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 Adult Knee Reconstruction Test 5: Knee Arthroplasty
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The Journal of Bone and Joint Surgery (American) 86:47-50 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.

The Oblique Posterior Femoral Condylar Radiographic View Following Total Knee Arthroplasty

Hiromasa Miura, MD, PhD1, Shuichi Matsuda, MD, PhD1, Taro Mawatari, MD, PhD1, Tsutomu Kawano, MD1, Ryotaro Nabeyama, MD1 and Yukihide Iwamoto, MD, PhD1

1 Kyushu University, Hospital Campus, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. E-mail address for H. Miura: miura{at}ortho.med.kyushu-u.ac.jp.

Investigation performed at the Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

The authors did not receive grants or outside funding in support of their research or preparation of this work. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

Background: It is often difficult to evaluate the posterior aspects of the femoral condyles after total knee arthroplasty. We have developed an imaging technique involving the use of the oblique posterior condylar view for the evaluation of the posterior aspects of the femoral condyles. The purpose of the present study was to compare the efficacy of this view with that of the true-lateral view.

Methods: Three orthopaedic surgeons analyzed fifty-five sets of radiographs (consisting of oblique posterior condylar and true-lateral views) for patients who had undergone total knee arthroplasty. The accuracy and reproducibility of the oblique posterior condylar view for the detection of radiolucencies were compared with those of the true-lateral view.

Results: The oblique posterior condylar view was significantly better than the true-lateral view for the detection of radiolucencies of the posterior aspects of the femoral condyles (p < 0.0005).

Conclusions: Radiographic analysis with use of the oblique posterior condylar view is technically easy and is accurate for the evaluation of radiolucencies of the posterior aspects of the femoral condyles after total knee arthroplasty.


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