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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 12, 1643-1646.
doi: 10.1302/0301-620X.87B12.16616  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Validity of an oblique posterior condylar radiographic view for revision total knee arthroplasty

H. Miura, MD, PhD, Associate Professor1; S. Matsuda, MD, PhD, Lecturer1; K. Okazaki, MD, PhD, Assistant Professor1; T. Kawano, MD, Orthopaedic Surgeon1; H. Kawamura, MD, PhD, Director2; and Y. Iwamoto, MD, PhD, Professor1

1 Department of Orthopaedic Surgery, Kyushu Koseinenkin Hospital, 1-8-1 Kishinoura, Yahatanishi-ku, Kitakyushu 806-8501, Japan.
2 Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.

Correspondence should be sent to Professor H. Miura; e-mail: miura{at}ortho.med.kyushu-u.ac.jp

We have previously developed a radiographic technique, the oblique posterior condylar view, for assessment of the posterior aspect of the femoral condyles after total knee arthroplasty. The purpose of this study was to confirm the validity of this radiographic view based upon intra-operative findings at revision total knee arthroplasty. Lateral and oblique posterior condylar views were performed for 11 knees prior to revision total knee arthroplasty, and radiolucent lines or osteolysis of the posterior aspect of the femoral condyles were identified. These findings were compared with the intra-operative appearance of the posterior aspects of the femoral condyles. Statistical analysis showed that sensitivity and efficacy were significantly better for the oblique posterior condylar than the lateral view. This method can, therefore, be considered as suitable for routine follow-up radiographs of the femoral component and in the pre-operative planning of revision surgery.




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 J Bone Joint Surg BrHome page
J. P. Whittaker, R. Dharmarajan, and A. D. Toms
The management of bone loss in revision total knee replacement
J Bone Joint Surg Br, August 1, 2008; 90-B(8): 981 - 987.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General