Degree
Master of Science
Program
Surgery
Supervisor
Dr. James Howard
Abstract
There are two predominant techniques used by most surgeons to perform total knee arthroplasty: gap balancing and measured resection. The purpose of the current study was to observe if surgical technique has an effect on post-operative coronal plane balance throughout range of motion and to observe if surgical technique has an effect on tibial and femoral component migration. This was a randomized, prospective controlled trial. Twenty-three patients (24 knees) were enrolled: twelve knees in each group. All knees showed migration of their components from the initial RSA to their RSA at 6 months. Migration was similar for both groups, but in the GB group, the tibial component internally rotated whereas the measured resection group externally rotated (p=0.03). There was no difference between the GB group and the MR group in terms of coronal plane balance throughout range of motion exhibited post-TKA implantation (p=0.56). Our data demonstrated that post-operative coronal plane balance throughout range of motion of the knee is most easily predicted by pre-implant operative coronal plane balance.
Recommended Citation
Perry, Kevin I., "The impact of surgical technique on coronal plane motion in total knee arthroplasty" (2016). Electronic Thesis and Dissertation Repository. 3514.
https://ir.lib.uwo.ca/etd/3514