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SPECT scan is a reliable tool for selection of patients undergoing unicompartmental knee arthroplasty

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Purpose

Was to determine the relationship between pre-operative SPECT and intra-operative assessments of tibio-femoral chondral changes.

Methods

One hundred cases had been selected on the following criteria: (1) marked Tc-99 m uptake on the medial compartment and (2) its normal uptake laterally. The cartilage macroscopic condition of tibio-femoral compartments were then recorded during the surgery.

Results

A total of 73% of Grade 0, 24% of Grade I, and 3% of Grade II chondral injuries were detected laterally; 100% of Grade IV chondral lesions were detected medially. Statistically very significant relationship was demonstrated between SPECT and the mcroscopic cartilage condition.

Conclusions

SPECT bone scan provides very useful information regarding the degree of osteoarthritis in knee weight-bearing compartments for pre-operative planning.

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References

  1. Berger RA, Nedeff DD, Barden RM, Sheinkop MM, Jacobs JJ, Rosenberg AG, Galante JO (1999) Unicompartmental knee arthroplasty. Clinical experience at 6- to 10-year followup. Clin Orthop 367:50–60

    PubMed  Google Scholar 

  2. Chen Z, Chen Z, Zhang G (1997) Fibula grafting for treatment of aggressive benign bone tumor and malignant bone tumor of extremities. Chin Med J 110:125–128

    PubMed  CAS  Google Scholar 

  3. Collier BD, Johnson RP, Carrera GF et al (1985) Chronic knee pain assessed by SPECT: comparison with other modalities. Radiology 157:795–802

    PubMed  CAS  Google Scholar 

  4. Guner DD, Ozturk Y, Sayman HB (2003) Evaluation of the effects of functional orthopaedic treatment on temporomandibular joints with SPECT. Eur J Orthod 25:9–12

    Article  PubMed  CAS  Google Scholar 

  5. Haasbeek JF, Green NE (1994) Adolescent stress fractures of the sacrum: two case reports. J Pediatr Orthop 14:336–338

    PubMed  CAS  Google Scholar 

  6. Hart AJ, Buscombe J, Malone A, Down GSE (2005) Assessment of osteoarthritis after reconstruction of the anterior cruciate ligament. A study using SPECT at ten years. J Bone Joint Surg 87B:1483–1487

    Google Scholar 

  7. Irie K, Yamada T, Inoue K (2000) A comparison of magnetic resonance imaging and arthroscopic evaluation of chondral lesion of the knee. Orthopedics 23:561–564

    PubMed  CAS  Google Scholar 

  8. Jeer PJ, Mahr CC, Keene GC, Oakeshott RD (2006) Single photon emission tomography in planning unicompartmental knee arthroplasty. A prospective study examining the association between scan findings and intraoperative assessment of osteoarthritis. Knee 13:19–25

    Article  PubMed  Google Scholar 

  9. Kozinn SC, Scott R (1989) Unicondylar knee arthroplasty. J Bone Joint Surg 71A:145–150

    Google Scholar 

  10. Mooar PA, Gregg J, Jacobstein J (1987) Radionuclide imaging in internal derangement of the knee. Am J Sports Med 15:132–137

    Article  PubMed  CAS  Google Scholar 

  11. Murray DW, Goodfellow JW, O´Connor JJ (1998) The Oxford medial unicompartmental arthroplasty. A ten-year survival study. J Bone Joint Surg 80B:983–989

    Article  Google Scholar 

  12. Outerbridge RE (1961) The etiology of chondromalatia patellae. J Bone Joint Surg 43B:752–767

    Google Scholar 

  13. Pennington DW, Swienckowski JJ, Lutes WB, Drake GN (2003) Unicompartmental knee arthroplasty in patients sixty years of age and younger. J Bone Joint Surg 85A:1968–1973

    Google Scholar 

  14. Potter HG, Linklater JM, Allen AA et al (1998) Magnetic resonance imaging of articular cartilage in the knee: an evaluation with use of fast-spin-echo imaging. J Bone Joint Surg 80A:1276–1284

    Google Scholar 

  15. Ryan PJ, Chauduri R, Bingham J, Fogelman I (1996) A comparison of MRI and bone SPET in the diagnosis of knee patology. Nucl Med Commun 17:125–131

    Article  PubMed  CAS  Google Scholar 

  16. Ryan PJ, Fogelman I (1994) The role of nuclear medicine in orthopaedics. Nucl Med Commun 15:774–775

    Article  Google Scholar 

  17. Ryan PJ, Reddy K, Fleetcroft J (1998) A prospective comparison of clinical examination, MRI, bone SPECT, and arthroscopy to detect meniscal tears. Clin Nucl Med 23:803–806

    Article  PubMed  CAS  Google Scholar 

  18. Saal A, Gaertner J, Kuehling M, Swobodoa B, Klug S (2005) Macroscopic and radiological grading of osteoarthritis correlates inadequately with cartilage height and histologically demonstrable damage to cartilage structure. Rheumatol Int 25:161–168

    Article  PubMed  Google Scholar 

  19. Sarikaya I, Sarikaya A, Holder LE (2001) The role of single photon emission computed tomography in bone imaging. Semin Nucl Med 31:3–16

    Article  PubMed  CAS  Google Scholar 

  20. Sys J, Michielsen J, Bracke P, Martens M, Verstreken J (2001) Nonoperative treatment of active spondylolysis in elite athletes with normal X-ray findings: literature review and results of conservative treatment. Eur Spine J 10:498–504

    Article  PubMed  CAS  Google Scholar 

  21. Tokgozoglu MA, Aydin M, Atilla B, Caner B (2000) Scintigraphic evaluation of impaction grafting for total hip arthroplasty revision. Arch Orthop Trauma Surg 120:416–419

    Article  Google Scholar 

  22. Vellala RP, Manjure S, Ryan PJ (2004) Single photon emission computed tomography in the diagnosis of knee pathology. J Orthop Surg (Hong Kong) 12:87–90

    CAS  Google Scholar 

  23. Wright RW, Boyce RH, Michener T, Shyr Y, McCarty EC, Spindler KP (2006) Radiographs are not useful in detecting arthroscopically confirmed mild chondral damage. Clin Orthop 442:245–251

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, General Hospital, 11, MUDr. Jana Janského, 669 02, Znojmo, Czech Republic

    Radek Hart, Peter Filan & José deCordeiro

  2. Department of Nuclear Medicine, General Hospital, Znojmo, Czech Republic

    Milan Konvička

Authors
  1. Radek Hart
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  2. Milan Konvička
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  3. Peter Filan
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  4. José deCordeiro
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Correspondence to Radek Hart.

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Hart, R., Konvička, M., Filan, P. et al. SPECT scan is a reliable tool for selection of patients undergoing unicompartmental knee arthroplasty. Arch Orthop Trauma Surg 128, 679–682 (2008). https://doi.org/10.1007/s00402-007-0399-3

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  • DOI: https://doi.org/10.1007/s00402-007-0399-3

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