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The Application of Improved Position for Lower Limb full Length DR Radiograph in Hip/Knee Arthroplasty

Received: 16 January 2018     Accepted: 31 January 2018     Published: 15 March 2018
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Abstract

Aim Compared with the traditional position, we tried to explore the application of improved position for lower limb DR radiograph in hip and knee arthroplasty. Method Retrospective analysis of the traditional and improved DR radiographs from 60 cases for hip and knee arthroplasty, by comparing the division angle, lower limb mechanical axis length, mechanical deviation between the lower limb mechanical axis and the center of the tibial plateau. Results (1) Preoperative data from twenty cases of improved and 15 cases of traditional lower limb DR radiographs showed the mechanical deviations between the lower limb mechanical axis and the center of the tibial plateau were 28.18, 4.71, 30.66, 11.92; postoperative data from fifty cases of improved and 33 cases of traditional DR radiographs showed the mechanical deviations between the lower limb mechanical axis and the center of the tibial plateau were 5.04, 11.03 (P < 0.05). (2) Improved position much more clearly showed the full length of the lower limb, compared with traditional position. (3) Values preoperative correction angle of 31 cases of improved and 19 cases of traditional position were 5.9°, 6.7° (P < 0.05). Conclusion DR radiographs of improved position can realistically show the pre- and post-operative status of hip and knee. The data of correction angle, lower limb mechanical axis length, mechanical deviations between the lower limb mechanical axis and the center of the tibial plateau can be more accurate. It is more convenient for the selection of operation procedure and for the assessment of surgery and rehabilitation.

Published in Journal of Surgery (Volume 6, Issue 2)
DOI 10.11648/j.js.20180602.11
Page(s) 33-35
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Arthroplasty, DR Radiograph, Lower Limb Full Length, Traditional Body Position, Improved Body Position

References
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[2] S. R. Piedade, A. Pinaroli, E. Servien, P. Neyret, Revision after early aseptic failures in primary total knee arthroplasty, Knee Surg Sports Traumatol Arthrosc, 2009, (17): 248-253.
[3] T. K. Fehring, S. Odum, W. L. Griffin, J. B. Mason, M. Nadaud, Early failures in total knee arthroplasty, Clin Orthop Relat Res, 2001, DOI: 315-318.
[4] T. O. White, T. W. Dougall, Arthroplasty of the hip. Leg length is not important, J Bone Joint Surg Br, 2002, (84): 335-338.
[5] S. C. Tipton, J. K. Sutherland, R. Schwarzkopf, The Assessment of Limb Length Discrepancy Before Total Hip Arthroplasty, J Arthroplasty, 2016, (31): 888-892.
[6] G. Meermans, A. Malik, J. Witt, F. Haddad, Preoperative radiographic assessment of limb-length discrepancy in total hip arthroplasty, Clin Orthop Relat Res, 2011, (469): 1677-1682.
[7] A. Konyves, G. C. Bannister, The importance of leg length discrepancy after total hip arthroplasty, J Bone Joint Surg Br, 2005, (87): 155-157.
[8] Y. Zhang, W. He, T. Cheng, X. Zhang, Total Hip Arthroplasty: Leg Length Discrepancy Affects Functional Outcomes and Patient's Gait, Cell Biochem Biophys, 2015, (72): 215-219.
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[10] S. P. Krishnan, R. W. Carrington, S. Mohiyaddin, N. Garlick, Common misconceptions of normal hip joint relations on pelvic radiographs, J Arthroplasty, 2006, (21): 409-412.
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  • APA Style

    Huige Hou, Jinguo Lai, Xiufang Yan, Zhichao Lin. (2018). The Application of Improved Position for Lower Limb full Length DR Radiograph in Hip/Knee Arthroplasty. Journal of Surgery, 6(2), 33-35. https://doi.org/10.11648/j.js.20180602.11

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    ACS Style

    Huige Hou; Jinguo Lai; Xiufang Yan; Zhichao Lin. The Application of Improved Position for Lower Limb full Length DR Radiograph in Hip/Knee Arthroplasty. J. Surg. 2018, 6(2), 33-35. doi: 10.11648/j.js.20180602.11

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    AMA Style

    Huige Hou, Jinguo Lai, Xiufang Yan, Zhichao Lin. The Application of Improved Position for Lower Limb full Length DR Radiograph in Hip/Knee Arthroplasty. J Surg. 2018;6(2):33-35. doi: 10.11648/j.js.20180602.11

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  • @article{10.11648/j.js.20180602.11,
      author = {Huige Hou and Jinguo Lai and Xiufang Yan and Zhichao Lin},
      title = {The Application of Improved Position for Lower Limb full Length DR Radiograph in Hip/Knee Arthroplasty},
      journal = {Journal of Surgery},
      volume = {6},
      number = {2},
      pages = {33-35},
      doi = {10.11648/j.js.20180602.11},
      url = {https://doi.org/10.11648/j.js.20180602.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180602.11},
      abstract = {Aim Compared with the traditional position, we tried to explore the application of improved position for lower limb DR radiograph in hip and knee arthroplasty. Method Retrospective analysis of the traditional and improved DR radiographs from 60 cases for hip and knee arthroplasty, by comparing the division angle, lower limb mechanical axis length, mechanical deviation between the lower limb mechanical axis and the center of the tibial plateau. Results (1) Preoperative data from twenty cases of improved and 15 cases of traditional lower limb DR radiographs showed the mechanical deviations between the lower limb mechanical axis and the center of the tibial plateau were 28.18, 4.71, 30.66, 11.92; postoperative data from fifty cases of improved and 33 cases of traditional DR radiographs showed the mechanical deviations between the lower limb mechanical axis and the center of the tibial plateau were 5.04, 11.03 (P Conclusion DR radiographs of improved position can realistically show the pre- and post-operative status of hip and knee. The data of correction angle, lower limb mechanical axis length, mechanical deviations between the lower limb mechanical axis and the center of the tibial plateau can be more accurate. It is more convenient for the selection of operation procedure and for the assessment of surgery and rehabilitation.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - The Application of Improved Position for Lower Limb full Length DR Radiograph in Hip/Knee Arthroplasty
    AU  - Huige Hou
    AU  - Jinguo Lai
    AU  - Xiufang Yan
    AU  - Zhichao Lin
    Y1  - 2018/03/15
    PY  - 2018
    N1  - https://doi.org/10.11648/j.js.20180602.11
    DO  - 10.11648/j.js.20180602.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 33
    EP  - 35
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20180602.11
    AB  - Aim Compared with the traditional position, we tried to explore the application of improved position for lower limb DR radiograph in hip and knee arthroplasty. Method Retrospective analysis of the traditional and improved DR radiographs from 60 cases for hip and knee arthroplasty, by comparing the division angle, lower limb mechanical axis length, mechanical deviation between the lower limb mechanical axis and the center of the tibial plateau. Results (1) Preoperative data from twenty cases of improved and 15 cases of traditional lower limb DR radiographs showed the mechanical deviations between the lower limb mechanical axis and the center of the tibial plateau were 28.18, 4.71, 30.66, 11.92; postoperative data from fifty cases of improved and 33 cases of traditional DR radiographs showed the mechanical deviations between the lower limb mechanical axis and the center of the tibial plateau were 5.04, 11.03 (P Conclusion DR radiographs of improved position can realistically show the pre- and post-operative status of hip and knee. The data of correction angle, lower limb mechanical axis length, mechanical deviations between the lower limb mechanical axis and the center of the tibial plateau can be more accurate. It is more convenient for the selection of operation procedure and for the assessment of surgery and rehabilitation.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Medical Imaging Center, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Medical Imaging Center, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Medical Imaging Center, the First Affiliated Hospital of Jinan University, Guangzhou, China

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