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      KCI등재후보 SCOPUS SCIE

      Three Dimensional CT-based Virtual Patellar Resection in Female Patients Undergoing Total Knee Replacement: A Comparison between Tendon and Subchondral Method

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      https://www.riss.kr/link?id=A104598820

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      다국어 초록 (Multilingual Abstract)

      signifiBackground:Due to its small size, variable shape, and lack of distinct anatomical landmarks, osteoarthritic knees make a precise patellar resection extremely difficult.
      Methods: We performed virtual patellar resection with digital software using three dimensional computed tomography scans of knees from 49 patients who underwent primary total knee replacement at our hospital. We compared 2 commonly used resection methods, the tendon method (TM) and the subchondral method, to determine an ideal resection plane with respect to the symmetry and thickness of the patellar remnant.
      Results: The TM gave a thicker resected patella, and a less oval cut surface shape, which gives better coverage for a domed prosthesis. Both methods, however, gave a symmetric resection both superior-inferiorly, as well as mediolaterally.
      Conclusions: Although TM appears statistically better with respect to the thickness and cut surface shape, only further intraoperative studies with long-term clinical follow-up may provide us with the most appropriate patellar resection method.
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      signifiBackground:Due to its small size, variable shape, and lack of distinct anatomical landmarks, osteoarthritic knees make a precise patellar resection extremely difficult. Methods: We performed virtual patellar resection with digital software usin...

      signifiBackground:Due to its small size, variable shape, and lack of distinct anatomical landmarks, osteoarthritic knees make a precise patellar resection extremely difficult.
      Methods: We performed virtual patellar resection with digital software using three dimensional computed tomography scans of knees from 49 patients who underwent primary total knee replacement at our hospital. We compared 2 commonly used resection methods, the tendon method (TM) and the subchondral method, to determine an ideal resection plane with respect to the symmetry and thickness of the patellar remnant.
      Results: The TM gave a thicker resected patella, and a less oval cut surface shape, which gives better coverage for a domed prosthesis. Both methods, however, gave a symmetric resection both superior-inferiorly, as well as mediolaterally.
      Conclusions: Although TM appears statistically better with respect to the thickness and cut surface shape, only further intraoperative studies with long-term clinical follow-up may provide us with the most appropriate patellar resection method.

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      참고문헌 (Reference)

      1 Iranpour F, "The width:thickness ratio of the patella: an aid in knee arthroplasty" 466 (466): 1198-1203, 2008

      2 Bengs BC, "The effect of patellar thickness on intraoperative knee flexion and patellar tracking in total knee arthroplasty" 21 (21): 650-655, 2006

      3 Levai JP, "Technical aspects: the patellar side" 9 (9): S19-S20, 2001

      4 Insall JN. Surgical techniques, "Surgery of the knee" Churchill Livingstone 767-768, 1993

      5 Rauh MA, "Reliability and validity of a new caliper for measuring patellar thickness" 17 (17): 105-107, 2002

      6 Kellgren JH, "Radiological assessment of osteoarthrosis" 16 (16): 494-502, 1957

      7 Baldini A, "Patellofemoral evaluation after total knee arthroplasty: validation of a new weight-bearing axial radiographic view" 89 (89): 1810-1817, 2007

      8 Healy WL, "Patellofemoral complications following total knee arthroplasty:correlation with implant design and patient risk factors" 10 (10): 197-201, 1995

      9 Kelly MA, "Patellofemoral complications following total knee arthroplasty" 50 : 403-407, 2001

      10 Gomes LS, "Patellar prosthesis positioning in total knee arthroplasty: a roentgenographic study" (236) : 72-81, 1988

      1 Iranpour F, "The width:thickness ratio of the patella: an aid in knee arthroplasty" 466 (466): 1198-1203, 2008

      2 Bengs BC, "The effect of patellar thickness on intraoperative knee flexion and patellar tracking in total knee arthroplasty" 21 (21): 650-655, 2006

      3 Levai JP, "Technical aspects: the patellar side" 9 (9): S19-S20, 2001

      4 Insall JN. Surgical techniques, "Surgery of the knee" Churchill Livingstone 767-768, 1993

      5 Rauh MA, "Reliability and validity of a new caliper for measuring patellar thickness" 17 (17): 105-107, 2002

      6 Kellgren JH, "Radiological assessment of osteoarthrosis" 16 (16): 494-502, 1957

      7 Baldini A, "Patellofemoral evaluation after total knee arthroplasty: validation of a new weight-bearing axial radiographic view" 89 (89): 1810-1817, 2007

      8 Healy WL, "Patellofemoral complications following total knee arthroplasty:correlation with implant design and patient risk factors" 10 (10): 197-201, 1995

      9 Kelly MA, "Patellofemoral complications following total knee arthroplasty" 50 : 403-407, 2001

      10 Gomes LS, "Patellar prosthesis positioning in total knee arthroplasty: a roentgenographic study" (236) : 72-81, 1988

      11 Kurosaka M, "Maximizing flexion after total knee arthroplasty: the need and the pitfalls" 17 (17): 59-62, 2002

      12 Rand JA, "Joint replacement arthroplasty" Churchill Livingstone 1002-1003, 1991

      13 Koh JS, "Influence of patellar thickness on results of total knee arthroplasty:does a residual bony patellar thickness of

      14 Hsu HC, "Influence of patellar thickness on patellar tracking and patellofemoral contact characteristics after total knee arthroplasty" 11 (11): 69-80, 1996

      15 Lombardi AV Jr, "Freehand resection of the patella in total knee arthroplasty referencing the attachments of the quadriceps tendon and patellar tendon" 13 (13): 788-792, 1998

      16 Anglin C, "Finding and defining the ideal patellar resection plane in total knee arthroplasty" 42 (42): 2307-2312, 2009

      17 Parvizi J, "Failure to resurface the patella during total knee arthroplasty may result in more knee pain and secondary surgery" 438 : 191-196, 2005

      18 Reuben JD, "Effect of patella thickness on patella strain following total knee arthroplasty" 6 (6): 251-258, 1991

      19 Kim TK, "Clinical implications of anthropometric patellar dimensions for TKA in Asians" 467 (467): 1007-1014, 2009

      20 Pagnano MW, "Asymmetric patella resurfacing in total knee arthroplasty" 13 (13): 228-233, 2000

      21 Lee TQ, "Anatomically based patellar resection criteria for total knee arthroplasty" 11 (11): 161-165, 1998

      22 Baldwin JL, "Anatomic dimensions of the patella measured during total knee arthroplasty" 20 (20): 250-257, 2005

      23 Komistek RD, "An in vivo determination of patellofemoral contact positions" 15 (15): 29-36, 2000

      24 Ledger M, "Accuracy of patellar resection in total knee replacement: a study using the medial pivot knee" 12 (12): 13-19, 2005

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2024 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
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      2020-04-14 학회명변경 영문명 : 미등록 -> The Korean Orthopaedic Association KCI등재
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      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.06 0.06 0.07
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.07 0.1 0.346 0.04
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