Tags

Type your tag names separated by a space and hit enter

[Bone morphing system for ligament balancing in total knee arthroplasty].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2006 Jun; 20(6):607-10.ZX

Abstract

OBJECTIVE

To investigate effectiveness of applying the Bone Morphing based image-free computer-assisted system for the ligament balancing management in the total knee arthroplasty (TKA).

METHODS

Between November 2002 and June 2003, twenty-one posterior stabilized total knee prostheses (Craver, France) were implanted in 21 patients using the Bone Morphing based image-free Ceravision system. This cohort included 5 men and 16 women with an average age of 72.4 years, two undergoing high tibial osteotomy and 1 undergoing distal femoral osteotomy before. The preoperative deviation was measured by the full-length AP X-rays. The knees were in varus deviation in 14 patients and in valgus deviation in 7 patients, with an average of 2.36 degrees (varus 13 degrees-valgus 13 degrees). The frontal X-rays of the knee were assessed, the mean value of the varus force-stress test was 8.47 degrees (varus 2 degrees-varus 20 degrees), and the mean value of the valgus force-stress test was 3. 63 degrees (varus 7 degrees-valgus 12 degrees).

RESULTS

With the Ceravision-recorded data, the intraoperative alignment was assessed, the mean lower limb axis was 3.33 degrees (varus 12 degrees-valgus 10 degrees), and compared with the preoperative data, the difference was significant (P < 0.05); the mean value of the varus force-stress test was 6. 47 degrees (varus 0 degree - varus 24 degrees), the mean value of the valgus force-stress test was 4.32 degrees (varus 8 degrees-valgus 15 degrees), and compared with the preoperative data, the difference was significant (P < 0.05). The post-prosthetic alignment on Ceravision with a deviation of 0.175 degrees (varus 2 degrees-valgus 3 degrees) was compared with the postoperative alignment by the full-length AP X-rays, with a deviation of 0.3 degrees (varus 3.5 degrees-valgus 1.5 degrees), the difference wasn't significant (P > 0.05). The clinical check-up performed 3 months after operation showed that the average range of movement (ROM) was 115 degrees (105-130 degrees), the mean frontal laxity was 0.27 mm (0.2-0.5 mm). The femoral and tibial components were implanted in the satisfactory 3 dimensional position without ligament imbalance in all the patients, and there were no instability or patella complications.

CONCLUSION

Utilization of the Bone Morphing based image-free computer-assisted system can achieve an accurate component 3 dimensional alignment, optimal bone resection, optimal control of surgical decision in releasing the soft tissues, rotating the femoral component to gain an extension/flexion rectangular gap, and managing the ligament balancing so as to achieve a satisfactory initial clinical outcome. This system can be routinely used in the TKA.

Authors+Show Affiliations

Wu H
Department of Orthopaedics, Guangxi Provincial People's Hospital, Nanning Guangsi, 530021, PR China. wuhaorthop@yahoo.com.cn
van Driessche S
No affiliation info available
Goutallier D
No affiliation info available

MeSH

AgedArthroplasty, Replacement, KneeFemaleHumansImaging, Three-DimensionalKnee ProsthesisLigaments, ArticularMaleMiddle Aged

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

16827382

Citation

Wu, Hao, et al. "[Bone Morphing System for Ligament Balancing in Total Knee Arthroplasty]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 20, no. 6, 2006, pp. 607-10.
Wu H, van Driessche S, Goutallier D. [Bone morphing system for ligament balancing in total knee arthroplasty]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2006;20(6):607-10.
Wu, H., van Driessche, S., & Goutallier, D. (2006). [Bone morphing system for ligament balancing in total knee arthroplasty]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 20(6), 607-10.
Wu H, van Driessche S, Goutallier D. [Bone Morphing System for Ligament Balancing in Total Knee Arthroplasty]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2006;20(6):607-10. PubMed PMID: 16827382.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Bone morphing system for ligament balancing in total knee arthroplasty]. AU - Wu,Hao, AU - van Driessche,Stéphane, AU - Goutallier,Daniel, PY - 2006/7/11/pubmed PY - 2009/6/3/medline PY - 2006/7/11/entrez SP - 607 EP - 10 JF - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery JO - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi VL - 20 IS - 6 N2 - OBJECTIVE: To investigate effectiveness of applying the Bone Morphing based image-free computer-assisted system for the ligament balancing management in the total knee arthroplasty (TKA). METHODS: Between November 2002 and June 2003, twenty-one posterior stabilized total knee prostheses (Craver, France) were implanted in 21 patients using the Bone Morphing based image-free Ceravision system. This cohort included 5 men and 16 women with an average age of 72.4 years, two undergoing high tibial osteotomy and 1 undergoing distal femoral osteotomy before. The preoperative deviation was measured by the full-length AP X-rays. The knees were in varus deviation in 14 patients and in valgus deviation in 7 patients, with an average of 2.36 degrees (varus 13 degrees-valgus 13 degrees). The frontal X-rays of the knee were assessed, the mean value of the varus force-stress test was 8.47 degrees (varus 2 degrees-varus 20 degrees), and the mean value of the valgus force-stress test was 3. 63 degrees (varus 7 degrees-valgus 12 degrees). RESULTS: With the Ceravision-recorded data, the intraoperative alignment was assessed, the mean lower limb axis was 3.33 degrees (varus 12 degrees-valgus 10 degrees), and compared with the preoperative data, the difference was significant (P < 0.05); the mean value of the varus force-stress test was 6. 47 degrees (varus 0 degree - varus 24 degrees), the mean value of the valgus force-stress test was 4.32 degrees (varus 8 degrees-valgus 15 degrees), and compared with the preoperative data, the difference was significant (P < 0.05). The post-prosthetic alignment on Ceravision with a deviation of 0.175 degrees (varus 2 degrees-valgus 3 degrees) was compared with the postoperative alignment by the full-length AP X-rays, with a deviation of 0.3 degrees (varus 3.5 degrees-valgus 1.5 degrees), the difference wasn't significant (P > 0.05). The clinical check-up performed 3 months after operation showed that the average range of movement (ROM) was 115 degrees (105-130 degrees), the mean frontal laxity was 0.27 mm (0.2-0.5 mm). The femoral and tibial components were implanted in the satisfactory 3 dimensional position without ligament imbalance in all the patients, and there were no instability or patella complications. CONCLUSION: Utilization of the Bone Morphing based image-free computer-assisted system can achieve an accurate component 3 dimensional alignment, optimal bone resection, optimal control of surgical decision in releasing the soft tissues, rotating the femoral component to gain an extension/flexion rectangular gap, and managing the ligament balancing so as to achieve a satisfactory initial clinical outcome. This system can be routinely used in the TKA. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/16827382/[Bone_morphing_system_for_ligament_balancing_in_total_knee_arthroplasty]_ L2 - https://medlineplus.gov/kneereplacement.html DB - PRIME DP - Unbound Medicine ER -