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http://hdl.handle.net/1942/40567
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DC Field | Value | Language |
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dc.contributor.author | COLYN, William | - |
dc.contributor.author | Vanbecelaere, Lukas | - |
dc.contributor.author | BRUCKERS, Liesbeth | - |
dc.contributor.author | Scheys, Lennart | - |
dc.contributor.author | BELLEMANS, Johan | - |
dc.date.accessioned | 2023-07-13T06:34:09Z | - |
dc.date.available | 2023-07-13T06:34:09Z | - |
dc.date.issued | 2023 | - |
dc.date.submitted | 2023-07-06T13:42:01Z | - |
dc.identifier.citation | KNEE, 43 , p. 51 -61 | - |
dc.identifier.uri | http://hdl.handle.net/1942/40567 | - |
dc.description.abstract | Background: The coronal alignment of the lower limb is generally accepted as a major determinant of surgical outcome in total knee arthroplasty (TKA). To achieve the ideal post-operative alignment, surgeons need to be aware of the influence that weight -bearing positions have on the final knee alignment. Therefore, this review aims to define the effect of varying weight-bearing positions on the coronal alignment of the lower limb. We hypothesized that a coronal alignment defor-mity increases with loading. Methods: The PubMed, Medline and google scholar databases were searched systemati-cally in June 2022. Only studies which compared coronal alignment with a standardized radiographic protocol in the single leg, double leg and supine positions were included. To obtain pooled estimates of the effect of different weight-bearing positions, random -effect analysis were fitted using SAS. Results: Compared to the supine position, double leg weight-bearing positions were found to be associated with a more pronounced varus deformity (mean difference in HKA is 1,76 & DEG; (95% CI 1,32: 2,21), p < 0.0001)). The mean difference in HKA between double leg and single leg weight-bearing conditions was 1.43 & DEG; (95% CI (-0,042;2,90), p = 0.0528). Conclusion: The overall knee alignment was found to be influenced by the weight-bearing position. An average difference of 1.76 & DEG; in HKA-angle was found between a double leg -stance and supine position, tending to increased varus in the former weight-bearing posi-tion. It is therefore possible that the deformity could increase by 1.76 & DEG; if knee surgeons only follow a pre-op planning based on double-leg stance full length radiographs. & COPY; 2023 Elsevier B.V. All rights reserved. | - |
dc.description.sponsorship | This study is part of Limburg Clinical Research Center supported by Hasselt University, Ziekenhuis Oost-Limburg and Jessa Hospital. We wish to acknowledge Dr. Elizabeth Flesher for her help in reviewing and revising the manuscript for grammar and syntax. | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER | - |
dc.rights | 2023 Elsevier B.V. All rights reserved. | - |
dc.subject.other | Weight-bearing | - |
dc.subject.other | Alignment | - |
dc.subject.other | Lower limb | - |
dc.subject.other | Position | - |
dc.title | The effect of weight-bearing positions on coronal lower limb alignment: A systematic review | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 61 | - |
dc.identifier.spage | 51 | - |
dc.identifier.volume | 43 | - |
local.format.pages | 11 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Colyn, W (corresponding author), AZ Turnhout, Orthopaed Dept, Steenweg Merksplas 44, B-2300 Turnhout, Belgium. | - |
dc.description.notes | william_colyn@hotmail.com | - |
local.publisher.place | RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS | - |
local.type.refereed | Refereed | - |
local.type.specified | Review | - |
dc.identifier.doi | 10.1016/j.knee.2023.05.004 | - |
dc.identifier.pmid | 37271072 | - |
dc.identifier.isi | 001013481100001 | - |
dc.contributor.orcid | Scheys, Lennart/0000-0002-1727-533X | - |
local.provider.type | wosris | - |
local.description.affiliation | [Colyn, William] AZ Turnhout, Dept Orthoped Surg, Turnhout, Belgium. | - |
local.description.affiliation | [Colyn, William; Bellemans, Johan] UHasselt, Fac Med & Life Sci, Diepenbeek, Belgium. | - |
local.description.affiliation | [Colyn, William] Ziekenhuis Oost Limburg, Dept Future Hlth, Genk, Belgium. | - |
local.description.affiliation | [Vanbecelaere, Lukas; Scheys, Lennart] Univ Hosp Leuven, Dept Orthoped Surg, Leuven, Belgium. | - |
local.description.affiliation | [Bruckers, Liesbeth] Univ Hasselt, I BioStat, Hasselt, Belgium. | - |
local.description.affiliation | [Bellemans, Johan] ZOL Genk, Dept Orthoped Surg, Genk, Belgium. | - |
local.description.affiliation | [Bellemans, Johan] GRIT Belgian Sports Clin, Leuven, Belgium. | - |
local.description.affiliation | [Colyn, William] AZ Turnhout, Orthopaed Dept, Steenweg Merksplas 44, B-2300 Turnhout, Belgium. | - |
local.uhasselt.international | no | - |
item.fulltext | With Fulltext | - |
item.accessRights | Open Access | - |
item.fullcitation | COLYN, William; Vanbecelaere, Lukas; BRUCKERS, Liesbeth; Scheys, Lennart & BELLEMANS, Johan (2023) The effect of weight-bearing positions on coronal lower limb alignment: A systematic review. In: KNEE, 43 , p. 51 -61. | - |
item.contributor | COLYN, William | - |
item.contributor | Vanbecelaere, Lukas | - |
item.contributor | BRUCKERS, Liesbeth | - |
item.contributor | Scheys, Lennart | - |
item.contributor | BELLEMANS, Johan | - |
crisitem.journal.issn | 0968-0160 | - |
crisitem.journal.eissn | 1873-5800 | - |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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The effect of weight-bearing positions on coronal lower limb alignment_ A systematic review.pdf Restricted Access | Published version | 962.43 kB | Adobe PDF | View/Open Request a copy |
THEKNE-D-22-00457_R1 (1).pdf | Peer-reviewed author version | 983.9 kB | Adobe PDF | View/Open |
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