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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 3/2012

01-03-2012 | Knee

Influence of intra-operative joint gaps on post-operative flexion angle in posterior cruciate-retaining total knee arthroplasty

Authors: Koji Takayama, Tomoyuki Matsumoto, Seiji Kubo, Hirotsugu Muratsu, Kazunari Ishida, Takehiko Matsushita, Masahiro Kurosaka, Ryosuke Kuroda

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2012

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Abstract

Purpose

The purpose of this study is to examine the joint component gap and its relationship with post-operative flexion angles in posterior cruciate-retaining (CR) total knee arthroplasty (TKA). In posterior-stabilized (PS) TKA, an inverse correlation between the joint component gap and the post-operative flexion angle was reported. However, the kinematics of the joint component gap has a different pattern in PS and CR TKA. It was hypothesised that CR TKA has a different correlation between the joint component gap and the post-operative flexion angle compared to PS TKA.

Methods

The joint component gap was measured with an offset-type tensor. The joint component gaps were measured at 0°, 10°, 30°, 60°, 90° and 120° knee flexion angle and various values of the change in the joint component gap were calculated; 10°–0°, 30°–0°, 60°–0°, 90°–0° and 120°–0°. Multivariate regression analysis was used to determine the influencing of these parameters to post-operative knee flexion angle.

Results

The post-operative flexion angle was positively correlated with a joint component gap of 90° and 120° and the values of the change in the joint component gap of 90°–0° and 120°–0°. Multivariate regression analysis demonstrated pre-operative knee flexion angle, and the values of the change in the joint component gap of 90°–0° had a significant independent factor of post-operative knee flexion angle.

Conclusions

Post-operative flexion angle is multi-factorial. However, it is important to avoid flexion component gap tightness as well as excessive flexion component gap looseness for acquisition of better flexion angle in CR TKA.

Level of evidence

IV.
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Metadata
Title
Influence of intra-operative joint gaps on post-operative flexion angle in posterior cruciate-retaining total knee arthroplasty
Authors
Koji Takayama
Tomoyuki Matsumoto
Seiji Kubo
Hirotsugu Muratsu
Kazunari Ishida
Takehiko Matsushita
Masahiro Kurosaka
Ryosuke Kuroda
Publication date
01-03-2012
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-011-1594-x

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