ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Load imbalances existed as determined by a sensor after conventional gap balancing with a tensiometer in total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 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
- Can a Total Knee System Providing 1 mm Increment of Polyethylene Insert Thickness Offer a Clinical Benefit?Medicina (Kaunas, Lithuania) · 2024Trial
- Full-flexion gap balancing-driven personalized preoperative planning for TKA: biomechanical evidence of improved load symmetry in an in vitro model.Arthroplasty (London, England) · 2026Article
- Navigated instrumentation and ligament tensioning device enhances initial gap acquisition during total knee arthroplasty procedure: A cadaveric study.Journal of experimental orthopaedics · 2025Article
- Sensors in Bone: Technologies, Applications, and Future Directions.Sensors (Basel, Switzerland) · 2024Review
- Data-driven inverse design of flexible pressure sensors.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- The application of impantable sensors in the musculoskeletal system: a review.Frontiers in bioengineering and biotechnology · 2024Review
- Virtual assessment of coronal balance prior to bone resection with the MAKO robotic-assisted system accurately predicts final balance in TKA.Journal of robotic surgery · 2023Article
- Intraoperative Load Sensing in Total Knee Arthroplasty Leads to a Functional but Not Clinical Difference: A Comparative, Gait Analysis Evaluation.Journal of functional morphology and kinesiology · 2022Article
- Total Knee Arthroplasty and Intra-Articular Pressure Sensors: Can They Assist Surgeons with Intra-Operative Decisions?Current reviews in musculoskeletal medicine · 2021Review
- Tibiofemoral dynamic stressed gap laxities correlate with compartment load measurements in robotic arm-assisted total knee arthroplasty.Bone & joint open · 2021Article
- [Optimal lower limb alignment and soft tissue balancing strategy for robot-assisted total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Use of Fulcrum Positioning as a Balancing Tool During Total Knee Arthroplasty on a Robotic Platform.Arthroplasty today · 2021Article
- Sensor-Assisted Total Knee Arthroplasty: A Narrative Review.Clinics in orthopedic surgery · 2021Review
- New Technologies in Knee Arthroplasty: Current Concepts.Journal of clinical medicine · 2020Review
- Comparison of the contact stress between the sensor and real polyethylene insert in total knee arthroplasty: a finite element analysis.Annals of translational medicine · 2020Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate intercompartmental load intraoperatively with a sensor after conventional gap balancing with a tensiometer during total knee arthroplasty (TKA).
methodsFifty sensor-assisted TKA procedures were performed prospectively between August and September 2018 with a cruciate-retaining prosthesis. After applying a modified measured resection technique, conventional balancing between resected surfaces was achieved. The equal and rectangular flexion-extension gaps were confirmed using a tensiometer at 90° and 5°-7° (due to posterior tibial slope) of knee flexion. Then, the load distribution was evaluated intraoperatively with a sensor placed on trial implants in the positions of knee flexion (90° flexion) and extension (10° flexion).
resultsThe proportion of coronal load imbalance (medial load - lateral load ≥ ± 15 lb) was 56% in extension and 32% in flexion (p = 0.023). The proportion of sagittal load imbalance (extension load - flexion load ≥ ± 15 lb) was 36% in the medial compartment and 4% in the lateral compartment (p < 0.001). An additional procedure for load balancing was performed in 74% of knees.
conclusionsCoronal and sagittal load imbalances existed as determined by the sensor even after the achievement of appropriate conventional gap balance. The additional rebalancing procedure was performed for balanced loads in 74% of the knees after conventional balancing. The use of an intraoperative load sensor offers the advantage of direct evaluation of the load on TKA implants. LEVEL OF EVIDENCE: IV.
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