The influence of the tibial slope on intra-operative soft tissue balance in cruciate-retaining and posterior-stabilized total knee arthroplasty View Full Text


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Article Info

DATE

2013-05-21

AUTHORS

Shinya Oka, Tomoyuki Matsumoto, Hirotsugu Muratsu, Seiji Kubo, Takehiko Matsushita, Kazunari Ishida, Ryosuke Kuroda, Masahiro Kurosaka

ABSTRACT

PurposeThis study aims to make clear the influence of the tibial slope on intra-operative soft tissue balance measurements using a tensor in cruciate-retaining and posterior-stabilized total knee arthroplasty (TKA).MethodsForty patients with osteoarthritis of the knee received TKAs (20 cruciate-retaining TKAs and 20 posterior-stabilized TKA). Soft tissue balance was measured using an offset type tensor at 0, 10, 45, 90, 135 degrees of knee flexion. The tibial slopes were measured by post-operative lateral radiograph. The correlation between the tibial slope and values of soft tissue balance were assessed.ResultsJoint component gap at 90° (R = 0.537, p < 0.01) and 135° (R = 0.463, p < 0.05) of flexion and joint component gap change value of 90–0° (R = 0.433, p < 0.05) showed positive correlations with tibial slope in posterior-stabilized TKA. There was no relationship between the tibial slope and the value of soft tissue balances in cruciate-retaining TKA.ConclusionsIn the present study, we confirmed that increasing the tibial slope resulted in a larger flexion gap compared to extension gap in posterior-stabilized TKA. Surgeons should be aware that increasing the tibial slope is one factor responsible for widening the flexion–extension gap difference in posterior-stabilized TKA.Level of evidenceIII. More... »

PAGES

1812-1818

References to SciGraph publications

  • 2007-04-25. Influence of intra-operative joint gap on post-operative flexion angle in osteoarthritis patients undergoing posterior-stabilized total knee arthroplasty in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2006-04-21. In vitro investigation of the influence of tibial slope on quadriceps extension force after total knee arthroplasty in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2011-07-01. Influence of intra-operative joint gaps on post-operative flexion angle in posterior cruciate-retaining total knee arthroplasty in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2004-10-26. The influence of tibial slope on maximal flexion after total knee arthroplasty in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2007-03-30. Soft tissue balance measurement in anterior cruciate ligament-resected knee joint: cadaveric study as a model for cruciate-retaining total knee arthroplasty in JOURNAL OF ORTHOPAEDIC SCIENCE
  • 2011-10-11. How much of the PCL is really preserved during the tibial cut? in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2009-01-13. Predicting range of movement after knee replacement: the importance of posterior condylar offset and tibial slope in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2012-05-30. Significant effect of the posterior tibial slope and medial/lateral ligament balance on knee flexion in total knee arthroplasty in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2011-08-16. The influence of patellar position on soft tissue balance in minimal incision total knee arthroplasty in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2011-11-27. The influence of patella height on intra-operative soft tissue balance in posterior-stabilized total knee arthroplasty in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-013-2535-7

    DOI

    http://dx.doi.org/10.1007/s00167-013-2535-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1014606019

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/23689963


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