Effect of balanced gap total knee arthroplasty on intraoperative laxities and femoral component rotation

The Journal of Arthroplasty
Dam-Seon LeeSang-Jin Park

Abstract

The gap technique could lead to undesirable rotation of the femoral component in some knees. Using a navigation system, femoral component external rotations and varus-valgus laxities at 0° and 90° of flexion were measured intraoperatively in 44 patients. Significant improvements were observed at a minimum follow-up of 4 years with regard to clinical and radiologic outcomes. The balanced gap technique in total knee arthroplasty provided good intraoperative alignments and laxities of knees at 0° and 90°. However, increased femoral component external rotation was found to be correlated with increased varus alignment at 90° of knee flexion. This study shows that excessive external rotation of the femoral component during flexion gap balancing using the balanced gap technique in total knee arthroplasty can be avoided by additional soft tissue balancing guided by navigation.

References

Sep 1, 1991·The Journal of Bone and Joint Surgery. British Volume·R S JefferyR A Denham
Nov 1, 1989·The Journal of Bone and Joint Surgery. British Volume·K G VinceM A Kelly
Apr 1, 1986·Clinical Orthopaedics and Related Research·L D Dorr, R A Boiardo
Jun 1, 1987·Clinical Orthopaedics and Related Research·L A WhitesideD W Haynes
Sep 1, 1995·The Journal of Bone and Joint Surgery. American Volume·J ArimaS E White
Oct 1, 1996·Clinical Orthopaedics and Related Research·P L PoilvacheD E Font-Rodriguez
Oct 1, 1995·The Journal of Arthroplasty·R S Laskin
Nov 7, 2000·Clinical Orthopaedics and Related Research·T K Fehring
Oct 18, 2001·Clinical Orthopaedics and Related Research·Y KadoyaY Yamano
Jan 25, 2002·Clinical Orthopaedics and Related Research·José RomeroDavid S Hungerford
Jan 24, 2002·The Journal of Arthroplasty·M J Winemaker
May 29, 2003·Clinical Orthopaedics and Related Research·Giles R ScuderiJohn N Insall
Jun 3, 2004·The Journal of Bone and Joint Surgery. American Volume·Young-Hoo Kim, Jun-Shik Kim
Sep 4, 2004·Clinical Orthopaedics and Related Research·Bernd StöcklOliver Kessler
May 12, 2005·Molecular Cancer Research : MCR·Noriyuki TakaiH Phillip Koeffler
Jul 5, 2005·The Journal of Bone and Joint Surgery. American Volume·Young-Hoo KimJun-Shik Kim
Nov 29, 2005·The Journal of Arthroplasty·Ryo SugamaKunio Takaoka
May 5, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·S ZaffagniniM Marcacci
Sep 5, 2006·The Journal of Arthroplasty·Philippe Massin, Antoine Gournay
Oct 31, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Seong Il Bin, Tae Seok Nam
Dec 13, 2006·Journal of Biomechanical Engineering·Tomoyuki MatsumotoMasahiro Kurosaka
Jun 15, 2007·Clinical Orthopaedics and Related Research·Hirofumi HanadaMasatoshi Naito
Dec 14, 2007·Archives of Orthopaedic and Trauma Surgery·Tobias WyssUlrich Wehrli
Feb 8, 2008·The Journal of Bone and Joint Surgery. British Volume·L UnittUNKNOWN Balancer Study Group
Aug 30, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Daniela CasinoMaurilio Marcacci
Oct 3, 2008·Clinical Orthopaedics and Related Research·Petra J C HeesterbeekAte B Wymenga

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Citations

Nov 26, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mitsuhiro TakedaJunko Sato
Dec 14, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yasuo NikiYasunori Suda
May 15, 2012·Archives of Orthopaedic and Trauma Surgery·Eirik AunanStephan M Röhrl
Mar 8, 2019·JBJS Reviews·John J MercuriJonathan M Vigdorchik
Mar 25, 2017·Clinical Orthopaedics and Related Research·Seung-Yup LeeJi-Hoon Bae
Jan 25, 2020·Annals of Biomedical Engineering·S H Hosseini NasabW R Taylor
Nov 26, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Arun MullajiMurtaza Haidermota

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