Tibial Cut Accuracy in Mechanically Aligned Total Knee Arthroplasty Using Extensor Hallucis Longus Tendon to Determine Extramedullary Tibial Guide Position

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dc.contributor.authorBesa, Pablo
dc.contributor.authorVega, Rafael
dc.contributor.authorLedermann, Gerardo
dc.contributor.authorCalvo, Claudio
dc.contributor.authorAngulo, Manuela
dc.contributor.authorLira, Maria Jesus
dc.contributor.authorVidal, Catalina
dc.contributor.authorOrrego, Mario
dc.contributor.authorIrribarra, Luis
dc.contributor.authorEspinosa, Julio
dc.contributor.authorVial, Raimundo
dc.contributor.authorIrarrazaval, Sebastian
dc.date.accessioned2025-01-20T22:02:08Z
dc.date.available2025-01-20T22:02:08Z
dc.date.issued2022
dc.description.abstractThis study aimed to determine the tibial cut (TC) accuracy using extensor hallucis longus (EHL) tendon as an anatomical landmark to position the total knee arthroplasty (TKA) extramedullary tibial guide (EMTG), and its impact on the TKA mechanical alignment (MA). We retrospectively studied 96 TKA, performed by a single surgeon, using a femoral tailored intramedullary guide technique. Seventeen were prior to the use of the EHL and 79 used the EHL tendon to position the EMTG. We analyzed preoperative and postoperative standing total lower extremity radiographs to determine the tibial component angle (TCA) and the correction in MA, comparing pre-EHL use and post-EHL technique incorporation. Mean TCA was 88.89 degrees and postoperative MA was neutral in 81% of patients. Pre- and postoperative MAs were not correlated. As a conclusion of this study, using the EHL provides a safe and easy way to determine the position of EMTG.
dc.fuente.origenWOS
dc.identifier.doi10.1055/s-0040-1722625
dc.identifier.eissn1938-2480
dc.identifier.issn1538-8506
dc.identifier.urihttps://doi.org/10.1055/s-0040-1722625
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93938
dc.identifier.wosidWOS:000607818200002
dc.issue.numero12
dc.language.isoen
dc.pagina.final1284
dc.pagina.inicio1280
dc.revistaJournal of knee surgery
dc.rightsacceso restringido
dc.subjecttotal knee arthroplasty
dc.subjectalignment
dc.subjectextramedullary guide
dc.subjectextensor hallucis longus tendon
dc.subjectanatomical landmark
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleTibial Cut Accuracy in Mechanically Aligned Total Knee Arthroplasty Using Extensor Hallucis Longus Tendon to Determine Extramedullary Tibial Guide Position
dc.typeartículo
dc.volumen35
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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