RESUMEN
INTRODUCTION: Within a 15-month period, 64 patients underwent 71 primary total knee arthroplasties in a randomized trial comparing the navigated versus the conventional implantation technique. CT scans were chosen for use as imaging procedures pre- and post-operatively to collect data concerning alignment and rotation of the leg as well as the prosthesis. RESULTS: There was no difference between pre- and post-operative data in rotation of the femoral component for navigated versus conventional implantation. The average deviation from the correct long-leg axis was found to be 1.8 +/- 1.3 degrees in the navigated group and 2.5 +/- 1.6 degrees in the conventional group (P < 0.05).
Asunto(s)
Artroplastia de Reemplazo de Rodilla/métodos , Extremidad Inferior/diagnóstico por imagen , Cirugía Asistida por Computador/métodos , Humanos , Falla de Prótesis , Ajuste de Prótesis , Rango del Movimiento Articular , Recuperación de la Función , Rotación , Tomografía Computarizada por Rayos XRESUMEN
This study evaluated developmental changes of foot and gait during the first year of independent walking. In a longitudinal design, plantar pressure distribution patterns were measured with a capacitive platform every 3 months in a group of 42 normal children. The first significant changes were already found after a few weeks of independent walking. The development of the longitudinal arch correlated with significantly reduced midfoot loading parameters even though the changes showed a wide interindividual variation. This study illustrates that a child's foot goes through significant changes in shape and loading characteristics once the child starts to stand and walk. Some children showed a fairly mature appearance of the plantar pressure pattern after 1 year while others retained a more immature loading pattern.
