy, precision, and reliability of the novel IJLCM technique. Furthermore, excellent agreement between senior orthopaedic surgeons and medical students when using the IJLCM could be shown. The IJLCM technique is reliable for joint line assessment.
format	article
author	Ravi Popat Kieran Dhillon Piyush Mahapatra Hasaan Khan Dinesh Nathwani
author_facet	Ravi Popat Kieran Dhillon Piyush Mahapatra Hasaan Khan Dinesh Nathwani
author_sort	Ravi Popat
title	The Imperial Joint Line Congruency Measurement is a valuable tool in total knee arthroplasty.
title_short	The Imperial Joint Line Congruency Measurement is a valuable tool in total knee arthroplasty.
title_full	The Imperial Joint Line Congruency Measurement is a valuable tool in total knee arthroplasty.
title_fullStr	The Imperial Joint Line Congruency Measurement is a valuable tool in total knee arthroplasty.
title_full_unstemmed	The Imperial Joint Line Congruency Measurement is a valuable tool in total knee arthroplasty.
title_sort	imperial joint line congruency measurement is a valuable tool in total knee arthroplasty.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/b366e91395704164b740084ce1ff2412
work_keys_str_mv	AT ravipopat theimperialjointlinecongruencymeasurementisavaluabletoolintotalkneearthroplasty AT kierandhillon theimperialjointlinecongruencymeasurementisavaluabletoolintotalkneearthroplasty AT piyushmahapatra theimperialjointlinecongruencymeasurementisavaluabletoolintotalkneearthroplasty AT hasaankhan theimperialjointlinecongruencymeasurementisavaluabletoolintotalkneearthroplasty AT dineshnathwani theimperialjointlinecongruencymeasurementisavaluabletoolintotalkneearthroplasty AT ravipopat imperialjointlinecongruencymeasurementisavaluabletoolintotalkneearthroplasty AT kierandhillon imperialjointlinecongruencymeasurementisavaluabletoolintotalkneearthroplasty AT piyushmahapatra imperialjointlinecongruencymeasurementisavaluabletoolintotalkneearthroplasty AT hasaankhan imperialjointlinecongruencymeasurementisavaluabletoolintotalkneearthroplasty AT dineshnathwani imperialjointlinecongruencymeasurementisavaluabletoolintotalkneearthroplasty
_version_	1718375382499983360

The Imperial Joint Line Congruency Measurement is a valuable tool in total knee arthroplasty.

Ejemplares similares