Luering, Christian and Bathis, Holger and Hufner, Tobias and Grauvogel, Christian and Perlick, Lars and Grifka, Joachim (2006) Gap configuration and anteroposterior leg axis after sequential medial ligament release in rotating-platform total knee arthroplasty. ACTA ORTHOPAEDICA, 77 (1). pp. 149-155. ISSN 1745-3674, 1745-3682
Full text not available from this repository. (Request a copy)Abstract
Background Soft tissue management is a major issue in total knee replacement. There have been very few papers dealing with its effect on leg axis and tibiofemoral gap. Methods In a cadaver specimen study, we analyzed this effect by performing a sequential medial soft tissue release after a mobile-bearing total knee arthroplasty. Measurements were obtained using a CT-free navigation system (Ci navigation system). Results We found the highest increase in leg axis and medial gap when releasing the anteromedial tibial sleeve of the capsule 6 cm below the joint line, in extension, and after dividing the medial collateral ligament, in flexion, when releasing the medial half of the posterior cruciate ligament. There were differences in amount of change between extension and flexion, especially when releasing the medial half of the posterior cruciate ligament. In extension, the lateral gap remained the same as in flexion. Interpretation Implementation of computer-assisted surgery has allowed this first navigation-control led study investigating the effect of soft tissue release in TKR with rotating platform. Each sequential release step has the desired effect on a.p. leg axis and tibiofemoral gaps. It is important that the differences between the effects in extension and flexion be noted.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | FIXED-BEARING; SEVERE VARUS; VALGUS KNEE; DEFORMITIES; REPLACEMENT; PROSTHESIS; BALANCE; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 23 Feb 2021 12:42 |
| Last Modified: | 23 Feb 2021 12:42 |
| URI: | https://pred.uni-regensburg.de/id/eprint/34952 |
Actions (login required)
 |
View Item |
