Knee Surgery, Sports Traumatology, Arthroscopy November 2017, Volume 25, Issue 11, pp 3495–3500

Assessment of the midflexion rotational laxity in posterior-stabilized total knee arthroplasty

Hino, K., Kutsuna, T., Oonishi, Y. et al.
Knee

Purpose

To evaluate changes in midflexion rotational laxity before and after posterior-stabilized (PS)-total knee arthroplasty (TKA).

 

Methods

Twenty-nine knees that underwent PS-TKA were evaluated. Manual mild passive rotational stress was applied to the knees, and the internal–external rotational angle was measured automatically by a navigation system at 30°, 45°, 60°, and 90° of knee flexion.

 

Results

The post-operative internal rotational laxity was statistically significantly increased compared to the preoperative level at 30°, 45°, 60°, and 90° of flexion. The post-operative external rotational laxity was statistically significantly decreased compared to the preoperative level at 45° and 60° of flexion. The post-operative internal–external rotational laxity was statistically significantly increased compared to the preoperative level only at 30° of flexion. The preoperative and post-operative rotational laxity showed a significant correlation at 30°, 45°, 60°, and 90° of flexion.

 

Conclusion

Internal–external rotational laxity increases at the initial flexion range due to resection of both the anterior or posterior cruciate ligaments and retention of the collateral ligaments in PS-TKA. Preoperative and post-operative rotational laxity indicated a significant correlation at the midflexion range. This study showed that a large preoperative rotational laxity increased the risk of a large post-operative laxity, especially at the initial flexion range in PS-TKA.

 

Level of evidence

III.


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