The influence of the tibial slope on intra-operative soft tissue balance in cruciate-retaining and posterior-stabilized total knee arthroplasty
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-r...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2014-08, Vol.22 (8), p.1812-1818 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Oka, Shinya Matsumoto, Tomoyuki Muratsu, Hirotsugu Kubo, Seiji Matsushita, Takehiko Ishida, Kazunari Kuroda, Ryosuke Kurosaka, Masahiro |
| description | 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
|
| doi_str_mv | 10.1007/s00167-013-2535-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1555013318</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3377559351</sourcerecordid><originalsourceid>FETCH-LOGICAL-c471t-347fd7fa2b7337161ebf8f29f1003b5040b6b82bd27970b27807a089c2c290773</originalsourceid><addsrcrecordid>eNqNkc1qFjEUhoNY7NfqBbiRgBs3sfmZTCZLKVULhW7adUhmTtrU-ZIxyQj1JrxlM3xVRBBcJTl5znt-XoReM_qeUarOCqWsV4QyQbgUkqhnaMc6IYgSnXqOdlR3nHAq-2N0UsoDpe3a6RfomIt-0LoXO_Tj5h5wiH5eIY6Ak8e1BWpwwc64zGlpsdiAmi1pj2xr-Aa4JF8bVMoK2NnZbqkh4jGvY7AVSIZqQwzxDts44SWVCjmkTEq1LszhO0y4ptoqfIkA2OZ6n9My21IfX6Ijb-cCr57OU3T78eLm_DO5uv50ef7hioydYpW0-fykvOVOCaFYz8D5wXPt216Ek7SjrncDdxNXWlHH1UCVpYMe-cg1VUqconcH3SWnryuUavahjDC3WSCtxTApZdurYMN_oF3PWdPkDX37F_qQ1hzbIBsldS87rRvFDtSYUykZvFly2Nv8aBg1m7HmYKxpDZjNWLP1--ZJeXV7mH5n_HKyAfwAlPYV7yD_Ufqfqj8BWDKu6A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1545965499</pqid></control><display><type>article</type><title>The influence of the tibial slope on intra-operative soft tissue balance in cruciate-retaining and posterior-stabilized total knee arthroplasty</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Oka, Shinya ; Matsumoto, Tomoyuki ; Muratsu, Hirotsugu ; Kubo, Seiji ; Matsushita, Takehiko ; Ishida, Kazunari ; Kuroda, Ryosuke ; Kurosaka, Masahiro</creator><creatorcontrib>Oka, Shinya ; Matsumoto, Tomoyuki ; Muratsu, Hirotsugu ; Kubo, Seiji ; Matsushita, Takehiko ; Ishida, Kazunari ; Kuroda, Ryosuke ; Kurosaka, Masahiro</creatorcontrib><description>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
< 0.01) and 135° (
R
= 0.463,
p
< 0.05) of flexion and joint component gap change value of 90–0° (
R
= 0.433,
p
< 0.05) showed positive correlations with tibial slope in posterior-stabilized TKA. There was no relationship between the tibial slope and the value of soft tissue balances in cruciate-retaining TKA.
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.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-013-2535-7</identifier><identifier>PMID: 23689963</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Knee ; Biomechanical Phenomena ; Female ; Humans ; Hypotheses ; Joint replacement surgery ; Knee ; Knee Joint - physiopathology ; Knee Joint - surgery ; Ligaments ; Ligaments, Articular - physiopathology ; Ligaments, Articular - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Osteoarthritis, Knee - physiopathology ; Osteoarthritis, Knee - surgery ; Range of motion ; Range of Motion, Articular ; Single-Blind Method ; Surgeons ; Tibia - surgery</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014-08, Vol.22 (8), p.1812-1818</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-347fd7fa2b7337161ebf8f29f1003b5040b6b82bd27970b27807a089c2c290773</citedby><cites>FETCH-LOGICAL-c471t-347fd7fa2b7337161ebf8f29f1003b5040b6b82bd27970b27807a089c2c290773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-013-2535-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-013-2535-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23689963$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oka, Shinya</creatorcontrib><creatorcontrib>Matsumoto, Tomoyuki</creatorcontrib><creatorcontrib>Muratsu, Hirotsugu</creatorcontrib><creatorcontrib>Kubo, Seiji</creatorcontrib><creatorcontrib>Matsushita, Takehiko</creatorcontrib><creatorcontrib>Ishida, Kazunari</creatorcontrib><creatorcontrib>Kuroda, Ryosuke</creatorcontrib><creatorcontrib>Kurosaka, Masahiro</creatorcontrib><title>The influence of the tibial slope on intra-operative soft tissue balance in cruciate-retaining and posterior-stabilized total knee arthroplasty</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>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
< 0.01) and 135° (
R
= 0.463,
p
< 0.05) of flexion and joint component gap change value of 90–0° (
R
= 0.433,
p
< 0.05) showed positive correlations with tibial slope in posterior-stabilized TKA. There was no relationship between the tibial slope and the value of soft tissue balances in cruciate-retaining TKA.
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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Biomechanical Phenomena</subject><subject>Female</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Joint replacement surgery</subject><subject>Knee</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Ligaments</subject><subject>Ligaments, Articular - physiopathology</subject><subject>Ligaments, Articular - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Range of motion</subject><subject>Range of Motion, Articular</subject><subject>Single-Blind Method</subject><subject>Surgeons</subject><subject>Tibia - surgery</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkc1qFjEUhoNY7NfqBbiRgBs3sfmZTCZLKVULhW7adUhmTtrU-ZIxyQj1JrxlM3xVRBBcJTl5znt-XoReM_qeUarOCqWsV4QyQbgUkqhnaMc6IYgSnXqOdlR3nHAq-2N0UsoDpe3a6RfomIt-0LoXO_Tj5h5wiH5eIY6Ak8e1BWpwwc64zGlpsdiAmi1pj2xr-Aa4JF8bVMoK2NnZbqkh4jGvY7AVSIZqQwzxDts44SWVCjmkTEq1LszhO0y4ptoqfIkA2OZ6n9My21IfX6Ijb-cCr57OU3T78eLm_DO5uv50ef7hioydYpW0-fykvOVOCaFYz8D5wXPt216Ek7SjrncDdxNXWlHH1UCVpYMe-cg1VUqconcH3SWnryuUavahjDC3WSCtxTApZdurYMN_oF3PWdPkDX37F_qQ1hzbIBsldS87rRvFDtSYUykZvFly2Nv8aBg1m7HmYKxpDZjNWLP1--ZJeXV7mH5n_HKyAfwAlPYV7yD_Ufqfqj8BWDKu6A</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Oka, Shinya</creator><creator>Matsumoto, Tomoyuki</creator><creator>Muratsu, Hirotsugu</creator><creator>Kubo, Seiji</creator><creator>Matsushita, Takehiko</creator><creator>Ishida, Kazunari</creator><creator>Kuroda, Ryosuke</creator><creator>Kurosaka, Masahiro</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>The influence of the tibial slope on intra-operative soft tissue balance in cruciate-retaining and posterior-stabilized total knee arthroplasty</title><author>Oka, Shinya ; Matsumoto, Tomoyuki ; Muratsu, Hirotsugu ; Kubo, Seiji ; Matsushita, Takehiko ; Ishida, Kazunari ; Kuroda, Ryosuke ; Kurosaka, Masahiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-347fd7fa2b7337161ebf8f29f1003b5040b6b82bd27970b27807a089c2c290773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>Biomechanical Phenomena</topic><topic>Female</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Joint replacement surgery</topic><topic>Knee</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Ligaments</topic><topic>Ligaments, Articular - physiopathology</topic><topic>Ligaments, Articular - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Range of motion</topic><topic>Range of Motion, Articular</topic><topic>Single-Blind Method</topic><topic>Surgeons</topic><topic>Tibia - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oka, Shinya</creatorcontrib><creatorcontrib>Matsumoto, Tomoyuki</creatorcontrib><creatorcontrib>Muratsu, Hirotsugu</creatorcontrib><creatorcontrib>Kubo, Seiji</creatorcontrib><creatorcontrib>Matsushita, Takehiko</creatorcontrib><creatorcontrib>Ishida, Kazunari</creatorcontrib><creatorcontrib>Kuroda, Ryosuke</creatorcontrib><creatorcontrib>Kurosaka, Masahiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oka, Shinya</au><au>Matsumoto, Tomoyuki</au><au>Muratsu, Hirotsugu</au><au>Kubo, Seiji</au><au>Matsushita, Takehiko</au><au>Ishida, Kazunari</au><au>Kuroda, Ryosuke</au><au>Kurosaka, Masahiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The influence of the tibial slope on intra-operative soft tissue balance in cruciate-retaining and posterior-stabilized total knee arthroplasty</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>22</volume><issue>8</issue><spage>1812</spage><epage>1818</epage><pages>1812-1818</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>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
< 0.01) and 135° (
R
= 0.463,
p
< 0.05) of flexion and joint component gap change value of 90–0° (
R
= 0.433,
p
< 0.05) showed positive correlations with tibial slope in posterior-stabilized TKA. There was no relationship between the tibial slope and the value of soft tissue balances in cruciate-retaining TKA.
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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23689963</pmid><doi>10.1007/s00167-013-2535-7</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014-08, Vol.22 (8), p.1812-1818 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1555013318 |
| source | Wiley Online Library - AutoHoldings Journals; MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Knee Biomechanical Phenomena Female Humans Hypotheses Joint replacement surgery Knee Knee Joint - physiopathology Knee Joint - surgery Ligaments Ligaments, Articular - physiopathology Ligaments, Articular - surgery Male Medicine Medicine & Public Health Middle Aged Orthopedics Osteoarthritis, Knee - physiopathology Osteoarthritis, Knee - surgery Range of motion Range of Motion, Articular Single-Blind Method Surgeons Tibia - surgery |
| title | 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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