Accuracy of soft tissue balancing in total knee arthroplasty

被引:226
作者
Griffin, FM [1 ]
Insall, JN [1 ]
Scuderi, GR [1 ]
机构
[1] Complete Knee Ctr Arkansas, Van Buren, AR 72956 USA
关键词
total knee arthroplasty; flexion gap; extension gap; soft tissue balance; accuracy;
D O I
10.1054/arth.2000.6503
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
To the best of our knowledge, this is the first study to assess the accuracy of balancing of the flexion and extension gaps in total knee arthroplasty (TKA). Measurements of the heights of the flexion and extension gaps were obtained during 104 consecutive primary, posterior-stabilized TKAs in osteoarthritic patients. Clinically, all knees appeared to be well balanced intraoperatively. Rectangular flexion and extension gaps almost always were obtained within 1 mm (84%-89%). None of the knees was >3 mm from being perfectly rectangular. Equality of the flexion and extension gaps was more difficult to obtain (47%-57% were within 1 mm). With meticulous attention, perfect soft tissue balance is not always achieved in TKA.
引用
收藏
页码:970 / 973
页数:4
相关论文
共 4 条
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Freeman M. A. R., 1980, ARTHRITIS KNEE CLIN
[2]  
INSALL JN, 1988, CLIN ORTHOP RELAT R, P43
[3]  
Insall JN, 1981, INSTRUCTIONAL COURSE, V30, P324
[4]  
INSLAL JN, 1993, SURG KNEE