PROSPECTIVE STUDY TO DETERMINE RESTORATION OF POSTERIOR CONDYLAR OFFSET AND THE RISK OF ANTERIOR FEMORAL NOTCHING IN TOTAL KNEE ARTHROPLASTY USING POSTERIOR REFERENCING TECHNIQUE

Dr Parveen kumar Thakur; Dr Naveen Gupta

Volume : IX, Issue : VI, June - 2020

PROSPECTIVE STUDY TO DETERMINE RESTORATION OF POSTERIOR CONDYLAR OFFSET AND THE RISK OF ANTERIOR FEMORAL NOTCHING IN TOTAL KNEE ARTHROPLASTY USING POSTERIOR REFERENCING TECHNIQUE

Dr Parveen Kumar Thakur, Dr Naveen Gupta

Abstract :

Incidence of knee joint osteoarthritis has increased significantly during recent decades and this tendency will probably continue in near future due to rising age of population. Total knee replacement surgery has been definitive management for severe grade disease. There are two types of referencing techniques used while taking distal femoral cuts they are 1) Anterior referencing and 2)Posterior referencing. Both has their advantages and disadvantages. Literature shows that posterior referencing accurately restores posterior condylar offset relative to anterior referencing but there are chances of anterior femoral notching with posterior referencing technique. And anterior femoral notching in turn may lead to peri-prosthetic fracture. Various studies shows that anterior referencing technique affects the flexion gap tightness. This study is intended to assess the restoration of posterior condylar offset and the chances of anterior femoral notching in total knee replacement using posterior referencing technique by observing pre This is a prospective observational study of 50 consecutive cases of knee operative and post operative knee x-ray true lateral view.