Reliability of Laxity Acquisitions During Navigated Total Knee Arthroplasty – Comparison of Two Techniques

4 pages•Published: December 13, 2022

Laurent Angibaud, Wen Fan, Philippe Dubard, Matthew Rueff, Herman Prieto and Hari Parvataneni

Abstract

Recent developments have focused on the intra-operative management of soft-tissue balancing in total knee arthroplasty (TKA) using a computer-assisted orthopaedic surgery (CAOS) system. The aim of this study was to determine and compare the reliability of acquiring the knee joint laxities during navigated TKA with a conventional method versus a newly developed instrumented technique that uses an intra-articular quasi- constant force distractor integrated with a CAOS system. A total of 96 laxity acquisitions throughout the arc of motion were performed for the conventional and instrumented procedures. For the instrumented technique, the inter- and intraobserver reliabilities were significantly higher than the conventional manual varus/valgus stress test technique, regardless of surgeon variability and experience. Soft-tissue balance, while being a key determinant in improving outcomes in TKA, is difficult to objectively assess at the time of the surgery. This study established that the acquisition of the knee joint laxities using an instrumented technique was consistently associated with a significantly higher reliability than the conventional technique.

Keyphrases: force controlled distractor, ligament laxity, reliability, soft tissue balance, total knee arthroplasty, varus/valgus stress test

In: Ferdinando Rodriguez Y Baena, Joshua W Giles and Eric Stindel (editors). Proceedings of The 20th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, vol 5, pages 1-4.

Links:	https://easychair.org/publications/paper/xDck
	https://doi.org/10.29007/j23w

BibTeX entry

@inproceedings{CAOS2022:Reliability_Laxity_Acquisitions_During,
  author    = {Laurent Angibaud and Wen Fan and Philippe Dubard and Matthew Rueff and Herman Prieto and Hari Parvataneni},
  title     = {Reliability of Laxity Acquisitions During Navigated Total Knee Arthroplasty – Comparison of Two Techniques},
  booktitle = {Proceedings of The 20th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery},
  editor    = {Ferdinando Rodriguez Y Baena and Joshua W Giles and Eric Stindel},
  series    = {EPiC Series in Health Sciences},
  volume    = {5},
  publisher = {EasyChair},
  bibsource = {EasyChair, https://easychair.org},
  issn      = {2398-5305},
  url       = {/publications/paper/xDck},
  doi       = {10.29007/j23w},
  pages     = {1-4},
  year      = {2022}}

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