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1.
Clin Orthop Surg ; 14(4): 652, 2022 Dec.
Article in English | MEDLINE | ID: mdl-36518922

ABSTRACT

[This corrects the article on p. 485 in vol. 12, PMID: 33274026.].

2.
Clin Orthop Surg ; 13(3): 352-357, 2021 Sep.
Article in English | MEDLINE | ID: mdl-34484628

ABSTRACT

BACKGROUD: Femoral internal rotation in total knee arthroplasty (TKA) is well known as one of the main causes of patellar maltracking. Although femoral internal rotation in TKA is considered unacceptable due to the risk of patellar maltracking, it is sometimes required for ligament balancing. We evaluated the influence of femoral internal rotation on patellar tracking in TKA performed using the gap technique. METHODS: From April 2008 to May 2018, 1,612 cases of TKA were done. Among them, 245 cases of TKA for osteoarthritis were followed up for at least 1 year and included in this study. We compared patellar tracking in two groups; group I consisted of 99 cases whose femoral rotation was less than 0° and group II consisted of 146 cases whose femoral rotation was 3°-5° external rotation. Preoperative femoral rotation was measured with the condylar twist angle (CTA) by using computed tomography. The patella was replaced in all cases. Patellar tracking was evaluated with patellar tilt angle (lateral tilt [+] and medial tilt [-]) in the merchant radiograph. Statistical analysis was done using Mann-Whitney U-test. Clinical assessment was performed using the Knee Society clinical rating system. RESULTS: The preoperative CTA was 5.3° ± 1.6° in group I and 5.4° ± 1.6° in group II, showing no statistically significant difference between groups (p = 0.455). Intraoperative femoral rotation was -0.5° ± 0.8° in group I and 3.9° ± 0.8° in group II when the gap technique was used (p < 0.001). The postoperative patellar tilt angle was -0.4° ± 3.6° in group I and 0.1° ± 4.1° in group II with no statistically significant difference (p = 0.251). CONCLUSIONS: Compared with femoral external rotation, femoral internal rotation with ligament balance in TKA was not more associated with patellar maltracking. Therefore, patellar tracking might be related with ligament balance in flexion regardless of the anatomic femoral rotational alignment.


Subject(s)
Arthroplasty, Replacement, Knee/methods , Femur/physiopathology , Femur/surgery , Knee Prosthesis , Patella/physiopathology , Patella/surgery , Aged , Female , Humans , Male , Middle Aged , Postoperative Period , Retrospective Studies , Rotation
3.
J Korean Med Sci ; 35(24): e171, 2020 Jun 22.
Article in English | MEDLINE | ID: mdl-32567255

ABSTRACT

The appropriate plot effectively conveys the author's conclusions to the readers. The Journal of Korean Medical Science provides a series of special articles to show you how to make consistent and excellent plots easier. In the second article, drawing receiver operating characteristic (ROC) curve is introduced. A ROC curve is a graphic plot that illustrates the diagnostic ability as its discrimination threshold is varied. It is widely used as logistic regression analysis as machine learning becomes widespread. It has great visual effect in comparing various diagnostic tools.


Subject(s)
Publishing , Area Under Curve , Guidelines as Topic , Machine Learning , ROC Curve , Societies, Medical
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