胫骨前肌肌腱在膝关节置换术胫骨髓外定位系统中的作用分析

doi:10.13418/j.issn.1001-165x.2015.03.023

Chinese Journal Of Clinical Anatomy ›› 2015, Vol. 33 ›› Issue (3): 341-343.doi: 10.13418/j.issn.1001-165x.2015.03.023

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The tibialis anterior tendon as anatomical landmark in the extramedullary alignment system of the total knee arthroplasty

WANG Xin-guang ^1,2, GUO Han-ming ², XIAO Jun ¹, ZHENG Shao-wei ³, SHI Zhan-jun¹

1. Department of Orthopedic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515，China; 2. Department of Orthopedic Surgery, Huizhou Municipal Central Hospital, Huizhou 516001, Guangdong Province, China; 3. Department of Orthopedic Surgery, Huizhou First Hospital, Huizhou 516001, Guangdong Province, China

Received:2014-11-18 Online:2015-05-25 Published:2015-07-24

Abstract

Abstract:

Objective To explore the effect of the tibialis anterior tendon in the total knee arthroplasty of the extramedullary alignment. Methods The ankle center and the tibial coronal alignment in 59 lower limbs of the 59 osteoarthritis were confirmed with X-ray and was marked in the skin, the medial border of tibialis anterior tendon was also marked in the skin. The distance of the tibialis anterior tendon to the ankle center was measured at the ankle line, the distance of junction of tibialis anterior tendon and tibial coronal alignment to the ankle line also was measured. The independent t test was performed for both distances. Results The distance of the tibialis anterior tendon to the ankle center was (13.32±2.75) mm (P<0.001), and the distance of the junction of the tibialis anterior tendon and the tibial alignment to the ankle line was (71.23±6.45) mm (P<0.001). Conclusion The tibialis anterior tendon has 2 points that could serve as the distal tibial anatomical landmark in extramedullary alignment of total knee arthroplasty, it could be applied in the total knee arthroplasty clinically.

Key words: Total knee arthroplasty, Tibialis anterior tendon, Alignment, Anatomical landmark

References

[1] Fang DM, Ritter MA, Davis KE. Coronal alignment in total knee arthroplasty: just how important is it? [J].J Arthroplasty, 2009, 24(6 Suppl):39-43.
[2] Schroer WC, Berend KR, Lombardi AV, et al. Why are total knees failing today? Etiology of total knee revision in 2010 and 2011[J]. J Arthroplasty, 2013, 28(8 Suppl):116-119.
[3] Dalury DF. Observations of the proximal tibia in total knee arthroplasty[J]. Clin Orthop Relat Res, 2001, 389:150-155.
[4] Rajadhyaksha AD, Mehta H, Zelicof SB. Use of tibialis anterior tendon as distal landmark for extramedullary tibial alignment in total knee arthroplasty: an anatomical study[J]. Am J Orthop, 2009,38(3):E68-70.
[5] Sugimura N, Ikeuchi M, Izumi M, et al. The dorsal pedis artery as a new distal landmark for extramedullary tibial alignment in total knee arthroplasty[J]. Knee Surg Sports Traumatol Arthrosc, 2014,22(11):2618-2622.
[6] Schneider M, Heisel C, Aldinger PR, et al. Use of palpable tendons for extramedullary tibial alignment in total knee arthroplasty[J]. J Arthroplasty, 2007,22(2):219-226.
[7] Dennis DA, Channer M, Susman MH, et al. Intramedullary versus extramedullary tibial alignment systems in total knee arthroplasty[J]. J Arthroplasty, 1993,8(1):43-47.
[8] Akagi M, Asada S, Mori S,et al. Estimation of frontal alignment error of the extramedullary tibial guide on the bi-malleolar technique: a simulation study with magnetic resonance imaging[J]. The Knee, 2012,19(6):836-842.
[9] Siston RA, Daub AC, Giori NJ, et al. Evaluation of methods that locate the center of the ankle for computer-assisted total knee arthroplasty[J]. Clin Orthop Relat Res, 2005,439:129-135.
[10]乔建民，季庆辉，杨建华，等. 超声对踝关节中心解剖标志的研究[J]. 中华临床医师杂志( 电子版)， 2012，6(1):226-228.
[11]欧云生，李怀先，赵玉峰. 胫骨应用解剖与胫骨型髓内分叉钉设计[J]. 实用骨科杂志， 2001，7(2):101-104.
[12]Burke DW, O'Flynn. Primary total knee arthroplasty[M]//Chapman MW, editor. Chapman's orthopedic surgery. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2001:2885

The tibialis anterior tendon as anatomical landmark in the extramedullary alignment system of the total knee arthroplasty

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