[Effect of three-dimensional printing guide plate on improving femoral rotational alignment and patellar tracking in total knee arthroplasty].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Mar;34(3):335-340

Center for Joint Surgery, the First Affiliated Hospital, Army Medical University, Chongqing, 400038, P.R.China.

Objective: To investigate the effect of three-dimensional (3D) printing guide plate on improving femoral rotational alignment and patellar tracking in total knee arthroplasty (TKA).

Methods: Between January 2018 and October 2018, 60 patients (60 knees) with advanced knee osteoarthritis who received TKA and met the selection criteria were selected as the study subjects. Patients were randomly divided into two groups according to the random number table method, with 30 patients in each group. The TKA was done with the help of 3D printing guide plate in the guide group and following traditional procedure in the control group. There was no significant difference in gender, age, disease duration, side, and preoperative hip-knee-ankle angle (HKA), posterior condylar angle (PCA), patella transverse axis-femoral transepicondylar axis angle (PFA), Hospital for Special Surgery (HSS) score, and American Knee Society (AKS) score ( >0.05).

Results: All incisions healed by first intention and no complications related to the operation occurred. All patients were followed up 10-12 months, with an average of 11 months. HSS score and AKS score of the two groups at 6 months after operation were significantly higher than those before operation ( <0.05), but there was no significant difference between the two groups ( >0.05). Postoperative X-ray films showed that the prosthesis was in good position, and no prosthesis loosening or sinking occurred during follow-up. HKA, PCA, and PFA significantly improved in the two groups at 10 months after operation compared with those before operation ( <0.05). There was no significant difference in HKA at 10 months between the two groups ( =1.031, =0.307). PCA and PFA in the guide group were smaller than those in the control group ( <0.05).

Conclusion: Application of 3D printing guide plate in TKA can not only correct the deformity of the knee joint and alleviate the pain symptoms, but also achieve the goal of the accurate femoral rotation alignment and good patellar tracking.

Download full-text PDF

Source
http://dx.doi.org/10.7507/1002-1892.201907045DOI Listing
March 2020

Publication Analysis

Top Keywords

guide plate
12
printing guide
12
patellar tracking
8
alignment patellar
8
femoral rotational
8
months operation
8
tracking total
8
aks score
8
total knee
8
improving femoral
8
groups months
8
rotational alignment
8
three-dimensional printing
8
plate improving
8
hss score
8
operation
5
transepicondylar axis
4
axis angle
4
axis-femoral transepicondylar
4
knee society
4

Similar Publications