RESEARCH PROGRESS OF LOCATION MARKER OF ROTATIONAL ALIGNMENT OF DISTAL FEMUR_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

HU Meng , LI Yanlin , TONG Lu.

Department of Sport Medicine, the First Affiliated Hospital of Kunming Medical University, Kunming Yunnan, 650032, P.R.China. Corresponding author: LI Yanlin, E-mail: yanlinli1969@yahoo.com.cn;

Corresponding author：

Keywords：

Distal femur; Rotational alignment; Total knee arthroplasty

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Objective To review the research progress of the location marker of rotational alignment of the distal femur. Methods The recent literature concerning the location marker of rotational alignment of the distal femur at home and abroad was extensively reviewed and analyzed. Results Femoral prosthesis malrotational alignment could lead to some patellofemoral complications, such as dislocation of the patella, snapping, wear, and patellar pain. There are many methods to determining femoral component rotational alignment in the artificial total knee arthroplasty, including transepicondylar axis line, anterior posterior axis, the posterior condyles line, flexion gap balance technology, and computer navigation technology. Correct choice of the rotational alignment of the distal femur is crucial in reducing postoperative complications and the revision rate. Suitable reference axis is chosen during total knee arthroplasty to ensure the accuracy of the rotation axis of the femoral prosthesis, but it is currently still controversial. Conclusion The rotational alignment of the distal femur is an extremely important part to affect the prognosis of total knee arthroplasty. The methods to determine the rotational alignment of the distal femur need to be further improved.

Citation： HU Meng,LI Yanlin,TONG Lu.. RESEARCH PROGRESS OF LOCATION MARKER OF ROTATIONAL ALIGNMENT OF DISTAL FEMUR. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(1): 54-57. doi: Copy

1.	Confalonieri N, Manzotti A, Pullen C, et al. Computer-assisted technique versus intramedullary and extramedullary alignment systems in total knee replacement: a radiological comparison. Acta Orthop Belg, 2005, 71(6): 703-709.
2.	Ensini A, Catani F, Leardini A, et al. Alignments and clinical results in conventional and navigated total knee arthroplasty. Clin Orthop Relat Res, 2007, (457): 156-162.
3.	Chin PL, Yang KY, Yeo SJ, et al. Randomized control trial comparing radiographic total knee arthroplasty implant placement using computer navigation versus conventional technique. J Arthroplasty, 2005, 20(5): 618-626.
4.	Incavo SJ, Wild JJ, Coughlin KM, et al. Early revision for component malrotation in total knee arthroplasty. Clin Orthop Relat Res, 2007, (458): 131-136.
5.	Scuderi GR, Komistek RD, Dennis DA, et al. The impact of femoral compontent rotation alignment on condylar lift-off. Clin Orthop Relat Res, 2003, (410): 148-154.
6.	Luo CF, Koshino T, Takeuchi R, et al. Reliability of the transepicondylar line as a parameter of femoral axial alignment. J Orthop Sci, 2001, 6(5): 373-377.
7.	谢诗娟, 白波, 刘琦, 等. 股骨髁旋转力线在三维重建图像中的测量. 广州医学院报, 2008, 36(4): 24-26.
8.	Yoshino N, Takai S, Ohtsuki Y, et al. Computed tomography measurement of the surgical and clinial transepicondylar axis of the distal femur in osteoarthritic knees. J Arthoplasty, 2001, 16(4): 493-497.
9.	Akagi M, Matsusue Y, Mata T, et al. Effect of rotational alignment on patellar tracking in total knee arthroplasty. Clin Orthop Relat Res, 1999, (366): 155-163.
10.	Lanchiewicz PF, Soileau ES. Patella maltracking in posterior stabilized total knee arthroplasty. Clin Orthop Relat Res, 2006, (452): 155-158.
11.	李新胜, 姜建威, 储小兵, 等. 股骨后髁角的影像学测量临床价值. 南京医科大学学报, 2006, 26(5): 371-372.
12.	Schnurr C, Nessler J, König DP. Is referencing the posterior condyles sufficient to achieve a rectangular flexion gap in total knee arthroplasty? Int Orthop, 2009, 33(6): 1561-1565.
13.	戚盈杰, 胡月正, 吴剑彬, 等. 全膝关节置换术股骨及胫骨假体旋转定位研究进展. 国际骨科学杂志, 2011, 32(4): 221-223.
14.	Picard F, Gregori A, Dean F, et al. Computer-assisted dynamic total knee arthroplasty using Whisiteside’s line for alignment. Orthopedies, 2006, 29(10 Suppl): S104-107.
15.	Arima J, Whiteside LA, McCarthy DS, et al. Femoral rotational alignment, based on the anteroposterior axis, in total knee arthroplasty in a valgus knee. J Bone Joint Surg (Am), 1995, 77(9): 1331-1334.
16.	Victor J, van Doninck D, Labey L, et al. A common reference frame for describing rotation of the distal femur: a CT-based kinematic study using cadavers. J Bone Joint Surg (Br), 2009, 91(5): 683-690.
17.	Middleton FR, Palmer SH. How accurate is Whiteside, s line as a reference axis in total knee arthroplasty? Knee, 2007, 14(3): 204-207.
18.	Dennis DA, Komistek RD, Kim RH, et al. Gap balancing versus measured resection technique for total knee arthroplasty. Clin Orthop Relat Res, 2010, 468(1): 102-107.
19.	Witoolkollachit P, Seubchompoo O. The comparison of femoral component rotational alignment with transepicondylar axis in mobile bearing TKA, CT-scan study. J Med Assoc Thai, 2008, 91(7): 1051-1058.
20.	Lee DS, Song EK, Seon JK, et al. Effect of balanced gap total knee arthoplasty on intraoperative laxities and femoral component rotation. J Arthroplasty, 2011, 26(5): 699-704.
21.	Shrinand V Vaidya, Aditya V Maheshwari, Rajesh M Gadhiya, et al. Computed tomographic evaluation of femoral component rotation in total knee arthroplasty: a comparison between trans-epicondylar and balanced gap techniques. 中国矫形外科杂志, 2008, 16(12): 908-912.
22.	Biasca N, Wirth S, Bungartz M. Mechanical accuracy of navigated minimally invasive total knee arthroplasty (MIS TKA). Knee, 2009, 16(1): 22-29.
23.	Zhang GQ, Chen JY, Chai W, et al. Comparison between computer-assisted-navigation and conventional total knee arthroplasties in patients undergoing simultaneous bilateral procedures: a randomized clinical trial. J Bone Joint Surg (Am), 2011, 93(13): 1190-1196.
24.	Zhang XL, Zhang W, Shao JJ, et al. Rotational alignment in total knee arthroplasty: nonimage-based navigation system versus conventional technique. Chin Med J (Engl), 2012, 125(2): 236-243.
25.	张闻, 邵俊杰, 张先龙. 计算机导航对人工全膝关节置换术下肢旋转对线的影响. 中华骨科杂志, 2008, 28(10): 819-823.
26.	Siston RA, Patel JJ, Goodman SB, et al. The variability of femoral rotational alignment in total knee arthroplasty. J Bone Joint Surg (Am), 2005, 87(10): 2276-2280.
27.	Cheng T, Zhang G, Zhang X. Imageless navigation system does not improve component rotational alignment in total knee arthroplasty. J Surg Res, 2011, 171(2): 590-600.
28.	van der Linden-van der Zwaag HM, Bos J, van der Heide HJ, et al. A computed tomography based study on rotational alignment accuracy of the femoral component in total knee arthroplasty using computer-assisted orthopaedic surgery. Int Orthop, 2011, 35(6): 845-850.
29.	Siston RA, Cromine MJ, Gold GE, et al. Averaging different alignment axes improve femoral rotation alignment in computer-navigated total knee arthroplasty. J Bone Joint Surg (Am), 2008, 90(10): 2098-2104.
30.	Cinotti G, Ripani FR, Sessa P, et al. Combining different rotational alignment axes with navigation may reduce the need for lateral retinacular release in total knee arthroplasty. Int Orthop, 2012, 36(8): 1595-1600.
31.	罗吉伟, 金大地, 黄美贤, 等. 股骨远端旋转力线中的测量及其临床意义. 中国临床解剖学杂志, 2007, 25(3): 285-287.
32.	Tashiro Y, Uemura M, Matsuda S, et al. Articular cartilage of the posterior condyle can affect rotational alignment in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2012, 20(8): 1463-1469.

1. Confalonieri N, Manzotti A, Pullen C, et al. Computer-assisted technique versus intramedullary and extramedullary alignment systems in total knee replacement: a radiological comparison. Acta Orthop Belg, 2005, 71(6): 703-709.
2. Ensini A, Catani F, Leardini A, et al. Alignments and clinical results in conventional and navigated total knee arthroplasty. Clin Orthop Relat Res, 2007, (457): 156-162.
3. Chin PL, Yang KY, Yeo SJ, et al. Randomized control trial comparing radiographic total knee arthroplasty implant placement using computer navigation versus conventional technique. J Arthroplasty, 2005, 20(5): 618-626.
4. Incavo SJ, Wild JJ, Coughlin KM, et al. Early revision for component malrotation in total knee arthroplasty. Clin Orthop Relat Res, 2007, (458): 131-136.
5. Scuderi GR, Komistek RD, Dennis DA, et al. The impact of femoral compontent rotation alignment on condylar lift-off. Clin Orthop Relat Res, 2003, (410): 148-154.
6. Luo CF, Koshino T, Takeuchi R, et al. Reliability of the transepicondylar line as a parameter of femoral axial alignment. J Orthop Sci, 2001, 6(5): 373-377.
7. 谢诗娟, 白波, 刘琦, 等. 股骨髁旋转力线在三维重建图像中的测量. 广州医学院报, 2008, 36(4): 24-26.
8. Yoshino N, Takai S, Ohtsuki Y, et al. Computed tomography measurement of the surgical and clinial transepicondylar axis of the distal femur in osteoarthritic knees. J Arthoplasty, 2001, 16(4): 493-497.
9. Akagi M, Matsusue Y, Mata T, et al. Effect of rotational alignment on patellar tracking in total knee arthroplasty. Clin Orthop Relat Res, 1999, (366): 155-163.
10. Lanchiewicz PF, Soileau ES. Patella maltracking in posterior stabilized total knee arthroplasty. Clin Orthop Relat Res, 2006, (452): 155-158.
11. 李新胜, 姜建威, 储小兵, 等. 股骨后髁角的影像学测量临床价值. 南京医科大学学报, 2006, 26(5): 371-372.
12. Schnurr C, Nessler J, König DP. Is referencing the posterior condyles sufficient to achieve a rectangular flexion gap in total knee arthroplasty? Int Orthop, 2009, 33(6): 1561-1565.
13. 戚盈杰, 胡月正, 吴剑彬, 等. 全膝关节置换术股骨及胫骨假体旋转定位研究进展. 国际骨科学杂志, 2011, 32(4): 221-223.
14. Picard F, Gregori A, Dean F, et al. Computer-assisted dynamic total knee arthroplasty using Whisiteside’s line for alignment. Orthopedies, 2006, 29(10 Suppl): S104-107.
15. Arima J, Whiteside LA, McCarthy DS, et al. Femoral rotational alignment, based on the anteroposterior axis, in total knee arthroplasty in a valgus knee. J Bone Joint Surg (Am), 1995, 77(9): 1331-1334.
16. Victor J, van Doninck D, Labey L, et al. A common reference frame for describing rotation of the distal femur: a CT-based kinematic study using cadavers. J Bone Joint Surg (Br), 2009, 91(5): 683-690.
17. Middleton FR, Palmer SH. How accurate is Whiteside, s line as a reference axis in total knee arthroplasty? Knee, 2007, 14(3): 204-207.
18. Dennis DA, Komistek RD, Kim RH, et al. Gap balancing versus measured resection technique for total knee arthroplasty. Clin Orthop Relat Res, 2010, 468(1): 102-107.
19. Witoolkollachit P, Seubchompoo O. The comparison of femoral component rotational alignment with transepicondylar axis in mobile bearing TKA, CT-scan study. J Med Assoc Thai, 2008, 91(7): 1051-1058.
20. Lee DS, Song EK, Seon JK, et al. Effect of balanced gap total knee arthoplasty on intraoperative laxities and femoral component rotation. J Arthroplasty, 2011, 26(5): 699-704.
21. Shrinand V Vaidya, Aditya V Maheshwari, Rajesh M Gadhiya, et al. Computed tomographic evaluation of femoral component rotation in total knee arthroplasty: a comparison between trans-epicondylar and balanced gap techniques. 中国矫形外科杂志, 2008, 16(12): 908-912.
22. Biasca N, Wirth S, Bungartz M. Mechanical accuracy of navigated minimally invasive total knee arthroplasty (MIS TKA). Knee, 2009, 16(1): 22-29.
23. Zhang GQ, Chen JY, Chai W, et al. Comparison between computer-assisted-navigation and conventional total knee arthroplasties in patients undergoing simultaneous bilateral procedures: a randomized clinical trial. J Bone Joint Surg (Am), 2011, 93(13): 1190-1196.
24. Zhang XL, Zhang W, Shao JJ, et al. Rotational alignment in total knee arthroplasty: nonimage-based navigation system versus conventional technique. Chin Med J (Engl), 2012, 125(2): 236-243.
25. 张闻, 邵俊杰, 张先龙. 计算机导航对人工全膝关节置换术下肢旋转对线的影响. 中华骨科杂志, 2008, 28(10): 819-823.
26. Siston RA, Patel JJ, Goodman SB, et al. The variability of femoral rotational alignment in total knee arthroplasty. J Bone Joint Surg (Am), 2005, 87(10): 2276-2280.
27. Cheng T, Zhang G, Zhang X. Imageless navigation system does not improve component rotational alignment in total knee arthroplasty. J Surg Res, 2011, 171(2): 590-600.
28. van der Linden-van der Zwaag HM, Bos J, van der Heide HJ, et al. A computed tomography based study on rotational alignment accuracy of the femoral component in total knee arthroplasty using computer-assisted orthopaedic surgery. Int Orthop, 2011, 35(6): 845-850.
29. Siston RA, Cromine MJ, Gold GE, et al. Averaging different alignment axes improve femoral rotation alignment in computer-navigated total knee arthroplasty. J Bone Joint Surg (Am), 2008, 90(10): 2098-2104.
30. Cinotti G, Ripani FR, Sessa P, et al. Combining different rotational alignment axes with navigation may reduce the need for lateral retinacular release in total knee arthroplasty. Int Orthop, 2012, 36(8): 1595-1600.
31. 罗吉伟, 金大地, 黄美贤, 等. 股骨远端旋转力线中的测量及其临床意义. 中国临床解剖学杂志, 2007, 25(3): 285-287.
32. Tashiro Y, Uemura M, Matsuda S, et al. Articular cartilage of the posterior condyle can affect rotational alignment in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2012, 20(8): 1463-1469.

Chinese Journal of Reparative and Reconstructive Surgery

RESEARCH PROGRESS OF LOCATION MARKER OF ROTATIONAL ALIGNMENT OF DISTAL FEMUR

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