Die Zuverlässigkeit der präoperativen Knietotalendoprothesenplanung - ein Vergleich zweier Kalibrierungsmarker

Zusammenfassung

Hintergrund Die präoperative Prothesenplanung ist der Goldstandard bei der Implantation einer elektiven Knietotalendoprothese. In dieser Studie führen wir eine retrospektive Analyse zweier verschiedener Kalibrationsmarker durch. Methoden Die präoperative Implantatplanung mittels MediCad wurde in 231 Fällen durchgeführt. Wir verglichen in 2 Gruppen die Treffsicherheit einer Kalibration mittels Kugelmarker gegen eine mithilfe des KingMark-Systems durchgeführte Kalibrierung, indem die präoperativ geplanten Größen mit den tatsächlich implantierten Größen verglichen wurden. Resultate Insgesamt zeigte sich in 60,4% (n = 140) der Fälle kein kombiniertes femorotibiales Match, sprich mindestens eines der geplanten Implantate wich in seiner Größe von der Planung ab. In 39,4% (n = 91) zeigte sich eine treffende Vorhersage der Implantatgrößen in der Messung sowohl femoral als auch tibial. Gruppe 1 zeigte eine statistisch signifikant bessere Vorhersage der Implantatgröße für das kombinierte femorotibiale Match der Implantatgrößen sowie für die femorale Größe allein. Schlussfolgerung Auf Basis unserer Studie sollte das KingMark-Kalibrierungssystem gegenüber standardisierten Kugelmarkern bevorzugt werden. Insgesamt liefern beide Systeme jedoch keine zufriedenstellende Vorhersage der tatsächlichen Prothesengröße.

Schlüsselwörter

Knie - Totalendoprothese - Planung - TEP

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