Both intraoperative medial and lateral soft tissue balances influence intraoperative rotational knee kinematics in bi-cruciate stabilized total knee arthroplasty: A retrospective investigation
| Autor: | Shuji Taketomi, Ryota Yamagami, Kohei Kawaguchi, Kentaro Takagi, Tomofumi Kage, Shin Sameshima, Hiroshi Inui, Kenichi Kono, Sakae Tanaka |
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| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Knee Joint Sports medicine Joint stability Total knee arthroplasty Tibial internal rotation Diseases of the musculoskeletal system Joint laxity Bi-cruciate stabilized Rheumatology Internal medicine medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Arthroplasty Replacement Knee Retrospective Studies Balance (ability) Orthodontics business.industry Research Soft tissue Osteoarthritis Knee musculoskeletal system Biomechanical Phenomena RC925-935 Orthopedic surgery Lateral soft tissue balance business Medial soft tissue balance |
| Zdroj: | BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-10 (2021) BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| DOI: | 10.1186/s12891-021-04709-4 |
| Popis: | Background Tibial internal rotation following total knee arthroplasty (TKA) is important in achieving favorable postoperative clinical outcomes. Studies have reported the effect of intraoperative soft tissue balance on tibial internal rotation in conventional TKA, no studies have evaluated the effects of soft tissue balance at medial or lateral compartments separately on tibial internal rotation in bi-cruciate stabilized (BCS) TKA. The purpose of this study was to clarify the relationship between medial or lateral component gaps and rotational knee kinematics in BCS TKA. Methods One hundred fifty-eight knees that underwent BCS TKA were included in this study. The intraoperative medial and lateral joint laxities which was defined as the value of component gap minus the thickness of the tibial component were firstly divided into two groups, respectively: Group M-stable (medial joint laxity, ≤ 2 mm) or Group M-loose (medial joint laxity, ≥ 3 mm) and Group L-stable (lateral joint laxity, ≤ 3 mm) or Group L-loose (lateral joint laxity, ≥ 4 mm). And finally, the knees enrolled in this study were divided into four groups based on the combination of Group M and Group L: Group A (M-stable and L-stable), Group B (M-stable and L-loose), Group C (M-loose and L-stable), and Group D (M-loose and L-loose). The intraoperative rotational knee kinematics were compared between the four Groups at 0°, 30°, 60°, and 90° flexion, respectively. Results The rotational angular difference between 0° flexion and maximum flexion in Group B at 30° flexion was significantly larger than that in Group A at 30° flexion (*p p p Conclusion Surgeons should pay attention to the importance of medial joint stability at midflexion and lateral joint laxities at midflexion and 90° flexion on a good tibial internal rotation in BCS TKA. |
| Databáze: | OpenAIRE |
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