Document Detail


Posteriorly offset femoral component to restore anteroposterior position of the distal femur in revision total knee arthroplasty.
MedLine Citation:
PMID:  20570092     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
This study is based on a radiographic analysis of 50 cadaveric femurs (26 males, 24 females). The position of a press-fit stemmed revision total knee arthroplasty femoral component was simulated with templates. A diaphyseal engaging stem was templated in 74% of the subjects (23 males, 14 females). Every diaphyseal engaging stem required the use of a posterior offset coupler to achieve engagement in the femoral isthmus. In 26% of femurs (3 males, 10 females), anterior bowing of the distal metaphysis prevented the use of a diaphyseal engaging stem. Our results suggest that males have less flexion of the distal femur than females and can be templated effectively with a diaphyseal engaging posteriorly offset stem, whereas a metaphyseal flexed stemmed component templates better in females.
Authors:
Jean M Brilhault; Michael D Ries
Publication Detail:
Type:  Journal Article     Date:  2010-05-31
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  26     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  214-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Department of Orthopedic Surgery, C.H.R.U. de Tours, Université François-Rabelais de Tours, Tours, France.
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