The influence of the tibial slope on intra-operative soft tissue balance in cruciate-retaining and posterior-stabilized total knee arthroplasty

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• 作者：Shinya Oka (1)
  Tomoyuki Matsumoto (1)
  Hirotsugu Muratsu (2)
  Seiji Kubo (1)
  Takehiko Matsushita (1)
  Kazunari Ishida (1)
  Ryosuke Kuroda (1)
  Masahiro Kurosaka (1)
  
• 关键词：Total knee arthroplasty ; Soft tissue balance ; Tensor ; Tibial slope ; Cruciate retaining ; Posterior stabilized
• 刊名：Knee Surgery, Sports Traumatology, Arthroscopy
• 出版年：2014
• 出版时间：August 2014
• 年：2014
• 卷：22
• 期：8
• 页码：1812-1818
• 全文大小：610 KB
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• 作者单位：Shinya Oka (1)
  Tomoyuki Matsumoto (1)
  Hirotsugu Muratsu (2)
  Seiji Kubo (1)
  Takehiko Matsushita (1)
  Kazunari Ishida (1)
  Ryosuke Kuroda (1)
  Masahiro Kurosaka (1)
  
  1. Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan
  2. Department of Orthopaedic Surgery, Steel Memorial Hirohata Hospital, Himeji, Hyogo, Japan
  
• ISSN：1433-7347

文摘

Purpose This study aims to make clear the influence of the tibial slope on intra-operative soft tissue balance measurements using a tensor in cruciate-retaining and posterior-stabilized total knee arthroplasty (TKA). Methods Forty patients with osteoarthritis of the knee received TKAs (20 cruciate-retaining TKAs and 20 posterior-stabilized TKA). Soft tissue balance was measured using an offset type tensor at 0, 10, 45, 90, 135 degrees of knee flexion. The tibial slopes were measured by post-operative lateral radiograph. The correlation between the tibial slope and values of soft tissue balance were assessed. Results Joint component gap at 90° (R?=?0.537, p?R?=?0.463, p?R?=?0.433, p? Conclusions In the present study, we confirmed that increasing the tibial slope resulted in a larger flexion gap compared to extension gap in posterior-stabilized TKA. Surgeons should be aware that increasing the tibial slope is one factor responsible for widening the flexion–extension gap difference in posterior-stabilized TKA. Level of evidence III.