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Research Article

How precise is the identification of the center of the femoral head during total knee arthroplasty?

, , , &
Pages 53-58 | Received 02 May 2011, Accepted 05 Aug 2011, Published online: 23 Nov 2011

Figures & data

Figure 1. Coronal alignment error calculated trigonometrically.

Figure 1. Coronal alignment error calculated trigonometrically.

Figure 2. Illustration of 3 landmarks for determination of the center of the femoral head: A (left panel); I (center panel); F (right panel). ASIS: anterosuperior iliac spine; FA: femoral artery; PT: pubic tubercle; SP: symphysis pubis.

Figure 2. Illustration of 3 landmarks for determination of the center of the femoral head: A (left panel); I (center panel); F (right panel). ASIS: anterosuperior iliac spine; FA: femoral artery; PT: pubic tubercle; SP: symphysis pubis.

Figure 3. A. The distance between femoral head centers on both sides was measured on a radiograph of the pelvis. B. A customized metal ruler with two mobile pegs was developed to replicate the inter-femoral head distance. Dotted line: pelvic midline; empty arrow: center rod; solid arrow: mobile peg (landmark X).

Figure 3. A. The distance between femoral head centers on both sides was measured on a radiograph of the pelvis. B. A customized metal ruler with two mobile pegs was developed to replicate the inter-femoral head distance. Dotted line: pelvic midline; empty arrow: center rod; solid arrow: mobile peg (landmark X).

Table 1. Distances (mm) between the estimated and real femoral head centers

Table 2. Location of each landmark of the 4 methods

Figure 4. Overall distribution for each method, indicating the number of cases at intervals of 4 mm.

Figure 4. Overall distribution for each method, indicating the number of cases at intervals of 4 mm.

Table 3. Amount of errors in the estimation of the real femoral head center. Values are number of cases (percentage) within limit.

Table 4. Factors affecting results of the four methods. Values are median distance (mm) and (Q1, Q3)