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The Adherence of Digital Templating of Cemented Bicondylar Total Knee Arthroplasty Reveals Gender Differences

Introduction: Preoperative digital templating is a standard procedure that should help the operating surgeon to perform an accurate intraoperative procedure. To date, a detailed view considering gender differences in templating total knee arthroplasty (TKA), stage of arthrosis, and the surgeons’ exp...

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Autores principales: Koettnitz, Julian, Tigges, Jara, Peterlein, Christian Dominik, Trost, Matthias, Götze, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917635/
https://www.ncbi.nlm.nih.gov/pubmed/36769727
http://dx.doi.org/10.3390/jcm12031079
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author Koettnitz, Julian
Tigges, Jara
Peterlein, Christian Dominik
Trost, Matthias
Götze, Christian
author_facet Koettnitz, Julian
Tigges, Jara
Peterlein, Christian Dominik
Trost, Matthias
Götze, Christian
author_sort Koettnitz, Julian
collection PubMed
description Introduction: Preoperative digital templating is a standard procedure that should help the operating surgeon to perform an accurate intraoperative procedure. To date, a detailed view considering gender differences in templating total knee arthroplasty (TKA), stage of arthrosis, and the surgeons’ experience altogether has not been conducted. Methods: A series of 521 patients who underwent bicondylar total knee arthroplasty was analyzed retrospectively for the planning adherence of digital templating in relation to sex, surgeon experience, and stage of arthrosis. Pre- and postoperative X-rays were comparably investigated for planned and implanted total knee arthroplasties. Digital templating was carried out through mediCAD version 6.5.06 (Hectec GmbH, 84032 Altdorf, Germany). For statistical analyses, IBM SPSS version 28 (IBM, 10504 Armonk, NY, US) was used. Results: The general planning adherence was 46.3% for the femur and 41.8% for the tibia. The Mann–Whitney U test revealed a gender difference for templating the femur (z = −5.486; p ≤ 0.001) and tibia (z = −3.139; p = 0.002). The surgeon’s experience did not show a significant difference through the Kruskal–Wallis test in the femur (K–W H = 4.123; p = 0.127) and the tibia (K–W H = 2.455; p = 0.293). The stage of arthrosis only revealed a significant difference in the planning of the femur (K–L-score (K–W H = 6.516; p = 0.038) alone. Discussion/Conclusion: Digital templating for total knee arthroplasty brought up gender differences, with oversized implants for women and undersized implants for men. A high stage of femoral arthrosis can lead to the under and oversized planning of the surgeon. Since the surgeon’s experience in planning did not show an effect on the adherence to templating, the beneficial effect of digital templating before surgery should be discussed.
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spelling pubmed-99176352023-02-11 The Adherence of Digital Templating of Cemented Bicondylar Total Knee Arthroplasty Reveals Gender Differences Koettnitz, Julian Tigges, Jara Peterlein, Christian Dominik Trost, Matthias Götze, Christian J Clin Med Article Introduction: Preoperative digital templating is a standard procedure that should help the operating surgeon to perform an accurate intraoperative procedure. To date, a detailed view considering gender differences in templating total knee arthroplasty (TKA), stage of arthrosis, and the surgeons’ experience altogether has not been conducted. Methods: A series of 521 patients who underwent bicondylar total knee arthroplasty was analyzed retrospectively for the planning adherence of digital templating in relation to sex, surgeon experience, and stage of arthrosis. Pre- and postoperative X-rays were comparably investigated for planned and implanted total knee arthroplasties. Digital templating was carried out through mediCAD version 6.5.06 (Hectec GmbH, 84032 Altdorf, Germany). For statistical analyses, IBM SPSS version 28 (IBM, 10504 Armonk, NY, US) was used. Results: The general planning adherence was 46.3% for the femur and 41.8% for the tibia. The Mann–Whitney U test revealed a gender difference for templating the femur (z = −5.486; p ≤ 0.001) and tibia (z = −3.139; p = 0.002). The surgeon’s experience did not show a significant difference through the Kruskal–Wallis test in the femur (K–W H = 4.123; p = 0.127) and the tibia (K–W H = 2.455; p = 0.293). The stage of arthrosis only revealed a significant difference in the planning of the femur (K–L-score (K–W H = 6.516; p = 0.038) alone. Discussion/Conclusion: Digital templating for total knee arthroplasty brought up gender differences, with oversized implants for women and undersized implants for men. A high stage of femoral arthrosis can lead to the under and oversized planning of the surgeon. Since the surgeon’s experience in planning did not show an effect on the adherence to templating, the beneficial effect of digital templating before surgery should be discussed. MDPI 2023-01-30 /pmc/articles/PMC9917635/ /pubmed/36769727 http://dx.doi.org/10.3390/jcm12031079 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Koettnitz, Julian
Tigges, Jara
Peterlein, Christian Dominik
Trost, Matthias
Götze, Christian
The Adherence of Digital Templating of Cemented Bicondylar Total Knee Arthroplasty Reveals Gender Differences
title The Adherence of Digital Templating of Cemented Bicondylar Total Knee Arthroplasty Reveals Gender Differences
title_full The Adherence of Digital Templating of Cemented Bicondylar Total Knee Arthroplasty Reveals Gender Differences
title_fullStr The Adherence of Digital Templating of Cemented Bicondylar Total Knee Arthroplasty Reveals Gender Differences
title_full_unstemmed The Adherence of Digital Templating of Cemented Bicondylar Total Knee Arthroplasty Reveals Gender Differences
title_short The Adherence of Digital Templating of Cemented Bicondylar Total Knee Arthroplasty Reveals Gender Differences
title_sort adherence of digital templating of cemented bicondylar total knee arthroplasty reveals gender differences
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917635/
https://www.ncbi.nlm.nih.gov/pubmed/36769727
http://dx.doi.org/10.3390/jcm12031079
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