Morphometric analysis of medial and lateral tibia plateau and adaptability with Oxford partial knee replacement in a Japanese population
Aims: In unicompartmental knee arthroplasty (UKA), tibial components must be correctly sized and positioned so that tibial cut surfaces are well covered without marked under- or overhang with impingement of the surrounding soft tissue. We used morphometric data of both medial and lateral tibial plat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-05-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/2309499020919309 |
| _version_ | 1818112984090673152 |
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| author | Tomoyuki Kamenaga Takafumi Hiranaka Yuichi Hida Takaaki Fujishiro Koji Okamoto |
| author_facet | Tomoyuki Kamenaga Takafumi Hiranaka Yuichi Hida Takaaki Fujishiro Koji Okamoto |
| author_sort | Tomoyuki Kamenaga |
| collection | DOAJ |
| description | Aims: In unicompartmental knee arthroplasty (UKA), tibial components must be correctly sized and positioned so that tibial cut surfaces are well covered without marked under- or overhang with impingement of the surrounding soft tissue. We used morphometric data of both medial and lateral tibial plateaus separately to plan UKA and evaluated the compatibility of the measurement data to the dimensions of six currently available tibial prostheses in a Japanese population. Materials and Methods: Using computed tomography, we preoperatively examined 60 patients (30 medial and 30 lateral osteoarthritis (OA)) scheduled for primary UKA at our hospital between 2013 and 2017. Each tibial cutting surface was measured in the transverse plane at 2 mm below the respective joint line. We used anteroposterior and mediolateral length to calculate the mediolateral length/anteroposterior ratio of both medial and lateral compartments. We then compared measurements across six current UKA systems: Oxford fixed tibia and fixed lateral tibia, Triathlon, TRIBRID, JOURNEY UNI, and HLS Uni Evolution. Results: We found no significant differences in morphometric data between the medial and the lateral OA. The cutting surface of lateral plateau, however, had smaller anteroposterior dimensions, greater mediolateral length, and higher mediolateral length/anteroposterior ratio than those of medial plateau. Therefore, in this Japanese population-based study, Oxford lateral tibia had good compatibility with the measurement data of lateral compartments. Conclusions: Lateral compartments had lower anteroposterior length, greater mediolateral length, and higher mediolateral length/anteroposterior ratio than those of medial compartments. We, therefore, strongly recommend using Oxford fixed lateral tibia for lateral OA over other current tibial prostheses because of superior coverage. |
| first_indexed | 2024-12-11T03:27:37Z |
| format | Article |
| id | doaj.art-51ffb047370d45a58fc2b62f2d88496d |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-11T03:27:37Z |
| publishDate | 2020-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-51ffb047370d45a58fc2b62f2d88496d2022-12-22T01:22:28ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902020-05-012810.1177/2309499020919309Morphometric analysis of medial and lateral tibia plateau and adaptability with Oxford partial knee replacement in a Japanese populationTomoyuki KamenagaTakafumi HiranakaYuichi HidaTakaaki FujishiroKoji OkamotoAims: In unicompartmental knee arthroplasty (UKA), tibial components must be correctly sized and positioned so that tibial cut surfaces are well covered without marked under- or overhang with impingement of the surrounding soft tissue. We used morphometric data of both medial and lateral tibial plateaus separately to plan UKA and evaluated the compatibility of the measurement data to the dimensions of six currently available tibial prostheses in a Japanese population. Materials and Methods: Using computed tomography, we preoperatively examined 60 patients (30 medial and 30 lateral osteoarthritis (OA)) scheduled for primary UKA at our hospital between 2013 and 2017. Each tibial cutting surface was measured in the transverse plane at 2 mm below the respective joint line. We used anteroposterior and mediolateral length to calculate the mediolateral length/anteroposterior ratio of both medial and lateral compartments. We then compared measurements across six current UKA systems: Oxford fixed tibia and fixed lateral tibia, Triathlon, TRIBRID, JOURNEY UNI, and HLS Uni Evolution. Results: We found no significant differences in morphometric data between the medial and the lateral OA. The cutting surface of lateral plateau, however, had smaller anteroposterior dimensions, greater mediolateral length, and higher mediolateral length/anteroposterior ratio than those of medial plateau. Therefore, in this Japanese population-based study, Oxford lateral tibia had good compatibility with the measurement data of lateral compartments. Conclusions: Lateral compartments had lower anteroposterior length, greater mediolateral length, and higher mediolateral length/anteroposterior ratio than those of medial compartments. We, therefore, strongly recommend using Oxford fixed lateral tibia for lateral OA over other current tibial prostheses because of superior coverage.https://doi.org/10.1177/2309499020919309 |
| spellingShingle | Tomoyuki Kamenaga Takafumi Hiranaka Yuichi Hida Takaaki Fujishiro Koji Okamoto Morphometric analysis of medial and lateral tibia plateau and adaptability with Oxford partial knee replacement in a Japanese population Journal of Orthopaedic Surgery |
| title | Morphometric analysis of medial and lateral tibia plateau and adaptability with Oxford partial knee replacement in a Japanese population |
| title_full | Morphometric analysis of medial and lateral tibia plateau and adaptability with Oxford partial knee replacement in a Japanese population |
| title_fullStr | Morphometric analysis of medial and lateral tibia plateau and adaptability with Oxford partial knee replacement in a Japanese population |
| title_full_unstemmed | Morphometric analysis of medial and lateral tibia plateau and adaptability with Oxford partial knee replacement in a Japanese population |
| title_short | Morphometric analysis of medial and lateral tibia plateau and adaptability with Oxford partial knee replacement in a Japanese population |
| title_sort | morphometric analysis of medial and lateral tibia plateau and adaptability with oxford partial knee replacement in a japanese population |
| url | https://doi.org/10.1177/2309499020919309 |
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