The Impact of a Gap Balancing or Measured Resection Surgical Technique on Posterior Condylar Offset and Patient-Reported Outcome Measures
| Autor: | James L. Howard, Matthew G. Teeter, Brent A. Lanting, Jared Webster, Lyndsay E. Somerville, Harley A. Williams |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Orthopedic surgery
medicine.medical_specialty business.industry Radiography Total knee arthroplasty Measured resection Condyle Total knee Resection Surgery Gap balancing Posterior condylar offset medicine Orthopedics and Sports Medicine Patient-reported outcome business Range of motion human activities RD701-811 Original Research |
| Zdroj: | Arthroplasty Today Arthroplasty Today, Vol 11, Iss, Pp 64-67 (2021) |
| ISSN: | 2352-3441 |
| Popis: | Background To increase total knee arthroplasty procedure satisfaction, surgeons are exploring improvements in surgical technique. The impact of gap balancing or measured resection approach on posterior condylar offset (PCO) is not well understood. Methods We reviewed the clinical and radiographic results of 498 unilateral posterior stabilized total knee arthroplasties. Radiographs were assessed to measure the primary endpoints of anterior-posterior width, PCO, and anterior condylar offset. Clinical outcome measures were used to assess patient improvement measures. Multiple linear regression analyses were performed to determine the clinical factors related to our primary endpoints. Results No significant difference was observed between groups in anterior-posterior width (P = .24) and PCO (P = .78). Significant positive correlations were observed between postoperative PCO and knee range of motion (r = 0.12, P = .04) and total Knee Society Scores (r = 0.14, P = .02). Conclusion No impact of surgical technique on PCO was observed. Correlations were observed between postoperative PCO and the functional subscore and total Knee Society Score. All patients reported clinical improvements at 1 year postoperatively. |
| Databáze: | OpenAIRE |
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