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Influence of intra-operative joint gap on post-operative flexion angle in osteoarthritis patients undergoing posterior-stabilized total knee arthroplasty

  • Knee
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Recently, we developed a new tensor for total knee arthroplasty (TKA) procedures enabling soft tissue balance assessment throughout the range of motion while reproducing post-operative joint alignment with the patello-femoral (PF) joint reduced and the tibiofemoral joint aligned. Using the tensor with a computer-assisted navigation system, we investigated the relationship between various intra-operative joint gap values and their post-operative flexion angles. An increased value during the extension to flexion gap and a decreased value during the flexion to deep flexion gap with PF joint reduced, not everted, showed an inverse correlation with post-operative knee flexion angle, not pre-operative flexion angle. In conclusion, understanding the characteristics of joint gap kinematics in posterior-stabilized TKA under physiological and reproducible joint conditions may enable the prediction of the post-operative flexion angle and help to determine the appropriate intra-operative joint gap.

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Acknowledgments

The authors acknowledge Mrs. Janina Tubby for her assistance in preparation of this manuscript.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan

    Tomoyuki Matsumoto, Kiyonori Mizuno, Hirotsugu Muratsu, Seiji Kubo, Masahiro Kurosaka & Ryosuke Kuroda

  2. Department of Orthopaedic Surgery, Hyogo Rehabilitation Center, Kobe, Japan

    Nobuhiro Tsumura & Naomasa Fukase

  3. Department of Orthopaedic Surgery, Hyogo College of Medicine, Nishinomiya, Japan

    Shinichi Yoshiya

Authors
  1. Tomoyuki Matsumoto
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  2. Kiyonori Mizuno
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  3. Hirotsugu Muratsu
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  4. Nobuhiro Tsumura
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  5. Naomasa Fukase
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  6. Seiji Kubo
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  7. Shinichi Yoshiya
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  8. Masahiro Kurosaka
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  9. Ryosuke Kuroda
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Correspondence to Tomoyuki Matsumoto.

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Matsumoto, T., Mizuno, K., Muratsu, H. et al. Influence of intra-operative joint gap on post-operative flexion angle in osteoarthritis patients undergoing posterior-stabilized total knee arthroplasty. Knee Surg Sports Traumatol Arthr 15, 1013–1018 (2007). https://doi.org/10.1007/s00167-007-0331-y

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  • DOI: https://doi.org/10.1007/s00167-007-0331-y

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