Gap balancing in total knee arthroplasty

被引:72
作者
Bottros, John [1 ]
Gad, Bishoy [1 ]
Krebs, Viktor [1 ]
Barsoum, Wael K. [1 ]
机构
[1] Cleveland Clin Fdn, Dept Orthopaed Surg, Cleveland, OH 44195 USA
关键词
total knee arthroplasty; gap balance; soft tissue management; joint line restoration; valgus release; varus release; flexion gap; extension gap;
D O I
10.1016/j.arth.2006.02.084
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
It is well known that the success of total knee arthroplasty is collectively dependent on the proper recreation of the joint line, appropriate soft tissue balancing, and respectful management of the extensor mechanism. One of the most decisive factors within the surgeon's control is the reestablishment of proper knee kinematics through both medial-lateral and flexion-extension ligamentous balancing. This can be accomplished only by a comprehensive intraoperative evaluation in full flexion, mid flexion, and full extension to minimize potential gap mismatches. Most of the discussion will focus on this aspect of soft tissue balancing, but this does not undermine the importance of the other aforementioned principles of successful knee arthroplasty. (C) 2006 Published by Elsevier Inc.
引用
收藏
页码:11 / 15
页数:5
相关论文
共 10 条
[1]  
Baldini A, 2004, J Knee Surg, V17, P69
[2]  
Emodi G J, 1999, Iowa Orthop J, V19, P82
[3]   Rotational malalignment of the femoral component in total knee arthroplasty [J].
Fehring, TK .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2000, (380) :72-79
[4]   Effect of selective lateral ligament release on stability in knee arthroplasty [J].
Kanamiya, T ;
Whiteside, LA ;
Nakamura, T ;
Mihalko, WM ;
Steiger, J ;
Naito, M .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2002, (404) :24-31
[5]   Revision total knee replacement ligament balancing for deformity [J].
Krackow, KA .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2002, (404) :152-157
[6]   Joint line position restoration during revision total knee replacement [J].
Laskin, RS .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2002, (404) :169-171
[7]   Comparison of ligament-balancing techniques during total knee arthroplasty [J].
Mihalko, WM ;
Whiteside, LA ;
Krackow, KA .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A :132-135
[8]  
Partington PF, 1999, CLIN ORTHOP RELAT R, P165
[9]  
POLIVACHE PL, 1996, CLIN ORTHOP RELAT R, V33, P35
[10]   Soft-tissue balance in revision total knee arthroplasty [J].
Ries, MD ;
Haas, SB ;
Windsor, RE .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A :38-42