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22대 대한민국 국회 국회정보길라잡이 국회의원검색
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Background: We sought to determine whether there was a difference in the posterior condylar offset (PCO), posterior condylar offset ratio (PCOR) and clinical outcomes following total knee arthroplasty (TKA) with anterior referencing (AR) or posterior referencing (PR) systems. We also assessed whether the PCO and PCOR changes, as well as patient factors were related to range of motion (ROM) in each referencing system.

Methods: This retrospective study included 130 consecutive patients (184 knees) with osteoarthritis who underwent primary posterior cruciate ligament (PCL)-substituting fixed-bearing TKA. The difference between preoperative and postoperative PCO and PCOR values were calculated. Clinical outcomes including ROM and Western Ontario and McMaster University (WOMAC) scores were evaluated. Furthermore, multiple linear regression analysis was performed to determine the factors related to postoperative ROM in each referencing system.

Results: The postoperative PCO was greater in the AR group (28.4 mm) than in the PR group (27.4 mm), whereas the PCO was more consistently preserved in the PR group. The mean postoperative ROM after TKA was greater in the AR group (129°) than in the PR group (122°), whereas improvement in WOMAC score did not differ between the two groups. Preoperative ROM was the only factor related to postoperative ROM in both groups.

Conclusions: There was no difference in postoperative PCO in AR and PR group and the PCO was not associated with postoperative ROM. PCO was more consistently preserved after surgery in the PR group. The postoperative PCO and PCOR changes did not affect the postoperative ROM. Furthermore, similar clinical outcomes were achieved in the AR and PR groups.

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기사명 저자명 페이지 원문 목차
The effect of interleukin-8 in the early stage after anterior cruciate ligament reconstruction with remnant preservation Kyung-Ok Kim, Jae Ang Sim, Ji Uk Choi, Beom Koo Lee, Hong Gi Park p. 1-9

Biomechanical function of the anterolateral ligament of the knee : a systematic review Jin Kyu Lee, Young ­Jin Seo, Soo-Young Jeong, Jae-Hyuk Yang p. 1-6

Poorer dynamic postural stability in patients with anterior cruciate ligament rupture combined with lateral meniscus tear than in those with medial meniscus tear Jin Hyuck Lee, Dae-Hee Lee, Jong-Hoon Park, Dong Won Suh, Eunseon Kim, Ki-Mo Jang p. 1-8

Outcome differences of remnant-preserving versus non-preserving methods in arthroscopic anterior cruciate ligament reconstruction : a meta-analysis with subgroup analysis Sung Hun Won, Byung-Il Lee, Su Yeon Park, Kyung-Dae Min, Jun-Bum Kim, Sai-Won Kwon, Yong-Beom Kim, Gi-Won Seo, Jae-Hyung Kim, Hyung-Suk Choi p. 1-13

Comparison of the postoperative analgesic effect for infiltration between the popliteal artery and the capsule of the posterior knee and that of periarticular multimodal drug injection in total knee arthroplasty : retrospective study in the immediate postoperative period Dae-Won Jung, Won-Yong Shon, Seung-Suk Seo, Ok-Gul Kim, In-Seung Lee p. 1-9

(Correlation) between meniscal extrusion and symptom duration, alignment, and arthritic changes in medial meniscus posterior root tear : research article Dong Hwi Kim, Gwang Chul Lee, Hyun Hak Kim, Dong Hyuk Cha p. 1-8

Calcium phosphate injection of symptomatic bone marrow lesions of the knee : what is the current clinical evidence? D.S. Angadi, D. Edwards, J.T.K. Melton p. 1-8

Posterior condylar offset changes and its effect on clinical outcomes after posteriorsubstituting, fixed-bearing total knee arthroplasty : anterior versus posterior referencing Moon Jong Chang, Seung-Baik Kang, Chong Bum Chang, Do Hwan Han, Hyung Jun Park, Keummin Hwang, Jisu Park, Il-Ung Hwang, Seung Ah Lee, Sohee Oh p. 1-8

Outcomes and component-positioning in total knee arthroplasty may be comparable between supervised trained surgeons and their supervisor Kazumi Goto, Yozo Katsuragawa, Yoshinari Miyamoto p. 1-6

Short knee radiographs can be inadequate for estimating TKA alignment in knees with bowing Sung-Mok Oh, Seong-Il Bin, Jae-Young Kim, Bum-Sik Lee, Jong-Min Kim p. 1-8

Effect of chronic kidney disease on outcomes of total joint arthroplasty : a meta-analysis Chang-Wan Kim, Hyun-Jung Kim, Chang-Rack Lee, Lih Wang, Seung Joon Rhee p. 1-12

Comparison of femoral tunnel widening after anterior cruciate ligament reconstruction using cortical button fixation versus transfemoral cross-pin fixation : a systematic review and meta-analysis Dae-Hee Lee, Dong-Wook Son, Yi-Rak Seo, In-Gyu Lee p. 1-8

참고문헌 (24건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
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2 Incavo SJ, Beynnon BD, Johnson CC, Churchill DL (1997) Knee kinematics in genesis total knee arthroplasty. A comparison of different tibial designs with and without posterior cruciate substitution in cadaveric specimens. Am J Knee Surg 10(4):209–215 미소장
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10 Goldstein WM, Raab J, Gleason TF, Branson JJ, Berland K (2006) Why posterior cruciate-retaining and substituting total knee replacements have similar ranges of motion: the importance of posterior condylar offset and cleanout of posterior condylar space. JBJS. 88:182–188 미소장
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15 Massin P, Gournay A (2006) Optimization of the posterior condylar offset, tibial slope, and condylar roll-back in total knee arthroplasty. J Arthroplasty 21(6):889–896 미소장
16 Zhang H, Lü L, Zhang Y, Xu Y, Wang W, Wei B (2011) Influence of posterior condylar offset and anteroposterior femorotibial translation on knee flexion after posterior cruciate-sacrificing self alignment bearing total knee arthroplasty. Zhongguo xiu fu chong jian wai ke za zhi 25(1):42–46 미소장
17 Kansara D, Markel DC (2006) The effect of posterior tibial slope on range of motion after total knee arthroplasty. J Arthroplasty 21(6):809–813 미소장
18 Kurosaka M, Yoshiya S, Mizuno K, Yamamoto T (2002) Maximizing flexion after total knee arthroplasty: the need and the pitfalls. J Arthroplasty 17(4):59–62 미소장
19 Kim J-H (2013) Effect of posterior femoral condylar offset and posterior tibial slope on maximal flexion angle of the knee in posterior cruciate ligament sacrificing total knee arthroplasty. Knee Surg Related Res 25(2):54 미소장
20 Soda Y, Oishi J, Nakasa T, Nishikawa K, Ochi M (2007) New parameter of flexion after posterior stabilized total knee arthroplasty: posterior condylar offset ratio on X-ray photographs. Arch Orthop Trauma Surg 127(3):167–170 미소장
21 Li G, Park SE, DeFrate LE, Schutzer ME, Ji L, Gill TJ et al (2005) The cartilage thickness distribution in the tibiofemoral joint and its correlation with cartilage-to-cartilage contact. Clin Biomech 20(7):736–744 미소장
22 Johal P, Hassaballa MA, Eldridge JD, Porteous AJ (2012) The posterior condylar offset ratio. Knee 19(6):843–845 미소장
23 Kotani A, Yonekura A, Bourne RB (2005) Factors influencing range of motion after contemporary total knee arthroplasty. J Arthroplasty 20(7):850–856 미소장
24 Debette C, Lustig S, Servien E, Lording T, Villa V, Demey G et al (2014) Total knee arthroplasty of the stiff knee: three hundred and four cases. Int Orthop 38(2):285–289 미소장

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