Gap balancing versus measured resection in primary total knee arthroplasty

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Gap Balancing vs. Measured Resection Technique in Total Knee Arthroplasty

A goal of total knee arthroplasty is to obtain symmetric and balanced flexion and extension gaps. Controversy exists regarding the best surgical technique to utilize to obtain gap balance. Some favor the use of a measured resection technique in which bone landmarks, such as the transepicondylar, the anterior-posterior, or the posterior condylar axes are used to determine proper femoral componen...

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Stability of Total Knee Arthroplasty Performed Using Measured Resection Versus Gap Balancing Methods

+Dennis, DA; Komistek RD; Kim RH; & Sharma A Colorado Joint Replacement, Denver, Colorado Adjunct Professor, Dept. of Biomedical Engineering, University of Tennessee Assistant Clinical Professor, University of Colorado Health Sciences Center Clinical Director, Rocky Mountain Musculoskeletal Research Laboratory, Denver, Colorado University of Tennessee, Knoxville, TN Senior author ddennis@colora...

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Functional outcome after computer-assisted total knee arthroplasty using measured resection versus gap balancing techniques: a randomised controlled study.

PURPOSE To compare the 2-year outcome of total knee arthroplasty (TKA) using the measured resection versus the gap balancing techniques. METHODS 21 men and 31 women aged 41 to 89 (mean, 73) years who underwent primary TKA by a single surgeon for osteoarthritis and had an American Society of Anesthesiologists I or II physical status were prospectively studied. Patients were randomised to under...

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Small Improvements in Postoperative Outcome with Gap Balancing Technique Compared with Measured Resection in Total Knee Arthroplasty

Background There is ongoing debate about how to obtain correct rotational alignment in total knee arthroplasty (TKA). Two commonly used techniques are the measured resection (MR) and the gap balancing (GB) technique. Objective The objective of the present study was to analyze which of these two techniques confers a clinical advantage up to 10 years postoperatively. Methods Two hundred patie...

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Comparison of soft tissue balancing, femoral component rotation, and joint line change between the gap balancing and measured resection techniques in primary total knee arthroplasty

BACKGROUND This meta-analysis was designed to compare the accuracy of soft tissue balancing and femoral component rotation as well as change in joint line positions, between the measured resection and gap balancing techniques in primary total knee arthroplasty. METHODS Studies were included in the meta-analysis if they compared soft tissue balancing and/or radiologic outcomes in patients who ...

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ژورنال

عنوان ژورنال: Medicine

سال: 2020

ISSN: 0025-7974,1536-5964

DOI: 10.1097/md.0000000000020017