Intraoperative Comparison of Measured Resection and Gap Balancing Using a Force Sensor: A Prospective, Randomized Controlled Trial

Cidambi, Krishna R.; Robertson, Nicholas; Borges, C. Campos; Nassif, Nader; Barnett, Steven

doi:10.1016/j.arth.2018.02.044

Cited by 17 publications

(16 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, in the gait analysis, the Sagittal knee flexion and the Transversal knee rotation were significantly higher than those of the MR group. Krishna's study [22] are similar to ours. However, some studies have shown that the thickness of posterior condyle in GB is lower than MR [23].…”

Section: Discussionsupporting

confidence: 89%

“…In this study, the difference was basically within 6 pounds. The conclusions of Kyn et al are similar to this study [22,30]. Then Tokuhara [31] et al measured the medial and lateral gaps of the normal knee by MRI technique and it was found that gaps difference was as high as 4.6 mm when the flexion was 90°.…”

Section: Discussionsupporting

confidence: 80%

“…Basing on the above selection and exclusion criteria, we prospectively investigated the clinical data of 110 patients who received primary TKA from March 2018 to March 2019. Krishna [20,22] et al…”

Section: Randomization and Maskingmentioning

confidence: 99%

See 2 more Smart Citations

Is There an Advantage with Measured Resection for Femoral Rotation Resection in TKA? A Randomized Controlled Trial

Zhang

Sun

et al. 2019

Preprint

View full text Add to dashboard Cite

BackgroundTotal knee arthroplasty (TKA) is performed by gap balance (GB) and measured resection (MR) techniques for femoral rotation resection to achieve knee flexion balance and knee stability. It is still controversial to choose which technique is more advantageous. The purpose of this study was to compare the early clinical efficacy of GB and MR in TKA.MethodsThis study was a prospective randomized, double-blind controlled trial. From March 2018 to March 2019, 99 patients (99 knees) who underwent TKA at our institution were randomly treated with GB and MR. The cutting thickness of posterior condyle, radiographic findings, medial and lateral compartment pressure, gait analysis, and patients satisfaction were recorded. ResultsA total of 110 patients were enrolled for unilateral THA. Finally, 99 patients were included for analysis and comparison at 12 months follow-up. In GB group, the angle of Cutting Block to PCA was significantly lower than in the MR group (P<0.001) and the cutting thickness of the medial and lateral condyle was significantly higher than in the MR group (P<0.05). Medial compartment pressure was significantly higher than lateral compartment at 90° flexion and full flexion in MR (P<0.05). In GB group, Sagittal max knee flexion range and transversal knee rotation range was significantly was significantly larger than that in the MR group (P<0.05). In level of satisfaction at the most recent follow-up, there was no significant difference between the two groups (p>0.05).ConclusionIn TKA, GB or MR techniques for femoral external resection has little effect on daily walking. However, the GB technique has advantages in early postoperative knee stability and knee flexion function improvement.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 80%

See 1 more Smart Citation

Is There an Advantage with Measured Resection for Femoral Rotation Resection in TKA? A Randomized Controlled Trial

Zhang

Sun

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…The finding that the GB technique can cause excess external rotation is not novel [36,37]. Scuderi et al and others have noted increased external rotation in the gap balance technique [3,22,41]. While supporting these findings, our study is unique as it documents a statistically significant difference in the amount of resected posterior medial femoral bone in subjects with similar knee deformities and soft tissue quality undergoing the competing techniques simultaneously.…”

Section: Discussionsupporting

confidence: 75%

“…Numerous studies comparing the MR and GB techniques performed by conventional methods or using computer-assisted surgery (CAS) have reported on multiple parameters, including coronal stability as measured by condylar lift-off [21], intra-compartmental force distribution [3], femoral component rotation [22], and functional outcomes [23]. The results are somewhat discordant.…”

mentioning

confidence: 99%

Comparison of Gap Balancing vs Measured Resection Technique in Patients Undergoing Simultaneous Bilateral Total Knee Arthroplasty: One Technique per Knee

Tapasvi¹,

Shekhar²,

Patil

et al. 2020

The Journal of Arthroplasty

View full text Add to dashboard Cite

Ligament Balancing Technique: How Does It Work

Becker

2022

Basics in Primary Knee Arthroplasty

View full text Add to dashboard Cite

Intraoperative Comparison of Measured Resection and Gap Balancing Using a Force Sensor: A Prospective, Randomized Controlled Trial

Cited by 17 publications

References 24 publications

Is There an Advantage with Measured Resection for Femoral Rotation Resection in TKA? A Randomized Controlled Trial

Is There an Advantage with Measured Resection for Femoral Rotation Resection in TKA? A Randomized Controlled Trial

Comparison of Gap Balancing vs Measured Resection Technique in Patients Undergoing Simultaneous Bilateral Total Knee Arthroplasty: One Technique per Knee

Ligament Balancing Technique: How Does It Work

Contact Info

Product

Resources

About