Intraoperative medial joint laxity in flexion decreases patient satisfaction after total knee arthroplasty

Autor: Yugo Morita, Moritoshi Furu, Hiromu Ito, Shinichi Kuriyama, Shinichiro Nakamura, Masayuki Azukizawa, Stephen Lyman, Shuichi Matsuda, Kohei Nishitani
Rok vydání: 2018
Předmět:
Zdroj: Archives of Orthopaedic and Trauma Surgery. 138:1143-1150
ISSN: 1434-3916
0936-8051
DOI: 10.1007/s00402-018-2965-2
Popis: The relationship between postoperative tibiofemoral ligament balance and patient satisfaction in total knee arthroplasty (TKA) has been explored previously. However, the optimal intraoperative medial–lateral ligament balance during knee flexion in terms of postoperative patient satisfaction remains unknown. We evaluated the effect of intraoperative flexion instability on patient satisfaction after TKA. This study consisted of 46 knees with varus osteoarthritis undergoing TKA. Medial–lateral component gaps at 0° knee extension and 90° flexion were measured intraoperatively using a knee balancer. Differences in postoperative patient outcomes at 3 weeks and 1 year were compared between medially tight knees in 90° flexion with a medial component gap of
Databáze: OpenAIRE