PURPOSE: This study investigated the effect of mediolateral stability on sagittal stability in bi-cruciate stabilized total knee arthroplasty. METHOD: This study included 59 patients. We intraoperatively assessed the component gap with a joint distraction force of 60 N for each compartment. Immediately after surgery, sagittal stability was assessed using an arthrometer. RESULT: The intraoperative medial joint laxity at 30° of flexion was significantly correlated with postoperative anteroposterior translation (r = 0.276, p < 0.05). CONCLUSION: This study demonstrated the effect of intraoperative mediolateral stability effect on postoperative sagittal stability. Improving medial stability may enhance postoperative sagittal stability.
PURPOSE: This study investigated the effect of mediolateral stability on sagittal stability in bi-cruciate stabilized total knee arthroplasty. METHOD: This study included 59 patients. We intraoperatively assessed the component gap with a joint distraction force of 60 N for each compartment. Immediately after surgery, sagittal stability was assessed using an arthrometer. RESULT: The intraoperative medial joint laxity at 30° of flexion was significantly correlated with postoperative anteroposterior translation (r = 0.276, p < 0.05). CONCLUSION: This study demonstrated the effect of intraoperative mediolateral stability effect on postoperative sagittal stability. Improving medial stability may enhance postoperative sagittal stability.
Authors: Cynthia A Kahlenberg; Benedict U Nwachukwu; Alexander S McLawhorn; Michael B Cross; Charles N Cornell; Douglas E Padgett Journal: HSS J Date: 2018-06-05