Evaluation of Intraobserver and Interobserver Reliability of Mechanical Axis Alignment Measure of the Lower Limb through the Panoramic Radiograph in Patients in the Preoperative and Postoperative Periods of Total Knee Arthroplasty  

作　　者：Murilo Barroso Matos José Leonardo Rocha de Faria Douglas Mello Pavão Márcio Liu Sandt Breno Chaves de Almeida Pigozzo Pedro Guilme Teixeira de Sousa Filho Rodrigo Pires e Albuquerque Murilo Barroso Matos;José Leonardo Rocha de Faria;Douglas Mello Pavão;Márcio Liu Sandt;Breno Chaves de Almeida Pigozzo;Pedro Guilme Teixeira de Sousa Filho;Rodrigo Pires e Albuquerque(CLIFOR-Orthopedics and Fractures Clinic, Vitória, Brazil;Knee Surgery Center, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil;Genutarso-Orthopedics Clinic, Rio de Janeiro, Brazil;Genu Surgery Group, Fortaleza, Brazil)

机构地区：[1]CLIFOR-Orthopedics and Fractures Clinic, Vitória, Brazil [2]Knee Surgery Center, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil [3]Genutarso-Orthopedics Clinic, Rio de Janeiro, Brazil [4]Genu Surgery Group, Fortaleza, Brazil

出　　处：《Open Journal of Orthopedics》2020年第9期221-233,共13页矫形学期刊（英文）

摘　　要：<b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:""><span style="font-family:Verdana;"> To evaluate intraobserver and interobserver reliability of the measurement of the mechanical axis of the lower limb by means of the panoramic radiograph of lower limbs by physicians with different levels of medical practice. </span><b><span style="font-family:Verdana;">Method:</span></b> </span><span style="font-family:Verdana;">A</span><span style="font-family:""><span style="font-family:Verdana;"> retrospective cross-sectional study with preoperative and postoperative radiographic analysis of a group of 100 patients submitted to total knee arthroplasty.</span><b><span style="font-family:Verdana;"> Results: </span></b></span><span style="font-family:Verdana;">I</span><span style="font-family:""><span style="font-family:Verdana;">t was observed that there is a highly significant intraobserver and interobserver agreement (p < 0.0001), both preoperatively and postoperatively, among four observers with different training levels. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The panoramic radiograph of the lower limbs is a reliable method for measuring the mechanical axis of the lower limb in patients submitted to total knee arthroplasty, regardless of the level of medical practice of the evaluator.<b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:""><span style="font-family:Verdana;"> To evaluate intraobserver and interobserver reliability of the measurement of the mechanical axis of the lower limb by means of the panoramic radiograph of lower limbs by physicians with different levels of medical practice. </span><b><span style="font-family:Verdana;">Method:</span></b> </span><span style="font-family:Verdana;">A</span><span style="font-family:""><span style="font-family:Verdana;"> retrospective cross-sectional study with preoperative and postoperative radiographic analysis of a group of 100 patients submitted to total knee arthroplasty.</span><b><span style="font-family:Verdana;"> Results: </span></b></span><span style="font-family:Verdana;">I</span><span style="font-family:""><span style="font-family:Verdana;">t was observed that there is a highly significant intraobserver and interobserver agreement (p < 0.0001), both preoperatively and postoperatively, among four observers with different training levels. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The panoramic radiograph of the lower limbs is a reliable method for measuring the mechanical axis of the lower limb in patients submitted to total knee arthroplasty, regardless of the level of medical practice of the evaluator.

关 键 词：KNEE Mechanical Axis Total Knee Arthroplasty 

分 类 号：R68[医药卫生—骨科学]