1. The Optimal Variation Range of Posterior Condylar Offset Associated with Positive Clinical Outcomes of Primary Total Knee Arthroplasty: A Retrospective Analysis
- Author
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Yanlin Zhong, Zengfa Deng, Cheng Gu, Ming Li, Yan Kang, Weiming Liao, and Zhiqi Zhang
- Subjects
Knee ,Osteoarthritis ,Posterior condylar offset ,Total knee arthroplasty ,Orthopedic surgery ,RD701-811 - Abstract
Objective Posterior condylar offset (PCO) and anterior condylar offset (ACO) exert an influence on the sagittal alignment in total knee arthroplasty (TKA). However, there is no common consensus that the variation range of posterior condylar offset (PCO) is associated with patient‐reported outcome measures (PROMs) and the optimum variation range of PCO. This study aims to investigate the correlation between PCO and the PROMs of primary TKA for osteoarthritis (OA) and find out the optimal variation range of the PCO. Methods In this study, we performed a radiographic analysis of 106 patients (112 knees) with primary TKA. Patients were divided into two cohorts (A and B) according to the Western Ontario and McMaster Universities Osteoarthritis index (WOMAC). Correlations between the sagittal parameter and WOMAC were investigated using univariate and multivariate analysis. The receiver operating characteristic (ROC) curve was used to establish the cut‐off value for the optimal variation range. We then further investigated how different variation range affects the WOMAC subscale score and forgotten‐joint‐score‐12 (FJS‐12). Results Univariate analysis revealed a correlation between the variation range of PCO (p
- Published
- 2024
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