Soft tissue balance using the tibia first gap technique with navigation system in cruciate-retaining total knee arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-10-27

AUTHORS

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

ABSTRACT

PurposeThe procedures of bone cut and soft tissue balancing in total knee arthroplasty (TKA) are usually performed using the measured resection technique or the gap technique; however, the superiority of these techniques is controversial. An increase of extension gap after resection of the femoral posterior condyle and a difference between gaps before and after femoral component placement have been reported. We therefore postulated that the use of the tibia first gap technique might have an advantage in avoiding the mismatch before and after resection of the femoral posterior condyle and femoral component placement.MethodsWe performed cruciate-retaining TKAs for 60 varus type osteoarthritic patients with tibia first gap technique using a CT-free navigation system. A TKA tensor designed to facilitate soft tissue balance measurements throughout the range of motion with a reduced and repaired patello-femoral joint was used to assess soft tissue balance (joint gap and varus ligament balance) at extension and flexion between the basic value after tibial cut and the final value following femoral cut and with the femoral component in place.ResultsWhereas varus ligament balance at flexion showed significant decrease in the final value at flexion due to the amount of femoral rotation, the basic value of the joint gap before femoral osteotomy reflected the final value following femoral cut and with the femoral component in place.ConclusionThe tibia first gap technique may have the advantage that surgeons can predict final soft tissue balance before femoral osteotomies. More... »

PAGES

975-980

References to SciGraph publications

  • 2011-01-14. Mid-term outcomes of computer-assisted total knee arthroplasty in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2007-08-08. Flexion gap preparation opens the extension gap in posterior cruciate ligament-retaining TKA in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 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
  • 2008-10-28. Is referencing the posterior condyles sufficient to achieve a rectangular flexion gap in total knee arthroplasty? in INTERNATIONAL ORTHOPAEDICS
  • 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
  • 2010-04-14. Comparison between two computer-assisted total knee arthroplasty: gap-balancing versus measured resection technique in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2010-08-03. Soft tissue balance measurement in minimal incision surgery compared to conventional total knee arthroplasty in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2011-03-23. Comparison of joint line position changes after primary bilateral total knee arthroplasty performed using the navigation-assisted measured gap resection or gap balancing techniques in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2004-08-14. Prosthetic alignment and sizing in computer-assisted total knee arthroplasty in INTERNATIONAL ORTHOPAEDICS
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00264-011-1377-5

    DOI

    http://dx.doi.org/10.1007/s00264-011-1377-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1034839467

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/22038438


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