Ontology type: schema:ScholarlyArticle
2013-08-15
AUTHORSTokio Matsuzaki, Tomoyuki Matsumoto, Seiji Kubo, Hirotsugu Muratsu, Takehiko Matsushita, Yohei Kawakami, Kazunari Ishida, Shinya Oka, Ryosuke Kuroda, Masahiro Kurosaka
ABSTRACTPurposeThe purpose of this study was to test the hypothesis that intraoperative soft-tissue balance assessed by an offset-type tensor influences post-operative knee kinematics after cruciate-retaining (CR) total knee arthroplasty (TKA).MethodsThe influence of intraoperative soft-tissue balance on knee kinematics in CR-TKA was retrospectively analysed in 30 patients. Intraoperative soft-tissue balance parameters such as varus angle (varus ligament balance), joint component gap (centre gap), and medial and lateral compartment gaps were measured in the navigation system while applying 40-lb joint distraction force at 0°, 10°, 30°, 60°, 90°, and 120° of knee flexion using an offset-type tensor with the patella reduced. Tibial internal rotation and tibial anterior translation were measured as the differences between the values at 60° and 120° of flexion using the navigation system. Correlations between the soft-tissue parameters and post-operative knee kinematics were analysed.ResultsThe varus ligament balance was positively correlated with tibial internal rotation at 60° and 90° of flexion (R = 0.54, P < 0.05; R = 0.60, P < 0.01, respectively). Furthermore, the joint component gap was positively correlated with tibial internal rotation at 90° of flexion (R = 0.44, P < 0.05), and the lateral compartment gap was positively correlated with tibial internal rotation at 60°, 90°, and 120° of knee flexion.ConclusionsThe intraoperative varus ligament balance and joint component gap values were factors that predicted post-operative knee kinematics after CR-TKA. Lateral laxity at mid-to-deep knee flexion plays a significant role in tibial internal rotation.Level of evidenceIII. More... »
PAGES615-620
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DOIhttp://dx.doi.org/10.1007/s00167-013-2627-4
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"description": "PurposeThe purpose of this study was to test the hypothesis that intraoperative soft-tissue balance assessed by an offset-type tensor influences post-operative knee kinematics after cruciate-retaining (CR) total knee arthroplasty (TKA).MethodsThe influence of intraoperative soft-tissue balance on knee kinematics in CR-TKA was retrospectively analysed in 30 patients. Intraoperative soft-tissue balance parameters such as varus angle (varus ligament balance), joint component gap (centre gap), and medial and lateral compartment gaps were measured in the navigation system while applying 40-lb joint distraction force at 0\u00b0, 10\u00b0, 30\u00b0, 60\u00b0, 90\u00b0, and 120\u00b0 of knee flexion using an offset-type tensor with the patella reduced. Tibial internal rotation and tibial anterior translation were measured as the differences between the values at 60\u00b0 and 120\u00b0 of flexion using the navigation system. Correlations between the soft-tissue parameters and post-operative knee kinematics were analysed.ResultsThe varus ligament balance was positively correlated with tibial internal rotation at 60\u00b0 and 90\u00b0 of flexion (R\u00a0=\u00a00.54, P\u00a0<\u00a00.05; R\u00a0=\u00a00.60, P\u00a0<\u00a00.01, respectively). Furthermore, the joint component gap was positively correlated with tibial internal rotation at 90\u00b0 of flexion (R\u00a0=\u00a00.44, P\u00a0<\u00a00.05), and the lateral compartment gap was positively correlated with tibial internal rotation at 60\u00b0, 90\u00b0, and 120\u00b0 of knee flexion.ConclusionsThe intraoperative varus ligament balance and joint component gap values were factors that predicted post-operative knee kinematics after CR-TKA. Lateral laxity at mid-to-deep knee flexion plays a significant role in tibial internal rotation.Level of evidenceIII.",
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