ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Influence of soft tissue balancing and distal femoral resection on flexion contracture in navigated total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Current role of intraoperative sensing technology in total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2021Pooled it
- Bridging postural biomechanics and knee arthroplasty success.Arthroplasty (London, England) · 2026Review
- Final intraoperative gaps commonly exceed resection-based reference gaps during sequential balancing in imageless robot-assisted total knee arthroplasty.Journal of experimental orthopaedics · 2026Article
- The effectiveness of surgical management in knee flexion contracture in primary total knee arthroplasty.Pakistan journal of medical sciences · 2026Article
- Robotic quantification of the mechanical effect of corrective manoeuvres for intraoperative extension deficiency in total knee arthroplasty: A cadaveric study.Journal of experimental orthopaedics · 2026Article
- Airplane Test: An Intraoperative Assessment for Flexion Contracture in Total Knee Arthroplasty.Arthroplasty today · 2025Article
- Effect of Posterior Cruciate Ligament Resection on Gap Balancing in Robot-assisted Total Knee Arthroplasty.Orthopaedic surgery · 2024Article
- Management of fixed flexion contracture in primary total knee arthroplasty: recent systematic review.SICOT-J · 2024Article
- Unrestricted kinematic alignment corrects fixed flexion contracture in robotically aligned total knees without raising the joint line in extension.Journal of experimental orthopaedics · 2023Article
- Does mild flexion of the femoral prosthesis in total knee arthroplasty result in better early postoperative outcomes?BMC musculoskeletal disorders · 2023Article
- Additional Distal Femoral Resection Minimally Improves Terminal Knee Extension: A Systematic Review and Meta-Regression Challenging the Dogma.Arthroplasty today · 2023Article
- Combination of Fusiform Capsulectomy of the Posterior Capsule and Percutaneous Flexion Tendon Release in the Treatment of Fused Knee with Severe Flexion Contracture During Total Knee Arthroplasty-A Report of Six Cases.Frontiers in surgery · 2022Article
- Efficacy of posterior capsular release for flexion contracture in posterior-stabilized total knee arthroplasty.Journal of experimental orthopaedics · 2021Article
- Gender-specific difference in the recurrence of flexion contracture after total knee arthroplasty.Journal of experimental orthopaedics · 2021Article
- Correcting severe flexion contracture with fusiform capsulectomy of posterior capsule during total knee arthroplasty.International orthopaedics · 2021Article
- Simulation of preoperative flexion contracture in a computational model of total knee arthroplasty: Development and evaluation.Journal of biomechanics · 2021Article
- New Technologies in Knee Arthroplasty: Current Concepts.Journal of clinical medicine · 2020Review
- Effect of additional distal femoral resection on flexion deformity in posterior-stabilized total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Posterior capsular release is a biomechanically safe procedure to perform in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Objective quantification of ligament balancing using VERASENSE in measured resection and modified gap balance total knee arthroplasty.BMC musculoskeletal disorders · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to evaluate the influence of intra-operative soft tissue balancing and distal femoral cutting on flexion contracture in navigated TKA.
methodsThis was a prospective cohort study. Fifty-nine patients of primary navigation-assisted TKA were included with over 15° of flexion contracture and excluded valgus knees. Among the cases, 43 cases were performed with soft tissue balancing procedures only, and 16 cases were performed with soft tissue balancing and additional distal femoral bone cutting. The mean preoperative flexion contracture was 17.5° ± 2.7°. The angles of flexion contracture were recorded at each surgical step with navigation.
resultsThe mean difference in flexion contracture angle between initial angle and angle after medial release was 5.2° ± 2.8°. The mean difference in flexion contracture angle between medial release step and after posterior cruciate ligament (PCL) release was 2.5° ± 2.2°. The mean difference in flexion contracture angle between PCL release step and after routine bone cutting was 3.1° ± 3.2°. The mean difference in flexion contracture angle between after trial insertion and after posterior clearing procedure was 2.7° ± 1.9°. Among the cases, TKA with 2 mm additional bone cutting were performed in 16 cases. The mean difference in flexion contracture angle after additional femoral bone cutting was 4.8° ± 2.1°.
conclusionThe medial release and 2 mm additional bone cutting could correct flexion contracture by 5°. The appropriate soft tissue balancing and bone cutting could correct flexion contracture intra-operatively up to 5° in each step. LEVEL OF EVIDENCE: II.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.