Methodical clinical measurement of knee deformity
Journal Title: Orthopaedics and Surgical Sports Medicine - Year 2018, Vol 1, Issue 2
Abstract
The recognition of the pattern and severity of deformity in knee osteoarthritis has important implications in its management and prognosis. A number of methods can be used to assess and measure the coronal and sagittal knee alignment: clinical deformity measuring device like a goniometer, standard knee radiographs, hip-knee-ankle (HKA) radiographs, computer navigation systems, magnetic resonance scan, computerized tomographic scan or simply a surgeon’s subjective measurement. Each of these methods has advantages and disadvantages. The aim of this study was to compare three methods of measurement: clinical measurement with a goniometer; HKA radiographs and computer navigation. This study included 54 patients with arthritic knees, who underwent total knee replacement with computer navigation. The deformity in both coronal and sagittal planes was measured using the three methods and the results compared using Bland Altman limits of agreement. The clinical measurement differed greatly from radiographic and computer navigation measurements. According to Bland Altman limits of agreement clinical measurements could be up to 10° away from the radiographic or computer navigated measurements in coronal plane. In the sagittal plane the clinical measurements could be up to 12° away compared to computer navigation measurements. A combination of these measurements methods should be taken into account when assessing the deformity of a knee especially in relation to posture and weight bearing status. The methodical clinical measurement of knee deformity as described in this paper gives too wide a margin of error and should not be relied upon in isolation.
Authors and Affiliations
MA Krishna
Keywords
Related Articles
- EP ID EP661179
- DOI 10.31579/2641-0427/008
- Views 41
- Downloads 0
Single lateral locked plate can be an effective implant in providing fracture stabilization of bicondylar tibial plateau fractures
Background: Bicondylar tibial plateau fractures present a therapeutic challenge to the orthopaedic trauma surgeon, both in terms of the osseous injury as well as the concomitant soft-tissue insult. Double Plating with si...
Zoledronate and ibandronate treatments provide a significant improvement in BMD values in osteoporosis patients
Objective: In this study, we aimed to make a comparative analysis of short term clinical effectivity and side effects of intravenous zoledronate administration as single dose yearly and intravenous ibandronate administra...
Methodical clinical measurement of knee deformity
The recognition of the pattern and severity of deformity in knee osteoarthritis has important implications in its management and prognosis. A number of methods can be used to assess and measure the coronal and sagittal k...
Wartenberg’s Syndrome: Diagnosis and Treatment
Wartenberg’s syndrome is a peripheral neuropathy caused by entrapment of the superficial radial nerve (SRN), presenting with paresthesia in the nerve distribution [1]. Currently, there are no established guidelines or re...
Comment on: Can resistance training improve the symptoms of polycystic ovary syndrome?
Studies have been investigating whether the symptoms of polycystic ovary syndrome (PCOS) could be improved by using resistance training. The authors searched various databases to identify such studies. The majority of th...