Flexion-extension gap in cruciate-retaining versus posterior-stabilized total knee arthroplasty: A cadaveric study

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Obliteration of Intercondylar Notch Mimicking Flexion-Extension Gap Imbalance in a Cruciate Retaining Total Knee Arthroplasty

Following total knee arthroplasty (TKA), the most frequent cause of extension deficit and limitation of range of motion in early postoperative period is related to improper tensioning of soft tissues and failure to balance extension and flexion gaps. If a cruciate retaining (CR) prosthesis is the planned implant, then attention should be given to balancing the posterior cruciate ligament (PCL),...

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The effect of distal femoral bone cut on flexion gap in cruciate retaining total knee arthroplasty -A cadaveric study-

INTRODUCTION: Proper bone cut and soft tissue balancing are the most critical procedures in total knee arthroplasty (TKA). A gap balancing technique is commonly used in TKA to create an equal extension and flexion gap. However, obtaining a flexion gap sufficiently large for the extension gap in cruciate retaining (CR) TKA is sometimes difficult and the flexion gap in CR TKA tends to be smaller ...

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Biomechanical Consequences of Anterior Femoral Notching in Cruciate-Retaining Versus Posterior-Stabilized Total Knee Arthroplasty.

Anterior femoral notching during total knee arthroplasty is a potential risk factor for periprosthetic supracondylar femur fracture. We conducted a study to determine if the design of the femoral implant changes the risk for periprosthetic supracondylar femur fractures after anterior cortical notching. An anterior cortical defect was created in 12 femoral polyurethane models. Six femora were in...

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Improving maximum flexion with a posterior cruciate retaining total knee arthroplasty: a fluoroscopic study.

Achieving a large range of motion (ROM) is a much-desired clinical outcome after total knee arthroplasty (TKA), especially in Asian and Middle Eastern cultures. TKA design plays an important role in providing the post-operative ROM. This study investigated the kinematics of a new high-flexion posterior cruciate ligament retaining total knee replacement, featuring an enlarged posterior condylar ...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Research

سال: 2014

ISSN: 0736-0266

DOI: 10.1002/jor.22587