32-192

Valoración clínico-radiológica de la articulación femoropatelar en prótesis que conservan los ligamentos cruzados

CLINICO-RADIOLOGICAL ASSESSMENT OF THE FEMOROPATELAR JOINT IN NON-CONSTRAINED KNEE PROSTHESIS

J. MARTÍN DE ANDRÉS*, J. M. CLOUTIER** y A. GIMÉNEZ RONDA* *Servicio de Cirugía Ortopédica y Traumatología. Hospital Marina Baixa. Villajoyosa y CE. Benidorm. **Departament d'Ortopedie. Hôpital Saint-Luc de Montreal. Quebec.
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
12/11/2008


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Resumen (ES)

A retrospective study was performed in 104 patients with 116 tricompartimental non-constrained knee prostheses. The radiological possition of the patella, its relationwith the prosthetic implant and the effect of these factors in the final range of movement of the knee were analyzed. AP, lateral and 30° axial radiological views were taken and the following variables were studied: residual patellar thickness, position of the metallic component with respect to the patella, Laurin''s angle and subluxation of the patella.The relation between these findings and also respect to postoperative maximum flexion were investigated. Overall, 52% of the patella tracked centrally. A statystical significant relation between the inclination angle and the patellar subluxation degree was obtained. However, within the exposed ranges, the studied variables have not demonstrated influence in the prosthetic range of movement.

Palabras clave (ES):

Clínico
Radiológica
Articulación
Femoropatelar
Prótesis
Ligamento
Cruzado
Rodilla
Artroplastia
Rótula
Patela
Patelofemoral
Conservación
Valoración

Resumen (EN)

A retrospective study was performed in 104 patients with 116 tricompartimental non-constrained knee prostheses. The radiological possition of the patella, its relationwith the prosthetic implant and the effect of these factors in the final range of movement of the knee were analyzed. AP, lateral and 30° axial radiological views were taken and the following variables were studied: residual patellar thickness, position of the metallic component with respect to the patella, Laurin''s angle and subluxation of the patella.The relation between these findings and also respect to postoperative maximum flexion were investigated. Overall, 52% of the patella tracked centrally. A statystical significant relation between the inclination angle and the patellar subluxation degree was obtained. However, within the exposed ranges, the studied variables have not demonstrated influence in the prosthetic range of movement.

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