Department of Orthopedics, Thomas Jefferson University Hospital, Curtis Bldg 801, 1015 Walnut St, Philadelphia, Pennsylvania, USA.
J Arthroplasty. 2012 Oct;27(9):1707-9. doi: 10.1016/j.arth.2012.03.055. Epub 2012 May 23.
Preoperative planning is essential to total knee arthroplasty (TKA); however, TKA templating is historically inaccurate. To improve on templating accuracy and streamline preoperative planning, we set out to predict component sizes based on patient characteristics without radiographs. A total of 123 consecutive patients undergoing unilateral TKA were identified and included in the model study. Input variables consisted of age, gender (as a binary number), height, weight, and body mass index. A linear regression model was created. The models predicted component size exactly in 74% of femurs and 85% of tibias. All model predictions were within a ±1 size of the actual components implanted. Our models were more accurate than any previous model for TKA reported.
术前规划对于全膝关节置换术(TKA)至关重要;然而,TKA 模板制作在历史上一直不够准确。为了提高模板制作的准确性并简化术前规划,我们着手研究如何在不使用 X 光片的情况下,根据患者特征来预测组件的尺寸。共确定了 123 例接受单侧 TKA 的连续患者,并将其纳入模型研究。输入变量包括年龄、性别(二进制数)、身高、体重和体重指数。创建了一个线性回归模型。该模型在 74%的股骨和 85%的胫骨中准确地预测了组件的尺寸。所有模型的预测结果都与实际植入的组件相差一个尺寸以内。我们的模型比以往任何报道的 TKA 模型都更准确。