Midflexion Laxity After Implantation Was Influenced by the Joint Gap Balance Before Implantation in TKA.

Minoda, Yukihide; Nakagawa, Shigeru; Sugama, Ryo; Ikawa, Tessyu; Noguchi, Takahiro; Hirakawa, Masashi · J Arthroplasty · 2015

prospective_cohort · Level II

Where this comes from

Abstract

The relationship between the joint gap before and after implantation in 259 knees during the total knee arthroplasty was investigated using a tensor device which can attach the polyethylene insert trial. Patients were divided into following 3 groups according to the joint gap balance before implantation (flexion joint gap--extension joint gap); group 1: >1mm; group 2: -1 to 1mm, and group 3: <-1mm. Joint gap after implantation was loose at 30°, 60°, 90°, and 120° of flexion in group 1 and 2, but loose only at 30° of flexion in group 3 (p<0.01). This study showed that loose flexion joint gap before implantation increased the risk of joint gap laxity after implantation especially at midflexion ranges.

Medical subject headings

Anatomy