How to Quantitatively Balance a Total Knee? A Surgical Algorithm to Assure Balance and Control Alignment
Abstract
:1. Introduction
2. Materials and Methods
2.1. Clinical Data Collection
2.2. Surgical Corrections
- Arcuate release: Located in the posterolateral corner, the medial limb of the arcuate complex curves over the popliteus muscle to join with the oblique popliteal ligament, while the lateral limb ascends to blend with the capsule near the lateral gastrocnemius muscle (Figure 1). Both limbs of the arcuate complex were incised at the joint line with the knee in extension using curved scissors.
- Popliteus release: Located in the posterolateral corner, the popliteus connects the posterolateral femoral condyle to the popliteus muscle. During a release, this ligamentous structure is being resected with a 11- or 15-blade.
- Posterior capsule release: The attachment of the posterior capsule to the posterior distal femur was subperiosteally released using electrocautery and a Cobb elevator.ITB release: The iliotibial band (ITB) is located on the lateral side of the tibia was incised at the joint line using curved scissors.
2.3. Statistical Analysis
3. Results
3.1. Patient Population
3.2. Surgical Corrections
3.3. Effects on Alignment
3.4. Effects on Intra-Articular Loads
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
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Moore, R.E.; Conditt, M.A.; Roche, M.W.; Verstraete, M.A. How to Quantitatively Balance a Total Knee? A Surgical Algorithm to Assure Balance and Control Alignment. Sensors 2021, 21, 700. https://doi.org/10.3390/s21030700
Moore RE, Conditt MA, Roche MW, Verstraete MA. How to Quantitatively Balance a Total Knee? A Surgical Algorithm to Assure Balance and Control Alignment. Sensors. 2021; 21(3):700. https://doi.org/10.3390/s21030700
Chicago/Turabian StyleMoore, Ryan E., Michael A. Conditt, Martin W. Roche, and Matthias A. Verstraete. 2021. "How to Quantitatively Balance a Total Knee? A Surgical Algorithm to Assure Balance and Control Alignment" Sensors 21, no. 3: 700. https://doi.org/10.3390/s21030700