A novel intraoperative sensor for soft tissue balancing in total knee arthroplasty
Authors:
- 12 July 2010
- journal article
- other
- Published by Taylor & Francis in Journal of Medical Engineering & Technology
- Vol. 34 (7-8) , 448-454
Abstract
Ligament balancing during total knee arthroplasty (TKA) is a controllable and critical procedure necessary for the longevity of the prosthesis. Intraoperative knowledge of the magnitude and location of tibiofemoral forces, can guide the surgeon to an accurate balancing throughout the operation. We developed a novel sensor device in order to monitor tibiofemoral forces during TKA ligament balancing procedure. The device predicts loads with an error of ± 1.5%, following a linear trend of slope = 0.9933 and R(2) = 0.9987; while the location of load is predicted with a practically acceptable error of ± 0.5 mm. The device was subjected to a surgical validation with in situ application during simulated TKAs on composite and cadaveric knees, with a very satisfactory outcome and no operative time elongation. The device can be a useful intraoperative instrument for accurate TKA ligament balancing procedures based on objective and graphically demonstrated and recorded evidence.Keywords
This publication has 19 references indexed in Scilit:
- Short-term outcome in total knee replacement after soft-tissue release and balancingThe Journal of Bone and Joint Surgery. British volume, 2008
- Computer-Assisted Gap Equalization in Total Knee ArthroplastyThe Journal of Arthroplasty, 2007
- Ligament balancing in TKA: Evaluation of a force-sensing device and the influence of patellar eversion and ligament releaseJournal of Biomechanics, 2007
- Gap Balancing in Total Knee ArthroplastyThe Journal of Arthroplasty, 2006
- The Effectiveness of Sequential Medial Soft Tissue Release on Coronal Alignment in Total Knee ArthroplastyThe Journal of Arthroplasty, 2006
- Tibial Forces Measured In Vivo After Total Knee ArthroplastyThe Journal of Arthroplasty, 2006
- Total Knee Arthroplasty for Profound Varus DeformityThe Journal of Arthroplasty, 2005
- Preparation of the Flexion Gap Affects the Extension Gap in Total Knee ArthroplastyThe Journal of Arthroplasty, 2005
- Soft-tissue Balancing With Pressure Distribution During Total Knee ArthroplastyThe Journal of Bone and Joint Surgery. British volume, 1997
- Total Knee ArthroplastyClinical Orthopaedics and Related Research, 1985