Gap Balancing vs. Measured Resection Technique in 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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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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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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Flexion and extension gap balancing in revision total knee arthroplasty.

UNLABELLED Revision total knee arthroplasty presents a unique set of problems when attempting to balance flexion and extension gaps. Loss of soft tissue support and established deformity can make balancing difficult. One needs to balance the flexion and extension gap heights as well as medial and lateral symmetry, which may not always be attainable. We used a set of stepwise techniques to reest...

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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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ژورنال

عنوان ژورنال: Clinics in Orthopedic Surgery

سال: 2014

ISSN: 2005-291X,2005-4408

DOI: 10.4055/cios.2014.6.1.1