2018
DOI: 10.1007/s00167-018-5099-8
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The negative effect of joint line elevation after total knee arthroplasty on outcome

Abstract: Purpose Total knee arthroplasty (TKA) is widely used as a treatment for knee osteoarthritis. However, still up to 20% of the patients are dissatisfied. Joint line elevation after TKA might be a contributing factor as it alters knee kinematics. The aim of this study was to investigate the effect of joint line elevation on outcome. Methods A systematic review of the literature was performed to select studies that reported on joint line alterations after primary or revision TKA and outcome. Studies with comparabl… Show more

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“…Furthermore, there is still a lack of a standardized measurement procedure in TKA. In a systematic review by van Lieshout et al recent studies with regards to joint line elevation after TKA were analyzed [ 33 ]. The majority of the authors rely on three different bony landmarks as a reference point to calculate the joint line height: the fibular head, the tibial tubercle and the adductor tubercle [ 33 ].…”
Section: Discussionmentioning
confidence: 99%
See 3 more Smart Citations
“…Furthermore, there is still a lack of a standardized measurement procedure in TKA. In a systematic review by van Lieshout et al recent studies with regards to joint line elevation after TKA were analyzed [ 33 ]. The majority of the authors rely on three different bony landmarks as a reference point to calculate the joint line height: the fibular head, the tibial tubercle and the adductor tubercle [ 33 ].…”
Section: Discussionmentioning
confidence: 99%
“…In a systematic review by van Lieshout et al recent studies with regards to joint line elevation after TKA were analyzed [ 33 ]. The majority of the authors rely on three different bony landmarks as a reference point to calculate the joint line height: the fibular head, the tibial tubercle and the adductor tubercle [ 33 ]. Several authors already showed that the fibular head is not a reliable bony landmark for JL assessment [ 9 , 15 , 30 ].…”
Section: Discussionmentioning
confidence: 99%
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“… 19 Preoperative planning using radiographs of the contralateral knee can help the surgeon to determine the exact native joint line before surgery. 20 In a TKA, the joint line position can be measured using Figgie’s method on a lateral knee radiograph: the distance from the superior face of the tibial component to the top of the tibial tubercle. 21 Porteous et al modified the method using the distance between the most distal part of the femoral component and the top of the tibial tubercle.…”
Section: How To Avoid Extensor Mechanism Failurementioning
confidence: 99%