Soft tissue balance measurement in minimal incision surgery compared to conventional total knee arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-08-03

AUTHORS

Tomoyuki Matsumoto, Hirotsugu Muratsu, Seiji Kubo, Kiyonori Mizuno, Keisuke Kinoshita, Kazunari Ishida, Takehiko Matsushita, Ken Sasaki, Katsumasa Tei, Koji Takayama, Hiroshi Sasaki, Shinya Oka, Masahiro Kurosaka, Ryosuke Kuroda

ABSTRACT

PurposesMinimal incision surgery (MIS) total knee arthroplasty (TKA) is widely promoted as a possible improvement over conventional TKA, and accurate implantations have recently been reported using navigation systems. However, soft tissue balance during MIS-TKA remains challenging. Therefore, in this report, joint gap (component gap) and ligament balance (varus angle) were assessed during MIS-TKA using a tensor, which enables soft tissue balance assessment with a reduced patellofemoral joint and femoral component in place.MethodsResults were compared to those of conventional TKA. Posterior stabilized TKA were performed in 50 knees (25 knees: MIS-TKA using quadriceps-sparing approach; 25 knees: conventional TKA using medial parapatellar approach) with varus osteoarthritis. Component gap and varus angle were measured using the tensor with a reduced patellofemoral joint at 0, 10, 45, 90, and 135°.ResultsWhereas the component gap in MIS-TKA was significantly larger through the entire arc of flexion compared with conventional TKA, the pattern of joint looseness showed no difference between the two procedures. The varus angle in MIS-TKA was significantly larger than that in conventional TKA at 0, 90, and 135° of knee flexion.ConclusionsMIS-TKA may lead to ligament imbalance due to the difficulties induced by a limited working space. Understanding this pattern allows surgeons to be able to adjust the soft tissue balance more accurately and thereby expect a better post-operative outcome even in MIS-TKA. More... »

PAGES

880-886

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00167-010-1224-z

DOI

http://dx.doi.org/10.1007/s00167-010-1224-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1028022379

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20680244


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32 schema:description PurposesMinimal incision surgery (MIS) total knee arthroplasty (TKA) is widely promoted as a possible improvement over conventional TKA, and accurate implantations have recently been reported using navigation systems. However, soft tissue balance during MIS-TKA remains challenging. Therefore, in this report, joint gap (component gap) and ligament balance (varus angle) were assessed during MIS-TKA using a tensor, which enables soft tissue balance assessment with a reduced patellofemoral joint and femoral component in place.MethodsResults were compared to those of conventional TKA. Posterior stabilized TKA were performed in 50 knees (25 knees: MIS-TKA using quadriceps-sparing approach; 25 knees: conventional TKA using medial parapatellar approach) with varus osteoarthritis. Component gap and varus angle were measured using the tensor with a reduced patellofemoral joint at 0, 10, 45, 90, and 135°.ResultsWhereas the component gap in MIS-TKA was significantly larger through the entire arc of flexion compared with conventional TKA, the pattern of joint looseness showed no difference between the two procedures. The varus angle in MIS-TKA was significantly larger than that in conventional TKA at 0, 90, and 135° of knee flexion.ConclusionsMIS-TKA may lead to ligament imbalance due to the difficulties induced by a limited working space. Understanding this pattern allows surgeons to be able to adjust the soft tissue balance more accurately and thereby expect a better post-operative outcome even in MIS-TKA.
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41 MethodsResults
42 PurposesMinimal incision surgery (MIS) total knee arthroplasty
43 ResultsWhereas
44 accurate implantation
45 angle
46 arc
47 arthroplasty
48 assessment
49 balance
50 balance assessment
51 balance measurements
52 better post-operative outcomes
53 component gap
54 components
55 conventional total knee arthroplasty
56 differences
57 difficulties
58 entire arc
59 femoral component
60 flexion
61 gap
62 imbalance
63 implantation
64 improvement
65 incision surgery
66 incision surgery (MIS) total knee arthroplasty
67 joint gap
68 joint looseness
69 joints
70 knee
71 knee arthroplasty
72 knee flexion
73 ligament balance
74 ligament imbalance
75 limited working space
76 looseness
77 measurements
78 minimal incision surgery
79 navigation system
80 osteoarthritis
81 outcomes
82 patellofemoral joint
83 patterns
84 place
85 possible improvements
86 post-operative outcomes
87 posterior
88 procedure
89 report
90 soft tissue
91 soft tissue balance
92 soft tissue balance assessment
93 soft tissue balance measurements
94 space
95 surgeons
96 surgery
97 surgery (MIS) total knee arthroplasty
98 system
99 tensor
100 tissue
101 tissue balance
102 tissue balance assessment
103 tissue balance measurement
104 total knee arthroplasty
105 varus angle
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