Accuracy of soft tissue balancing in TKA: comparison between navigation-assisted gap balancing and conventional measured resection.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Dae-Hee LeeSeung-Beom Han

Abstract

Equalized rectangular extension and flexion gaps are considered desirable to ensure proper kinematics in total knee arthroplasty (TKA). We compared soft tissue balancing in TKAs performed using navigation-assisted gap-balancing (60 knees) and conventional measured resection (56 knees). The outlier of soft tissue balancing was defined as a gap difference >3 mm between the medial and lateral sides in 90 degrees flexion and extension. Medial or lateral outliers in extension or flexion were observed in 12% (7 of 60) navigation TKAs and 25% (14 of 56) conventional TKAs (p = 0.028). There were more outliers in flexion-extension gap difference on the medial side in the conventional (23%) than in the navigation-assisted (5%) group (p = 0.025). However, the proportion of flexion gap difference, extension gap difference, and lateral gap difference outliers did not differ significantly between the two groups (n.s.). Additionally, clinicoradiologic outcomes were similar for the two groups except for the postoperative mechanical axis outlier (p = 0.012). Navigation-assisted soft tissue balancing in TKA reduced not only the postoperative alignment outlier, but also the medial gap difference and achieved a more rectangular flexion and extensi...Continue Reading

References

Dec 9, 2000·The Journal of Arthroplasty·F M GriffinG R Scuderi
Nov 22, 2001·Clinical Orthopaedics and Related Research·D D D'LimaC W Colwell
Jan 24, 2002·The Journal of Arthroplasty·M J Winemaker
May 16, 2002·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J JeroschT Filler
Nov 29, 2005·The Journal of Arthroplasty·Ryo SugamaKunio Takaoka
May 24, 2006·International Orthopaedics·Jong Keun SeonSang Gwon Cho
Mar 30, 2007·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Koichi TanakaMasahiro Kurosaka
Apr 3, 2007·The Journal of Arthroplasty·Darius G ViskontasDavid G Chess
Apr 26, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tomoyuki MatsumotoRyosuke Kuroda
Jun 15, 2007·Clinical Orthopaedics and Related Research·Hirofumi HanadaMasatoshi Naito
Jul 11, 2007·Clinical Orthopaedics and Related Research·Robert A SistonNicholas J Giori
Jul 17, 2007·Clinical Orthopaedics and Related Research·Frederic PicardAlberto Gregori
Sep 28, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Markus TingartLars Perlick
Dec 7, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·K GamadaS A Banks
Dec 15, 2007·The Journal of Arthroplasty·J Bohannon MasonKyle Fahrbach
Feb 8, 2008·The Journal of Bone and Joint Surgery. British Volume·L UnittUNKNOWN Balancer Study Group
Feb 9, 2008·Clinical Orthopaedics and Related Research·W P YauT P Ng
Jul 18, 2008·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·C LüringM Tingart

❮ Previous
Next ❯

Citations

Mar 1, 2012·Operative Orthopädie und Traumatologie·C SchnurrP König
May 6, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jörg LütznerStephan Kirschner
Nov 26, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Francesca ColleMaurilio Marcacci
Feb 28, 2014·Clinical Orthopaedics and Related Research·Bryan D SpringerMatthew P Abdel
Feb 2, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·C BaierJ Beckmann
May 17, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·F IaconoM Marcacci
Apr 18, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Satoshi HamaiYukihide Iwamoto
Sep 28, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Dae-Hee LeeSeung-Beom Han
Nov 17, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Armin KeshmiriHans Robert Springorum
Sep 4, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Dae-Hee LeeSeung-Beom Han
Nov 19, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·G HeinertP Sussmann
Jul 7, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tao ChengXianlong Zhang
Jul 15, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·F ColleM Marcacci
Jul 30, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Fabio CataniSandro Giannini
Mar 1, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Roland BeckerChristoph Lohmann
Jun 30, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Johannes HolinkaHugo Axel Wanivenhaus
Jan 17, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tomoyuki MatsumotoMasahiro Kurosaka
Jul 16, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jörg LütznerStephan Kirschner
Jan 29, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Armin KeshmiriGünther Maderbacher
Apr 2, 2014·The Orthopedic Clinics of North America·David A Camarata
Jul 25, 2015·Computer Methods in Biomechanics and Biomedical Engineering·Francesca ColleMaurilio Marcacci
Oct 3, 2012·Orthopedics·Tilman PfitznerGeorg Matziolis
Dec 24, 2010·The Journal of Surgical Research·Tao ChengXianlong Zhang
Sep 19, 2012·ANZ Journal of Surgery·Luis A ZamoraAlun L Cameron
Nov 23, 2012·Haemophilia : the Official Journal of the World Federation of Hemophilia·K-Y ChoD-G Kang
Sep 16, 2014·IEEE Transactions on Bio-medical Engineering·Kalpesh SingalJoan E Bechtold
Mar 25, 2016·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Elliott D'CostaJason Tsung
Sep 24, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Georg MatziolisEric Roehner
Jan 15, 2015·Acta Orthopaedica·Armin KeshmiriHans R Springorum
Sep 6, 2012·Clinics in Orthopedic Surgery·Dai-Soon KwakYong In
Mar 13, 2013·Computer Methods in Biomechanics and Biomedical Engineering·Kwang-Jun OhYoon Hyuk Kim

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.