Lessons Learned from Selective Soft-Tissue Release for Gap Balancing in Primary Total Knee Arthroplasty
نویسندگان
چکیده
منابع مشابه
Soft tissue balancing in total knee arthroplasty.
A good outcome in total knee arthroplasty depends on many factors: joint alignment, range of motion, patellar tracking and ligament stability. A correct soft tissue balance keeps the joint aligned in flexion and extension, and therefore constitutes the most important factor for durability of the implant. Indeed, incorrect soft tissue balancing is the primary cause of early implant failure neces...
متن کاملSoft-tissue balancing in primary total knee arthroplasty.
The surgical goal of primary total knee arthroplasty (TKA) is to provide a well-balanced soft-tissue envelope surrounding a well-aligned, well-fixed implant. Some knee surgeons have emphasized that a good outcome in primary TKA is more dependent on soft-tissue management than bone management. Thus, it is imperative that the surgeon is familiar with knee soft-tissue balancing techniques to addre...
متن کاملDynamic soft tissue balancing in total knee arthroplasty.
Achieving optimal soft tissue balance intraoperatively is a critical element for a successful outcome after total knee arthroplasty. Although advances in navigation have improved the incidence of angular outliers, spatial distance measurements do not quantify soft tissue stability or degrees of ligament tension. Revisions caused by instability, malrotation, and malalignment still constitute up ...
متن کاملIs patella eversion during total knee arthroplasty crucial for gap adjustment and soft-tissue balancing?
INTRODUCTION Assessment of soft-tissue balance by the gap technique in Total Knee Arthroplasty (TKA) impacts femoral component rotation positioning. Proper femoral component rotation is a critical factor in TKA, both for adequate patellar tracking and in achieving a symmetrical flexion gap. Soft tissue balance assessment and gap measurements are performed at 90° flexion and with the patella eve...
متن کاملSoft-tissue balancing with pressure distribution during total knee arthroplasty.
We measured the pressure distribution across the tibiofemoral and patellofemoral joints during total knee arthroplasty (TKA) using Fuji pressure-sensitive film (Prescale) in 51 patients (63 joints) comparing the results with those in 21 patients in whom Prescale was not used. We classified the stress-distribution patterns in the tibiofemoral joints into four types: normal, varus-valgus instabil...
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ژورنال
عنوان ژورنال: The Journal of Bone & Joint Surgery
سال: 2013
ISSN: 0021-9355
DOI: 10.2106/jbjs.l.01686