Top

Clinical Orthopaedics and Related Research®

Published in:

01-07-2014 | Clinical Faceoff

Measured Resection Versus Gap Balancing for Total Knee Arthroplasty

Author: Matthew P. Abdel, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 7/2014

Excerpt

The number of TKAs performed in the United States is expected to increase substantially in the next two decades [6]. Additionally, surgeons are performing TKAs in younger and more active patients. While many articles discuss the importance of radiographic alignment, soft-tissue balancing is essential to a successful TKA. There remains great controversy in how surgeons obtain correct alignment and soft-tissue tensioning. Some surgeons utilize a measured resection technique, while other surgeons favor a gap-balancing technique. …

Babazdeh S, Dowsey MM, Stoney JD, Choong PF. Gap balancing sacrifices joint-line maintenance to improve gap symmetry: A randomized controlled trial comparing gap balancing and measured resection. J Arthroplasty. 2013.2.

Becker R, Malzdorf M, Starke C, Randolf P, Lohmann C. No difference between tibia-first and femur-first techniques in TKA using computer-assisted surgery. Knee Surg Sports Traumatol Arthrosc. 2012;20:2011–2016.PubMedCrossRef

Dennis DA, Komistek RD, Kim RH, Sharma A. Gap balancing versus measured resection technique for total knee arthroplasty. Clin Orthop Relat Res. 2010;468:102–107.PubMedCentralPubMedCrossRef

Fehring TK. Rotational malalignment of the femoral component in total knee arthroplasty. Clin Orthop Relat Res. 2000:72–79.

Hanada H, Whiteside LA, Steiger J, Dyer P, Naito M. Bone landmarks are more reliable than tensioned gaps in TKA component alignment. Clin Orthop Relat Res. 2007;462:137–142.PubMedCrossRef

Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780–785.PubMedCrossRef

Lee DH, Park JH, Song DI, Padhy D, Jeong WK, Han SB. Accuracy of soft tissue balancing in TKA: comparison between navigation-assisted gap balancing and conventional measured resection. Knee Surg Sports Traumatol Arthrosc. 2010;18:381–387.PubMedCrossRef

Matsumoto T, Muratsu H, Kubo S, Kuroda R, Kurosaka M. Intra-operative joint gap kinematics in unicompartmental knee arthroplasty. Clin Biomech (Bristol, Avon). 2013;28:29–33.

Matsumoto T, Muratsu H, Kubo S, Matsushita T, Ishida K, Sasaki H, Oka S, Kurosaka M, Kuroda R. Soft tissue balance using the tibia first gap technique with navigation system in cruciate-retaining total knee arthroplasty. Int Orthop. 2012;36:975–980.PubMedCentralPubMedCrossRef

10.

Nagai K, Muratsu H, Matsumoto T, Miya H, Kuroda R, Kurosaka M. Soft Tissue Balance Changes Depending on Joint Distraction Force in Total Knee Arthroplasty. J Arthroplasty. 2013.

11.

Parratte S, Blanc G, Boussemart T, Ollivier M, Le Corroller T, Argenson JN. Rotation in total knee arthroplasty: no difference between patient-specific and conventional instrumentation. Knee Surg Sports Traumatol Arthrosc. 2013;21:2213–2219.PubMedCrossRef

12.

Yoon JR, Jeong HI, Oh KJ, Yang JH. In vivo gap analysis in various knee flexion angles during navigation-assisted total knee arthroplasty. J Arthroplasty. 2013;28:1796–1800.PubMedCrossRef

Title: Measured Resection Versus Gap Balancing for Total Knee Arthroplasty
Author: Matthew P. Abdel, MD
Publication date: 01-07-2014
Publisher: Springer US
Published in: Clinical Orthopaedics and Related Research® / Issue 7/2014
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-014-3524-y

At a glance: The STEP trials

Springer Medicine

Measured Resection Versus Gap Balancing for Total Knee Arthroplasty

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 7/2014

Editor’s Spotlight/Take 5: Is Changing Hospitals for Revision Total Joint Arthroplasty Associated With More Complications?

Heterotopic Ossification of the Elbow Treated With Surgical Resection: Risk Factors, Bony Ankylosis, and Complications

Revision Allograft Reconstruction of the Lateral Collateral Ligament Complex in Elbows With Previous Failed Reconstruction and Persistent Posterolateral Rotatory Instability

Bone Marrow Aspirate Concentrate and Platelet-rich Plasma Enhanced Bone Healing in Distraction Osteogenesis of the Tibia

Hospital Costs of Total Hip Arthroplasty for Developmental Dysplasia of the Hip

Complications of Hinged External Fixation Compared With Cross-pinning of the Elbow for Acute and Subacute Instability