Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible

Introduction Intraoperative kinematic analysis using a navigation system in total knee arthroplasty (TKA) has been increasing. The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials an...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Wada, Keizo [verfasserIn] Mikami, Hiroshi [verfasserIn] Hamada, Daisuke [verfasserIn] Yonezu, Hiroshi [verfasserIn] Oba, Koichi [verfasserIn] Sairyo, Koichi [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Navigation system Total knee arthroplasty Rotational kinematics Reliability study Intra-class correlation coefficients

Übergeordnetes Werk:	Enthalten in: Archives of orthopaedic and trauma surgery - Berlin : Springer, 1903, 136(2016), 2 vom: 06. Jan., Seite 271-276
Übergeordnetes Werk:	volume:136 ; year:2016 ; number:2 ; day:06 ; month:01 ; pages:271-276

Links:	Volltext

DOI / URN:	10.1007/s00402-015-2402-8

Katalog-ID:	SPR005023688

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520			\|a Introduction Intraoperative kinematic analysis using a navigation system in total knee arthroplasty (TKA) has been increasing. The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials and methods Fifty-one knees in 45 patients who received TKA, performed by a single surgeon (the senior consultant) with the resident, were included in this retrospective study. There were 7 men and 38 women and the mean age was 74.3 years. Cruciate retaining (CR) type and posterior stabilized (PS) type implants were inserted into 38 and 13 knees. The senior consultant and the resident analyzed initial kinematics, the axial rotation of the tibia and the coronal alignment of the lower limb, three times in each knee on manual passive knee flexion intraoperatively using the navigation system. Intra-class correlation coefficients (ICC) with 95 % confidence intervals were calculated to determine the reproducibility of this analysis. Results In regard to intra-rater reproducibility with axial rotation of the tibia, the ICC of the senior consultant was 0.965 for CR knees and 0.972 for PS knees while the ICC of the resident were 0.966 and 0.956. Inter-rater reproducibility was excellent for both knee types (ICC, 0.885 for CR knees and 0.864 for PS knees). In regard to intra-rater reproducibility with coronal alignment of the lower limb, ICC of the senior consultant was 0.990 for CR knees and 0.996 for PS knees while those of the resident were 0.990 and 0.995. Inter-rater reproducibility was also excellent for both knee types (ICC, 0.978 for CR knees and 0.994 for PS knees). Conclusions Manual intraoperative kinematic analysis using a navigation system in TKA showed excellent reproducibility. This result may encourage further studies about intraoperative kinematic analysis using a navigation system in TKA.
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650		4	\|a Total knee arthroplasty \|7 (dpeaa)DE-He213
650		4	\|a Rotational kinematics \|7 (dpeaa)DE-He213
650		4	\|a Reliability study \|7 (dpeaa)DE-He213
650		4	\|a Intra-class correlation coefficients \|7 (dpeaa)DE-He213
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700	1		\|a Oba, Koichi \|e verfasserin \|4 aut
700	1		\|a Sairyo, Koichi \|e verfasserin \|4 aut
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matchkey_str	article:14343916:2016----::esrmnorttoaadooaainetnoakeatrpatuignv
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publishDate	2016
allfields	10.1007/s00402-015-2402-8 doi (DE-627)SPR005023688 (SPR)s00402-015-2402-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.83 bkl Wada, Keizo verfasserin aut Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Intraoperative kinematic analysis using a navigation system in total knee arthroplasty (TKA) has been increasing. The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials and methods Fifty-one knees in 45 patients who received TKA, performed by a single surgeon (the senior consultant) with the resident, were included in this retrospective study. There were 7 men and 38 women and the mean age was 74.3 years. Cruciate retaining (CR) type and posterior stabilized (PS) type implants were inserted into 38 and 13 knees. The senior consultant and the resident analyzed initial kinematics, the axial rotation of the tibia and the coronal alignment of the lower limb, three times in each knee on manual passive knee flexion intraoperatively using the navigation system. Intra-class correlation coefficients (ICC) with 95 % confidence intervals were calculated to determine the reproducibility of this analysis. Results In regard to intra-rater reproducibility with axial rotation of the tibia, the ICC of the senior consultant was 0.965 for CR knees and 0.972 for PS knees while the ICC of the resident were 0.966 and 0.956. Inter-rater reproducibility was excellent for both knee types (ICC, 0.885 for CR knees and 0.864 for PS knees). In regard to intra-rater reproducibility with coronal alignment of the lower limb, ICC of the senior consultant was 0.990 for CR knees and 0.996 for PS knees while those of the resident were 0.990 and 0.995. Inter-rater reproducibility was also excellent for both knee types (ICC, 0.978 for CR knees and 0.994 for PS knees). Conclusions Manual intraoperative kinematic analysis using a navigation system in TKA showed excellent reproducibility. This result may encourage further studies about intraoperative kinematic analysis using a navigation system in TKA. Navigation system (dpeaa)DE-He213 Total knee arthroplasty (dpeaa)DE-He213 Rotational kinematics (dpeaa)DE-He213 Reliability study (dpeaa)DE-He213 Intra-class correlation coefficients (dpeaa)DE-He213 Mikami, Hiroshi verfasserin aut Hamada, Daisuke verfasserin aut Yonezu, Hiroshi verfasserin aut Oba, Koichi verfasserin aut Sairyo, Koichi verfasserin aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 136(2016), 2 vom: 06. Jan., Seite 271-276 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:136 year:2016 number:2 day:06 month:01 pages:271-276 https://dx.doi.org/10.1007/s00402-015-2402-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.83 ASE AR 136 2016 2 06 01 271-276
spelling	10.1007/s00402-015-2402-8 doi (DE-627)SPR005023688 (SPR)s00402-015-2402-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.83 bkl Wada, Keizo verfasserin aut Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Intraoperative kinematic analysis using a navigation system in total knee arthroplasty (TKA) has been increasing. The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials and methods Fifty-one knees in 45 patients who received TKA, performed by a single surgeon (the senior consultant) with the resident, were included in this retrospective study. There were 7 men and 38 women and the mean age was 74.3 years. Cruciate retaining (CR) type and posterior stabilized (PS) type implants were inserted into 38 and 13 knees. The senior consultant and the resident analyzed initial kinematics, the axial rotation of the tibia and the coronal alignment of the lower limb, three times in each knee on manual passive knee flexion intraoperatively using the navigation system. Intra-class correlation coefficients (ICC) with 95 % confidence intervals were calculated to determine the reproducibility of this analysis. Results In regard to intra-rater reproducibility with axial rotation of the tibia, the ICC of the senior consultant was 0.965 for CR knees and 0.972 for PS knees while the ICC of the resident were 0.966 and 0.956. Inter-rater reproducibility was excellent for both knee types (ICC, 0.885 for CR knees and 0.864 for PS knees). In regard to intra-rater reproducibility with coronal alignment of the lower limb, ICC of the senior consultant was 0.990 for CR knees and 0.996 for PS knees while those of the resident were 0.990 and 0.995. Inter-rater reproducibility was also excellent for both knee types (ICC, 0.978 for CR knees and 0.994 for PS knees). Conclusions Manual intraoperative kinematic analysis using a navigation system in TKA showed excellent reproducibility. This result may encourage further studies about intraoperative kinematic analysis using a navigation system in TKA. Navigation system (dpeaa)DE-He213 Total knee arthroplasty (dpeaa)DE-He213 Rotational kinematics (dpeaa)DE-He213 Reliability study (dpeaa)DE-He213 Intra-class correlation coefficients (dpeaa)DE-He213 Mikami, Hiroshi verfasserin aut Hamada, Daisuke verfasserin aut Yonezu, Hiroshi verfasserin aut Oba, Koichi verfasserin aut Sairyo, Koichi verfasserin aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 136(2016), 2 vom: 06. Jan., Seite 271-276 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:136 year:2016 number:2 day:06 month:01 pages:271-276 https://dx.doi.org/10.1007/s00402-015-2402-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.83 ASE AR 136 2016 2 06 01 271-276
allfields_unstemmed	10.1007/s00402-015-2402-8 doi (DE-627)SPR005023688 (SPR)s00402-015-2402-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.83 bkl Wada, Keizo verfasserin aut Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Intraoperative kinematic analysis using a navigation system in total knee arthroplasty (TKA) has been increasing. The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials and methods Fifty-one knees in 45 patients who received TKA, performed by a single surgeon (the senior consultant) with the resident, were included in this retrospective study. There were 7 men and 38 women and the mean age was 74.3 years. Cruciate retaining (CR) type and posterior stabilized (PS) type implants were inserted into 38 and 13 knees. The senior consultant and the resident analyzed initial kinematics, the axial rotation of the tibia and the coronal alignment of the lower limb, three times in each knee on manual passive knee flexion intraoperatively using the navigation system. Intra-class correlation coefficients (ICC) with 95 % confidence intervals were calculated to determine the reproducibility of this analysis. Results In regard to intra-rater reproducibility with axial rotation of the tibia, the ICC of the senior consultant was 0.965 for CR knees and 0.972 for PS knees while the ICC of the resident were 0.966 and 0.956. Inter-rater reproducibility was excellent for both knee types (ICC, 0.885 for CR knees and 0.864 for PS knees). In regard to intra-rater reproducibility with coronal alignment of the lower limb, ICC of the senior consultant was 0.990 for CR knees and 0.996 for PS knees while those of the resident were 0.990 and 0.995. Inter-rater reproducibility was also excellent for both knee types (ICC, 0.978 for CR knees and 0.994 for PS knees). Conclusions Manual intraoperative kinematic analysis using a navigation system in TKA showed excellent reproducibility. This result may encourage further studies about intraoperative kinematic analysis using a navigation system in TKA. Navigation system (dpeaa)DE-He213 Total knee arthroplasty (dpeaa)DE-He213 Rotational kinematics (dpeaa)DE-He213 Reliability study (dpeaa)DE-He213 Intra-class correlation coefficients (dpeaa)DE-He213 Mikami, Hiroshi verfasserin aut Hamada, Daisuke verfasserin aut Yonezu, Hiroshi verfasserin aut Oba, Koichi verfasserin aut Sairyo, Koichi verfasserin aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 136(2016), 2 vom: 06. Jan., Seite 271-276 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:136 year:2016 number:2 day:06 month:01 pages:271-276 https://dx.doi.org/10.1007/s00402-015-2402-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.83 ASE AR 136 2016 2 06 01 271-276
allfieldsGer	10.1007/s00402-015-2402-8 doi (DE-627)SPR005023688 (SPR)s00402-015-2402-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.83 bkl Wada, Keizo verfasserin aut Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Intraoperative kinematic analysis using a navigation system in total knee arthroplasty (TKA) has been increasing. The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials and methods Fifty-one knees in 45 patients who received TKA, performed by a single surgeon (the senior consultant) with the resident, were included in this retrospective study. There were 7 men and 38 women and the mean age was 74.3 years. Cruciate retaining (CR) type and posterior stabilized (PS) type implants were inserted into 38 and 13 knees. The senior consultant and the resident analyzed initial kinematics, the axial rotation of the tibia and the coronal alignment of the lower limb, three times in each knee on manual passive knee flexion intraoperatively using the navigation system. Intra-class correlation coefficients (ICC) with 95 % confidence intervals were calculated to determine the reproducibility of this analysis. Results In regard to intra-rater reproducibility with axial rotation of the tibia, the ICC of the senior consultant was 0.965 for CR knees and 0.972 for PS knees while the ICC of the resident were 0.966 and 0.956. Inter-rater reproducibility was excellent for both knee types (ICC, 0.885 for CR knees and 0.864 for PS knees). In regard to intra-rater reproducibility with coronal alignment of the lower limb, ICC of the senior consultant was 0.990 for CR knees and 0.996 for PS knees while those of the resident were 0.990 and 0.995. Inter-rater reproducibility was also excellent for both knee types (ICC, 0.978 for CR knees and 0.994 for PS knees). Conclusions Manual intraoperative kinematic analysis using a navigation system in TKA showed excellent reproducibility. This result may encourage further studies about intraoperative kinematic analysis using a navigation system in TKA. Navigation system (dpeaa)DE-He213 Total knee arthroplasty (dpeaa)DE-He213 Rotational kinematics (dpeaa)DE-He213 Reliability study (dpeaa)DE-He213 Intra-class correlation coefficients (dpeaa)DE-He213 Mikami, Hiroshi verfasserin aut Hamada, Daisuke verfasserin aut Yonezu, Hiroshi verfasserin aut Oba, Koichi verfasserin aut Sairyo, Koichi verfasserin aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 136(2016), 2 vom: 06. Jan., Seite 271-276 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:136 year:2016 number:2 day:06 month:01 pages:271-276 https://dx.doi.org/10.1007/s00402-015-2402-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.83 ASE AR 136 2016 2 06 01 271-276
allfieldsSound	10.1007/s00402-015-2402-8 doi (DE-627)SPR005023688 (SPR)s00402-015-2402-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.83 bkl Wada, Keizo verfasserin aut Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Intraoperative kinematic analysis using a navigation system in total knee arthroplasty (TKA) has been increasing. The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials and methods Fifty-one knees in 45 patients who received TKA, performed by a single surgeon (the senior consultant) with the resident, were included in this retrospective study. There were 7 men and 38 women and the mean age was 74.3 years. Cruciate retaining (CR) type and posterior stabilized (PS) type implants were inserted into 38 and 13 knees. The senior consultant and the resident analyzed initial kinematics, the axial rotation of the tibia and the coronal alignment of the lower limb, three times in each knee on manual passive knee flexion intraoperatively using the navigation system. Intra-class correlation coefficients (ICC) with 95 % confidence intervals were calculated to determine the reproducibility of this analysis. Results In regard to intra-rater reproducibility with axial rotation of the tibia, the ICC of the senior consultant was 0.965 for CR knees and 0.972 for PS knees while the ICC of the resident were 0.966 and 0.956. Inter-rater reproducibility was excellent for both knee types (ICC, 0.885 for CR knees and 0.864 for PS knees). In regard to intra-rater reproducibility with coronal alignment of the lower limb, ICC of the senior consultant was 0.990 for CR knees and 0.996 for PS knees while those of the resident were 0.990 and 0.995. Inter-rater reproducibility was also excellent for both knee types (ICC, 0.978 for CR knees and 0.994 for PS knees). Conclusions Manual intraoperative kinematic analysis using a navigation system in TKA showed excellent reproducibility. This result may encourage further studies about intraoperative kinematic analysis using a navigation system in TKA. Navigation system (dpeaa)DE-He213 Total knee arthroplasty (dpeaa)DE-He213 Rotational kinematics (dpeaa)DE-He213 Reliability study (dpeaa)DE-He213 Intra-class correlation coefficients (dpeaa)DE-He213 Mikami, Hiroshi verfasserin aut Hamada, Daisuke verfasserin aut Yonezu, Hiroshi verfasserin aut Oba, Koichi verfasserin aut Sairyo, Koichi verfasserin aut Enthalten in Archives of orthopaedic and trauma surgery Berlin : Springer, 1903 136(2016), 2 vom: 06. Jan., Seite 271-276 (DE-627)253390087 (DE-600)1458452-9 1434-3916 nnns volume:136 year:2016 number:2 day:06 month:01 pages:271-276 https://dx.doi.org/10.1007/s00402-015-2402-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.83 ASE AR 136 2016 2 06 01 271-276
language	English
source	Enthalten in Archives of orthopaedic and trauma surgery 136(2016), 2 vom: 06. Jan., Seite 271-276 volume:136 year:2016 number:2 day:06 month:01 pages:271-276
sourceStr	Enthalten in Archives of orthopaedic and trauma surgery 136(2016), 2 vom: 06. Jan., Seite 271-276 volume:136 year:2016 number:2 day:06 month:01 pages:271-276
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Navigation system Total knee arthroplasty Rotational kinematics Reliability study Intra-class correlation coefficients
dewey-raw	610
isfreeaccess_bool	false
container_title	Archives of orthopaedic and trauma surgery
authorswithroles_txt_mv	Wada, Keizo @@aut@@ Mikami, Hiroshi @@aut@@ Hamada, Daisuke @@aut@@ Yonezu, Hiroshi @@aut@@ Oba, Koichi @@aut@@ Sairyo, Koichi @@aut@@
publishDateDaySort_date	2016-01-06T00:00:00Z
hierarchy_top_id	253390087
dewey-sort	3610
id	SPR005023688
language_de	englisch
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The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials and methods Fifty-one knees in 45 patients who received TKA, performed by a single surgeon (the senior consultant) with the resident, were included in this retrospective study. There were 7 men and 38 women and the mean age was 74.3 years. Cruciate retaining (CR) type and posterior stabilized (PS) type implants were inserted into 38 and 13 knees. The senior consultant and the resident analyzed initial kinematics, the axial rotation of the tibia and the coronal alignment of the lower limb, three times in each knee on manual passive knee flexion intraoperatively using the navigation system. Intra-class correlation coefficients (ICC) with 95 % confidence intervals were calculated to determine the reproducibility of this analysis. Results In regard to intra-rater reproducibility with axial rotation of the tibia, the ICC of the senior consultant was 0.965 for CR knees and 0.972 for PS knees while the ICC of the resident were 0.966 and 0.956. Inter-rater reproducibility was excellent for both knee types (ICC, 0.885 for CR knees and 0.864 for PS knees). In regard to intra-rater reproducibility with coronal alignment of the lower limb, ICC of the senior consultant was 0.990 for CR knees and 0.996 for PS knees while those of the resident were 0.990 and 0.995. Inter-rater reproducibility was also excellent for both knee types (ICC, 0.978 for CR knees and 0.994 for PS knees). Conclusions Manual intraoperative kinematic analysis using a navigation system in TKA showed excellent reproducibility. 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author	Wada, Keizo
spellingShingle	Wada, Keizo ddc 610 bkl 44.65 bkl 44.83 misc Navigation system misc Total knee arthroplasty misc Rotational kinematics misc Reliability study misc Intra-class correlation coefficients Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible
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topic_title	610 ASE 44.65 bkl 44.83 bkl Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible Navigation system (dpeaa)DE-He213 Total knee arthroplasty (dpeaa)DE-He213 Rotational kinematics (dpeaa)DE-He213 Reliability study (dpeaa)DE-He213 Intra-class correlation coefficients (dpeaa)DE-He213
topic	ddc 610 bkl 44.65 bkl 44.83 misc Navigation system misc Total knee arthroplasty misc Rotational kinematics misc Reliability study misc Intra-class correlation coefficients
topic_unstemmed	ddc 610 bkl 44.65 bkl 44.83 misc Navigation system misc Total knee arthroplasty misc Rotational kinematics misc Reliability study misc Intra-class correlation coefficients
topic_browse	ddc 610 bkl 44.65 bkl 44.83 misc Navigation system misc Total knee arthroplasty misc Rotational kinematics misc Reliability study misc Intra-class correlation coefficients
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title	Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible
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title_full	Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible
author_sort	Wada, Keizo
journal	Archives of orthopaedic and trauma surgery
journalStr	Archives of orthopaedic and trauma surgery
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author_browse	Wada, Keizo Mikami, Hiroshi Hamada, Daisuke Yonezu, Hiroshi Oba, Koichi Sairyo, Koichi
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doi_str_mv	10.1007/s00402-015-2402-8
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author2-role	verfasserin
title_sort	measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible
title_auth	Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible
abstract	Introduction Intraoperative kinematic analysis using a navigation system in total knee arthroplasty (TKA) has been increasing. The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials and methods Fifty-one knees in 45 patients who received TKA, performed by a single surgeon (the senior consultant) with the resident, were included in this retrospective study. There were 7 men and 38 women and the mean age was 74.3 years. Cruciate retaining (CR) type and posterior stabilized (PS) type implants were inserted into 38 and 13 knees. The senior consultant and the resident analyzed initial kinematics, the axial rotation of the tibia and the coronal alignment of the lower limb, three times in each knee on manual passive knee flexion intraoperatively using the navigation system. Intra-class correlation coefficients (ICC) with 95 % confidence intervals were calculated to determine the reproducibility of this analysis. Results In regard to intra-rater reproducibility with axial rotation of the tibia, the ICC of the senior consultant was 0.965 for CR knees and 0.972 for PS knees while the ICC of the resident were 0.966 and 0.956. Inter-rater reproducibility was excellent for both knee types (ICC, 0.885 for CR knees and 0.864 for PS knees). In regard to intra-rater reproducibility with coronal alignment of the lower limb, ICC of the senior consultant was 0.990 for CR knees and 0.996 for PS knees while those of the resident were 0.990 and 0.995. Inter-rater reproducibility was also excellent for both knee types (ICC, 0.978 for CR knees and 0.994 for PS knees). Conclusions Manual intraoperative kinematic analysis using a navigation system in TKA showed excellent reproducibility. This result may encourage further studies about intraoperative kinematic analysis using a navigation system in TKA.
abstractGer	Introduction Intraoperative kinematic analysis using a navigation system in total knee arthroplasty (TKA) has been increasing. The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials and methods Fifty-one knees in 45 patients who received TKA, performed by a single surgeon (the senior consultant) with the resident, were included in this retrospective study. There were 7 men and 38 women and the mean age was 74.3 years. Cruciate retaining (CR) type and posterior stabilized (PS) type implants were inserted into 38 and 13 knees. The senior consultant and the resident analyzed initial kinematics, the axial rotation of the tibia and the coronal alignment of the lower limb, three times in each knee on manual passive knee flexion intraoperatively using the navigation system. Intra-class correlation coefficients (ICC) with 95 % confidence intervals were calculated to determine the reproducibility of this analysis. Results In regard to intra-rater reproducibility with axial rotation of the tibia, the ICC of the senior consultant was 0.965 for CR knees and 0.972 for PS knees while the ICC of the resident were 0.966 and 0.956. Inter-rater reproducibility was excellent for both knee types (ICC, 0.885 for CR knees and 0.864 for PS knees). In regard to intra-rater reproducibility with coronal alignment of the lower limb, ICC of the senior consultant was 0.990 for CR knees and 0.996 for PS knees while those of the resident were 0.990 and 0.995. Inter-rater reproducibility was also excellent for both knee types (ICC, 0.978 for CR knees and 0.994 for PS knees). Conclusions Manual intraoperative kinematic analysis using a navigation system in TKA showed excellent reproducibility. This result may encourage further studies about intraoperative kinematic analysis using a navigation system in TKA.
abstract_unstemmed	Introduction Intraoperative kinematic analysis using a navigation system in total knee arthroplasty (TKA) has been increasing. The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials and methods Fifty-one knees in 45 patients who received TKA, performed by a single surgeon (the senior consultant) with the resident, were included in this retrospective study. There were 7 men and 38 women and the mean age was 74.3 years. Cruciate retaining (CR) type and posterior stabilized (PS) type implants were inserted into 38 and 13 knees. The senior consultant and the resident analyzed initial kinematics, the axial rotation of the tibia and the coronal alignment of the lower limb, three times in each knee on manual passive knee flexion intraoperatively using the navigation system. Intra-class correlation coefficients (ICC) with 95 % confidence intervals were calculated to determine the reproducibility of this analysis. Results In regard to intra-rater reproducibility with axial rotation of the tibia, the ICC of the senior consultant was 0.965 for CR knees and 0.972 for PS knees while the ICC of the resident were 0.966 and 0.956. Inter-rater reproducibility was excellent for both knee types (ICC, 0.885 for CR knees and 0.864 for PS knees). In regard to intra-rater reproducibility with coronal alignment of the lower limb, ICC of the senior consultant was 0.990 for CR knees and 0.996 for PS knees while those of the resident were 0.990 and 0.995. Inter-rater reproducibility was also excellent for both knee types (ICC, 0.978 for CR knees and 0.994 for PS knees). Conclusions Manual intraoperative kinematic analysis using a navigation system in TKA showed excellent reproducibility. This result may encourage further studies about intraoperative kinematic analysis using a navigation system in TKA.
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container_issue	2
title_short	Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible
url	https://dx.doi.org/10.1007/s00402-015-2402-8
remote_bool	true
author2	Mikami, Hiroshi Hamada, Daisuke Yonezu, Hiroshi Oba, Koichi Sairyo, Koichi
author2Str	Mikami, Hiroshi Hamada, Daisuke Yonezu, Hiroshi Oba, Koichi Sairyo, Koichi
ppnlink	253390087
mediatype_str_mv	c
isOA_txt	false
hochschulschrift_bool	false
doi_str	10.1007/s00402-015-2402-8
up_date	2024-07-03T13:31:31.062Z
_version_	1803564866465693696
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The purpose of the present study was to assess the reproducibility of the intraoperative kinematics analysis in TKA using the image-free knee navigation system. Materials and methods Fifty-one knees in 45 patients who received TKA, performed by a single surgeon (the senior consultant) with the resident, were included in this retrospective study. There were 7 men and 38 women and the mean age was 74.3 years. Cruciate retaining (CR) type and posterior stabilized (PS) type implants were inserted into 38 and 13 knees. The senior consultant and the resident analyzed initial kinematics, the axial rotation of the tibia and the coronal alignment of the lower limb, three times in each knee on manual passive knee flexion intraoperatively using the navigation system. Intra-class correlation coefficients (ICC) with 95 % confidence intervals were calculated to determine the reproducibility of this analysis. 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Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible

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