The Reliability of Preoperative Total Knee Arthroplasty Planning -a Comparison of Two Calibration Markers

Abstract

Background Preoperative templating is the gold standard in planning elective total knee arthroplasty. This retrospective study analyses preoperative templating by using two different calibration devices. Methods Preoperative radiographic templating with TraumaCad using two different calibration devices was performed in 231 patients. Results Overall, 60.6% (n = 140) did not match and 39.4% (n = 91) matched for tibial as well as femoral size. Group I showed significantly more combined matches as well as for just the size of the femoral component. Conclusions In this study, the KingMark calibration should be preferred to standardised ball markers.

Keywords

knee - arthroplasty - radiographic - templating

Publication History

Received: 16 May 2022

Accepted after revision: 01 August 2022

Article published online:
04 October 2022

• Literatur

• 1 Steiner C, Andrews R, Barrett M. U.S. Agency for Healthcare Research and Quality. et al. HCUP Projections: Mobility/Orthopedic Procedures 2003 to 2012. 2012. HCUP Projections Report # 2012–03. 20.09.2012 Accessed September 20, 2022 at: https://www.hcup-us.ahrq.gov/reports/projections/2012–03.pdf
• 2 Singh JA, Yu S, Chen L. et al. Rates of Total Joint Replacement in the United States: Future Projections to 2020–2040 Using the National Inpatient Sample. J Rheumatol 2019; 46: 1134-1140 DOI: 10.3899/jrheum.170990. (PMID: 30988126)
• 3 Evans JT, Walker RW, Evans JP. et al. How long does a knee replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. Lancet 2019; 393: 655-663 DOI: 10.1016/S0140-6736(18)32531-5. (PMID: 30782341)
• 4 Bourne RB, Chesworth BM, Davis AM. et al. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?. Clin Orthop Relat Res 2010; 468: 57-63 DOI: 10.1007/s11999-009-1119-9. (PMID: 19844772)
• 5 Kim TK, Chang CB, Kang YG. et al. Causes and predictors of patient’s dissatisfaction after uncomplicated total knee arthroplasty. J Arthroplasty 2009; 24: 263-271 DOI: 10.1016/j.arth.2007.11.005. (PMID: 18534422)
• 6 Robertsson O, Lidgren L, Sundberg M, Dahl A. The Swedish Knee Arthroplasty Register, Annual Report 2019. Accessed September 06, 2019 at: https://www.researchgate.net/publication/338541305_The_Swedish_Knee_Arthroplasty_Register_-_Annual_report_2019
• 7 Tarwala R. Tourniquet Versus No Tourniquet in Total Knee Arthroplasty: We Don’t Have a Winner Yet. Commentary on article by Rahul Goel, MD, et al.: “Tourniquet Use Does Not Affect Functional Outcomes or Pain After Total Knee Arthroplasty. A Prospective, Double-Blinded, Randomized Controlled Trial”. J Bone Joint Surg Am 2019; 101: e109 DOI: 10.2106/JBJS.19.00842.
• 8 Sharma GM, Palekar G, Tanna DD. Use of closed suction drain after primary total knee arthroplasty – an overrated practice. SICOT J 2016; 2: 39 DOI: 10.1051/sicotj/2016034. (PMID: 27855775)
• 9 Li C, Qu J, Pan S. et al. Local infiltration anesthesia versus epidural analgesia for postoperative pain control in total knee arthroplasty: a systematic review and meta-analysis. J Orthop Surg Res 2018; 13: 112 DOI: 10.1186/s13018-018-0770-9. (PMID: 29769140)
• 10 Berninger MT, Friederichs J, Leidinger W. et al. Effect of local infiltration analgesia, peripheral nerve blocks, general and spinal anesthesia on early functional recovery and pain control in total knee arthroplasty. BMC Musculoskelet Disord 2018; 19: 232 DOI: 10.1186/s12891-018-2154-z. (PMID: 30021587)
• 11 Bonnin MP, Saffarini M, Shepherd D. et al. Oversizing the tibial component in TKAs: incidence, consequences and risk factors. Knee Surg Sports Traumatol Arthrosc 2016; 24: 2532-2540 DOI: 10.1007/s00167-015-3512-0. (PMID: 25605560)
• 12 Nielsen CS, Nebergall A, Huddleston J. et al. Medial Overhang of the Tibial Component Is Associated With Higher Risk of Inferior Knee Injury and Osteoarthritis Outcome Score Pain After Knee Replacement. J Arthroplasty 2018; 33: 1394-1398 DOI: 10.1016/j.arth.2017.12.027. (PMID: 29452971)
• 13 Efe T, El Zayat BF, Heyse TJ. et al. Precision of preoperative digital templating in total hip arthroplasty. Acta Orthop Belg 2011; 77: 616-621 (PMID: 22187836)
• 14 Al-Ashqar M, Aslam N, Azhar MS. et al. KingMark’s dual-marker versus a conventional single-marker templating system: is there a difference in accuracy of predicting final implant sizes and leg lengths. Eur J Orthop Surg Traumatol 2021; DOI: 10.1007/s00590-021-03174-y.
• 15 Warschawski Y, Shichman I, Morgan S. et al. The accuracy of external calibration markers in digital templating using the double marker and single marker method: a comparative study. Arch Orthop Trauma Surg 2020; 140: 1559-1565 DOI: 10.1007/s00402-020-03569-2. (PMID: 32794149)
• 16 Dammerer D, Keiler A, Herrnegger S. et al. Accuracy of digital templating of uncemented total hip arthroplasty at a certified arthroplasty center: a retrospective comparative study. Arch Orthop Trauma Surg 2021; DOI: 10.1007/s00402-021-03836-w. (PMID: 33725193)
• 17 Wang Q, Xiao J, Zhu L. et al. Acetate templating on calibrated standing digital radiograph improves accuracy of preoperative templating for total hip arthroplasty. Orthop Traumatol Surg Res 2017; 103: 341-347 DOI: 10.1016/j.otsr.2016.12.022. (PMID: 28263807)
• 18 Shichman I, Factor S, Shaked O. et al. Effects of surgeon experience and patient characteristics on accuracy of digital pre-operative planning in total hip arthroplasty. Int Orthop 2020; 44: 1951-1956 DOI: 10.1007/s00264-020-04733-4. (PMID: 32699933)
• 19 Sinclair VF, Wilson J, Jain NP. et al. Assessment of accuracy of marker ball placement in pre-operative templating for total hip arthroplasty. J Arthroplasty 2014; 29: 1658-1660 DOI: 10.1016/j.arth.2014.03.013. (PMID: 24736293)
• 20 White Paper on Joint Replacement: Status of Hip and Knee Arthroplasty Care in Germany [Internet]. Bleß HH, Kip M. Berlin (Germany): Springer; 2018. DOI: 10.1007/978-3-662-55918-5
• 21 Tanzer M, Makhdom AM. Preoperative Planning in Primary Total Knee Arthroplasty. J Am Acad Orthop Surg 2016; 24: 220-230 DOI: 10.5435/JAAOS-D-14-00332. (PMID: 26990712)
• 22 Bracey DN, Brown ML, Beard HR. et al. Effects of patellofemoral overstuffing on knee flexion and patellar kinematics following total knee arthroplasty: a cadaveric study. Int Orthop 2015; 39: 1715-1722 DOI: 10.1007/s00264-015-2715-9. (PMID: 25776464)
• 23 Kemp MA, Metcalfe AJ, Sayers A. et al. Does overstuffing of the patellofemoral joint in total knee arthroplasty have a significant effect on postoperative outcomes?. Knee 2018; 25: 874-881 DOI: 10.1016/j.knee.2018.05.007. (PMID: 29933936)
• 24 Beldman M, Breugem SJ, van Jonbergen HP. Overstuffing in total knee replacement: no effect on clinical outcomes or anterior knee pain. Int Orthop 2015; 39: 887-891 DOI: 10.1007/s00264-014-2548-y. (PMID: 25307257)
• 25 Simsek ME, Akkaya M, Gursoy S. et al. Posterolateral overhang affects patient quality of life after total knee arthroplasty. Arch Orthop Trauma Surg 2018; 138: 409-418 DOI: 10.1007/s00402-017-2850-4. (PMID: 29177951)
• 26 Clarke HJ, Ginnha RH, Cox QG. et al. Computerized templating in uncemented total hip arthroplasty to assess component fit and fill. J Arthroplasty 1992; 7: 235-239
• 27 Peek AC, Bloch B, Auld J. How useful is templating for total knee replacement component sizing?. Knee 2012; 19: 266-269 DOI: 10.1016/j.knee.2011.03.010. (PMID: 21561779)
• 28 Radtke K, Becher C, Noll Y. et al. Effect of limb rotation on radiographic alignment in total knee arthroplasties. Arch Orthop Trauma Surg 2010; 130: 451-457 DOI: 10.1007/s00402-009-0999-1. (PMID: 19898854)
• 29 Moon HS, Choi CH, Jung M. et al. The effect of knee joint rotation in the sagittal and axial plane on the measurement accuracy of coronal alignment of the lower limb. BMC Musculoskelet Disord 2020; 21: 470 DOI: 10.1186/s12891-020-03487-9. (PMID: 32680484)
• 30 Maderbacher G, Schaumburger J, Baier C. et al. Predicting knee rotation by the projection overlap of the proximal fibula and tibia in long-leg radiographs. Knee Surg Sports Traumatol Arthrosc 2014; 22: 2982-2988 DOI: 10.1007/s00167-014-3327-4. (PMID: 25253236)