Measurement for gap balancing technique in patients undergoing total knee arthroplasty: a large retrospective observational study
Abstract Background Many traditional methods are available to prevent unbalance of extension and flexion gap during total knee arthroplasty (TKA), but there are no reports on the use of measurement and positioning method before tibial osteotomy with self-made tools. We designed a self-made tool meas...
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-022-03104-6 |
| _version_ | 1811303462868090880 |
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| author | Zhao Xuequan Zhao Bin Yao Shuzhang Cao Kanduo Ren Chongxi |
| author_facet | Zhao Xuequan Zhao Bin Yao Shuzhang Cao Kanduo Ren Chongxi |
| author_sort | Zhao Xuequan |
| collection | DOAJ |
| description | Abstract Background Many traditional methods are available to prevent unbalance of extension and flexion gap during total knee arthroplasty (TKA), but there are no reports on the use of measurement and positioning method before tibial osteotomy with self-made tools. We designed a self-made tool measuring the location before tibial osteotomy and determined the clinical effect. Methods The retrospective study included patients who received TKA at our hospital, between January 1, 2012 and December 31, 2015. A new method, named as the measurement and localization before osteotomy with self-made tools, was developed to measure the osteotomy position of the posterior femoral condyle during TKA. They were divided into two groups, one that received the new method (Group I), and the other that received the traditional method as a control (Group I I). HSS score, Oxford score, VAS score and knee joint activity were evaluated in two groups. Results One hundred and eighty-seven of 210 eligible patients were included. The function of knee joint in all patients was improved and the pain was obviously relieved. Significant differences were found in the HSS score, Oxford score, VAS score, knee joint activity between two groups at 5-year follow-up (p < 0.05). Conclusions The biomet knee prosthesis was selected for all intraoperative implants. All operations were completed by the same senior surgeon. The use of self-made tools may contribute to improve the balance between flexion and extension gaps as well as the balance between internal and external gaps during TKA, and overcome knee flexion instability. |
| first_indexed | 2024-04-13T07:48:32Z |
| format | Article |
| id | doaj.art-cec131415ac340f1a44c7bc9f2ccabf0 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T07:48:32Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-cec131415ac340f1a44c7bc9f2ccabf02022-12-22T02:55:37ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-04-011711810.1186/s13018-022-03104-6Measurement for gap balancing technique in patients undergoing total knee arthroplasty: a large retrospective observational studyZhao Xuequan0Zhao Bin1Yao Shuzhang2Cao Kanduo3Ren Chongxi4Department of Orthopaedics, Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medical UniversityDepartment of Orthopaedics, Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medical UniversityDepartment of Orthopaedics, Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medical UniversityDepartment of Orthopaedics, Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medical UniversityDepartment of Oncology Surgery, Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medical UniversityAbstract Background Many traditional methods are available to prevent unbalance of extension and flexion gap during total knee arthroplasty (TKA), but there are no reports on the use of measurement and positioning method before tibial osteotomy with self-made tools. We designed a self-made tool measuring the location before tibial osteotomy and determined the clinical effect. Methods The retrospective study included patients who received TKA at our hospital, between January 1, 2012 and December 31, 2015. A new method, named as the measurement and localization before osteotomy with self-made tools, was developed to measure the osteotomy position of the posterior femoral condyle during TKA. They were divided into two groups, one that received the new method (Group I), and the other that received the traditional method as a control (Group I I). HSS score, Oxford score, VAS score and knee joint activity were evaluated in two groups. Results One hundred and eighty-seven of 210 eligible patients were included. The function of knee joint in all patients was improved and the pain was obviously relieved. Significant differences were found in the HSS score, Oxford score, VAS score, knee joint activity between two groups at 5-year follow-up (p < 0.05). Conclusions The biomet knee prosthesis was selected for all intraoperative implants. All operations were completed by the same senior surgeon. The use of self-made tools may contribute to improve the balance between flexion and extension gaps as well as the balance between internal and external gaps during TKA, and overcome knee flexion instability.https://doi.org/10.1186/s13018-022-03104-6Total knee arthroplastyOsteotomy locationGap-balancedMeasuring method |
| spellingShingle | Zhao Xuequan Zhao Bin Yao Shuzhang Cao Kanduo Ren Chongxi Measurement for gap balancing technique in patients undergoing total knee arthroplasty: a large retrospective observational study Journal of Orthopaedic Surgery and Research Total knee arthroplasty Osteotomy location Gap-balanced Measuring method |
| title | Measurement for gap balancing technique in patients undergoing total knee arthroplasty: a large retrospective observational study |
| title_full | Measurement for gap balancing technique in patients undergoing total knee arthroplasty: a large retrospective observational study |
| title_fullStr | Measurement for gap balancing technique in patients undergoing total knee arthroplasty: a large retrospective observational study |
| title_full_unstemmed | Measurement for gap balancing technique in patients undergoing total knee arthroplasty: a large retrospective observational study |
| title_short | Measurement for gap balancing technique in patients undergoing total knee arthroplasty: a large retrospective observational study |
| title_sort | measurement for gap balancing technique in patients undergoing total knee arthroplasty a large retrospective observational study |
| topic | Total knee arthroplasty Osteotomy location Gap-balanced Measuring method |
| url | https://doi.org/10.1186/s13018-022-03104-6 |
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