Measured resection versus gap balancing technique for femoral rotational alignment: a prospective study.

Autor: Nikolaides AP; Third Orthopaedic Department, Aristotle University of Thessaloniki-Medical School, 'Papageorgiou' General Hospital, Thessaloniki, Greece., Kenanidis EI; Third Orthopaedic Department, Aristotle University of Thessaloniki-Medical School, 'Papageorgiou' General Hospital, Thessaloniki, Greece., Papavasiliou KA; Third Orthopaedic Department, Aristotle University of Thessaloniki-Medical School, 'Papageorgiou' General Hospital, Thessaloniki, Greece., Sayegh FE; Third Orthopaedic Department, Aristotle University of Thessaloniki-Medical School, 'Papageorgiou' General Hospital, Thessaloniki, Greece., Tsitouridis I; Department of Radiology, 'Papageorgiou' General Hospital, Thessaloniki, Greece., Kapetanos GA; Third Orthopaedic Department, Aristotle University of Thessaloniki-Medical School, 'Papageorgiou' General Hospital, Thessaloniki, Greece.
Jazyk: angličtina
Zdroj: Journal of orthopaedic surgery (Hong Kong) [J Orthop Surg (Hong Kong)] 2014 Aug; Vol. 22 (2), pp. 158-62.
DOI: 10.1177/230949901402200208
Abstrakt: Purpose: To compare the measured resection technique and the gap balancing technique for correction of the femoral rotational alignment.
Methods: 57 women and 6 men (mean age, 70 years) with end-stage osteoarthritis and <15º malalignment and <10º flexion contracture of the knee underwent primary total knee arthroplasty through the medial approach using the measured resection technique (n=34) or the gap balancing technique (n=29). Femoral rotational alignment was evaluated before and 7 days after surgery using computed tomography by referencing the 2 posterior condyles to the transepicondylar axis.
Results: The 2 groups did not differ significantly in terms of correction of the femoral rotational alignment (3.4º ± 1.4º vs. 3.5º ± 3.1º, p=0.817).
Conclusion: The measured resection and the gap balancing techniques achieved comparable correction of femoral rotational alignment.
Databáze: MEDLINE