Assessment of Loosening and Rotational Malalignment Following Knee Endoprosthesis or Other Surgical Components

Ioan N. Gemescu; Marc-André Weber; Christoph Rehnitz; Wolfram Mittelmeier; John A. Carrino; Kolja M. Thierfelder

doi:10.1055/s-0038-1667118

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 2018; 22(04): 435-443
DOI: 10.1055/s-0038-1667118

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Assessment of Loosening and Rotational Malalignment Following Knee Endoprosthesis or Other Surgical Components

Authors

Ioan N. Gemescu

¹Department of Radiology and Medical Imaging, University Emergency Hospital Bucharest, Bucharest, Romania
Marc-André Weber

²Institute of Diagnostic and Interventional Radiology, University Medical Center Rostock, Rostock, Germany
Christoph Rehnitz

³Diagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany
Wolfram Mittelmeier

⁴Department of Orthopaedics, Biomechanics and Implant Technology Research Laboratory Rostock, University Medicine Rostock, Germany
John A. Carrino

⁵Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York
Kolja M. Thierfelder

²Institute of Diagnostic and Interventional Radiology, University Medical Center Rostock, Rostock, Germany

Abstract

Total knee arthroplasty (TKA) has significant medical and economic implications. The correct placement of the femoral and tibial components is vital to ensure a functional knee and also low failure and revision surgery rates. This article provides the most relevant information regarding knee endoprosthesis from a radiologic point of view. Basic information on the recommended alignment of the femoral and tibial components in TKA and how to measure them are discussed. We then present the most important axial plane rotational references for the femoral and the tibial components. The optimal coronal alignment, illustrating the axes of the lower limb, and loosening as the major complication are also discussed. Finally, we offer a detailed example of rotational assessment.

Keywords

total knee endoprosthesis - femoral component - tibial component - loosening - malrotation

Full Text

References

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