Modified Whiteside’s Line-Based Transepicondylar Axis for Imageless Total Knee Arthroplasty
One of the aims of successful total knee arthroplasty (TKA) is to restore the natural range of motion of the infected joint. The operated leg motion highly depends on the coordinate systems that have been used to prepare the bone surfaces for an implant. Assigning a perfect coordinate system to the...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Mathematics |
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| Online Access: | https://www.mdpi.com/2227-7390/10/19/3670 |
| _version_ | 1797478107099168768 |
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| author | Muhammad Sohail Jaehyun Park Jun Young Kim Heung Soo Kim Jaehun Lee |
| author_facet | Muhammad Sohail Jaehyun Park Jun Young Kim Heung Soo Kim Jaehun Lee |
| author_sort | Muhammad Sohail |
| collection | DOAJ |
| description | One of the aims of successful total knee arthroplasty (TKA) is to restore the natural range of motion of the infected joint. The operated leg motion highly depends on the coordinate systems that have been used to prepare the bone surfaces for an implant. Assigning a perfect coordinate system to the knee joint is a considerable challenge. Various commercially available knee arthroplasty devices use different methods to assign the coordinate system at the distal femur. Transepicondylar axis (TEA) and Whiteside’s line are commonly used anatomical axes for defining a femoral coordinate system (FCS). However, choosing a perfect TEA for FCS is trickier, even for experienced surgeons, and a small error in marking Whiteside’s line leads to a misaligned knee joint. This work proposes a modified Whiteside’s line method for the selection of TEA. The Whiteside’s line, along with the knee center and femur head center, define two independent central planes. Multiple prominent points on the lateral and medial sides of epicondyles are marked. Based on the lengths of perpendicular distances between the multiple points and central planes, the most prominent epicondyle points are chosen to define an optimal TEA. Compared to conventional techniques, the modified Whiteside’s line defines a repeatable TEA |
| first_indexed | 2024-03-09T21:27:20Z |
| format | Article |
| id | doaj.art-37c2588c9a564ebaa4b076e99e3259d9 |
| institution | Directory Open Access Journal |
| issn | 2227-7390 |
| language | English |
| last_indexed | 2024-03-09T21:27:20Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Mathematics |
| spelling | doaj.art-37c2588c9a564ebaa4b076e99e3259d92023-11-23T21:05:26ZengMDPI AGMathematics2227-73902022-10-011019367010.3390/math10193670Modified Whiteside’s Line-Based Transepicondylar Axis for Imageless Total Knee ArthroplastyMuhammad Sohail0Jaehyun Park1Jun Young Kim2Heung Soo Kim3Jaehun Lee4Department of Mechanical, Robotics and Energy Engineering, Dongguk University-Seoul, Seoul 04620, KoreaDepartment of Mechanical, Robotics and Energy Engineering, Dongguk University-Seoul, Seoul 04620, KoreaDepartment of Mechanical, Robotics and Energy Engineering, Dongguk University-Seoul, Seoul 04620, KoreaDepartment of Mechanical, Robotics and Energy Engineering, Dongguk University-Seoul, Seoul 04620, KoreaDepartment of Mechanical, Robotics and Energy Engineering, Dongguk University-Seoul, Seoul 04620, KoreaOne of the aims of successful total knee arthroplasty (TKA) is to restore the natural range of motion of the infected joint. The operated leg motion highly depends on the coordinate systems that have been used to prepare the bone surfaces for an implant. Assigning a perfect coordinate system to the knee joint is a considerable challenge. Various commercially available knee arthroplasty devices use different methods to assign the coordinate system at the distal femur. Transepicondylar axis (TEA) and Whiteside’s line are commonly used anatomical axes for defining a femoral coordinate system (FCS). However, choosing a perfect TEA for FCS is trickier, even for experienced surgeons, and a small error in marking Whiteside’s line leads to a misaligned knee joint. This work proposes a modified Whiteside’s line method for the selection of TEA. The Whiteside’s line, along with the knee center and femur head center, define two independent central planes. Multiple prominent points on the lateral and medial sides of epicondyles are marked. Based on the lengths of perpendicular distances between the multiple points and central planes, the most prominent epicondyle points are chosen to define an optimal TEA. Compared to conventional techniques, the modified Whiteside’s line defines a repeatable TEAhttps://www.mdpi.com/2227-7390/10/19/3670imageless navigatorknee alignment devicetotal knee arthroplastyrepeatable transepicondylar axisfemoral coordinate systemmodified Whiteside’s line |
| spellingShingle | Muhammad Sohail Jaehyun Park Jun Young Kim Heung Soo Kim Jaehun Lee Modified Whiteside’s Line-Based Transepicondylar Axis for Imageless Total Knee Arthroplasty Mathematics imageless navigator knee alignment device total knee arthroplasty repeatable transepicondylar axis femoral coordinate system modified Whiteside’s line |
| title | Modified Whiteside’s Line-Based Transepicondylar Axis for Imageless Total Knee Arthroplasty |
| title_full | Modified Whiteside’s Line-Based Transepicondylar Axis for Imageless Total Knee Arthroplasty |
| title_fullStr | Modified Whiteside’s Line-Based Transepicondylar Axis for Imageless Total Knee Arthroplasty |
| title_full_unstemmed | Modified Whiteside’s Line-Based Transepicondylar Axis for Imageless Total Knee Arthroplasty |
| title_short | Modified Whiteside’s Line-Based Transepicondylar Axis for Imageless Total Knee Arthroplasty |
| title_sort | modified whiteside s line based transepicondylar axis for imageless total knee arthroplasty |
| topic | imageless navigator knee alignment device total knee arthroplasty repeatable transepicondylar axis femoral coordinate system modified Whiteside’s line |
| url | https://www.mdpi.com/2227-7390/10/19/3670 |
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