Postoperative Changes in Soft Tissue Balance

2017 ◽  
pp. 183-194
Author(s):  
Hitoshi Sekiya
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Balance ◽  
Postoperative Changes

Soft Tissue Balance Changes Depending on Joint Distraction Force in Total Knee Arthroplasty

2014 ◽  
Vol 29 (3) ◽  
pp. 520-524 ◽  
Author(s):  
Kanto Nagai ◽  
Hirotsugu Muratsu ◽  
Tomoyuki Matsumoto ◽  
Hidetoshi Miya ◽  
Ryosuke Kuroda ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Soft Tissue ◽  
Knee Arthroplasty ◽  
Soft Tissue Balance ◽  
Joint Distraction ◽  
Total Knee ◽  
Distraction Force

scholarly journals Can Knee Stability at 0 and 90 Degrees Accurately Predict Mid-Flexion Stability in TKA

10.29007/q4d5 ◽  
2020 ◽  
Author(s):  
Bertrand Kaper
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Balance ◽  
Knee Stability ◽  
Robotic Assisted

The goal of this study was to utilize the NAVIO robotic-assisted (RA)-TKA technique to assess whether a knee that is well-balanced at 0 and 90 is also well balanced in mid-flexion. Using a 3mm threshold to define soft-tissue balance, results demonstrated that 11.5% of knees studied could be expected to be unstable in the mid-flexion arc (15-75) despite being well-balanced at the static poses at 0 and 90.

Periprosthetic Soft Tissue Balance in Hip Arthroplasty

2014 ◽  
pp. 1-6
Author(s):  
Caglar Yilgor ◽  
Gokhan Demirkiran ◽  
Omur Caglar
Keyword(s):  
Soft Tissue ◽  
Hip Arthroplasty ◽  
Soft Tissue Balance

Soft-Tissue Balance in Short and Straight Stem Total Hip Arthroplasty

Orthopedics ◽  
2015 ◽  
Vol 38 (3) ◽  
pp. S14-S20 ◽  
Author(s):  
Henning Windhagen ◽  
Andra Chincisan ◽  
Hon Fai Choi ◽  
Fritz Thorey
Keyword(s):  
Soft Tissue ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Soft Tissue Balance ◽  
Total Hip ◽  
Straight Stem

scholarly journals Complex foot deformities associated with lower limb deformities: a new therapeutic strategy for simultaneous correction using Ilizarov procedure together with osteotomy and soft tissue release

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Qin Boquan ◽  
Ren Yi ◽  
Gan Tingjiang ◽  
Liu Xi ◽  
Zhang Hui
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Therapeutic Strategy ◽  
Case Series ◽  
Soft Tissue Balance ◽  
Soft Tissue Release ◽  
Osteotomy Site ◽  
Foot Deformities ◽  
Limb Deformities ◽  
The Mean

Abstract Aim The aim of the current study is to introduce a new therapeutic strategy for simultaneous correction of complex foot deformities (CFD) and the associated lower limb deformities (LLD) by using Ilizarov technique with osteotomy and soft tissue procedure and to report its early clinical results. Methods A retrospective review of CFD associated with LLD simultaneous correction utilizing the Ilizarov procedure together with osteotomy and soft tissue balance from 2015 to 2019 was conducted. Results Thirty-two patients were followed for an average of 42.8 months. The mean external fixation time (EFT) was 6.5 months. The mean healing index (HI) was 1.7 months/cm. At the time of fixator removal, plantigrade feet were achieved in all patient and lower limb deformities were corrected. No recurrence of the deformities occurred. The mean LLRS AIM score was improved from 7.5 to 0.3. At the final follow-up, the ASAMI-Paley score was graded as excellent in all limbs in the aspect of bone results, and functional results were defined as excellent in 29 (90.6%) limbs and good in 3 (9.4%) limbs. The mean modified Dimeglio score was significantly improved from 7.2 to 1.3. No deep infection of the osteotomy site or nonunion was noted in the current study. Conclusion The therapeutic strategy by using the Ilizarov procedure together with osteotomy and soft tissue balance is a safe and effective way to simultaneously correct CFD and LLD. Level of evidence Level IV, retrospective case series

A Proximal Referencing System for the Charnley Low Friction Arthroplasty

2002 ◽  
Vol 12 (3) ◽  
pp. 303-307
Author(s):  
M.D.A. Fletcher ◽  
J.C.J. Webb ◽  
T. Maung
Keyword(s):  
Soft Tissue ◽  
Total Hip Arthroplasty ◽  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Surgical Approach ◽  
Hip Replacement ◽  
Recurrent Dislocation ◽  
Soft Tissue Balance ◽  
Low Friction ◽  
Total Hip

Dislocation is a serious complication of total hip arthroplasty occurring in up to 9% of cases. Recurrent dislocation accounts for 4% of revisions in the Swedish Hip Arthroplasty Study. Soft tissue balancing is one of the factors, independent of the surgical approach used, that is involved in producing a stable total hip replacement. We describe a proximal referencing system for use with the Charnley low friction arthrosplasty (LFA), which optimises this factor. The dislocation rate, using this method, is 0.3% (in 333 cases performed by a single surgeon over a 5 year period). This system should prove valuable to orthopaedic surgeons in training, ensuring they achieve correct soft tissue balance in total hip arthroplasty.

scholarly journals Total Ankle Arthroplasty for Rheumatoid Arthritis

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0024
Author(s):  
Makoto Hirao ◽  
Jun Hashimoto ◽  
Hideki Tsuboi ◽  
Takaaki Noguchi
Keyword(s):  
Rheumatoid Arthritis ◽  
Treatment Group ◽  
Soft Tissue ◽  
Bone Strength ◽  
Total Ankle Arthroplasty ◽  
Soft Tissue Balance ◽  
Biologic Treatment ◽  
Ankle Arthroplasty ◽  
Loading Axis

Category: Ankle Introduction/Purpose: Outcomes after total ankle arthroplasty (TAA) combined with additive techniques (1. augmentation of bone strength, 2. control of soft tissue balance, 3. adjustment of the loading axis) for rheumatoid arthritis (RA) cases were evaluated after mid to long-term follow-up. The influences of biologic treatment on the outcomes after TAA were also evaluated. Methods: We performed a retrospective observational study involving 50 ankles (44 patients) that underwent TAA for the treatment of rheumatoid arthritis. The mean duration of follow-up was 7.1 years. Clinical outcomes were evaluated with use of the Japanese Society for Surgery of the Foot (JSSF) scale score and a postoperative self-administered foot-evaluation questionnaire (SAFE-Q). Radiographic findings were evaluated as well. These parameters also were compared between patients managed with and without biologic treatment. Results: This procedure significantly improved the clinical scores of the JSSF rheumatoid arthritis foot and ankle scale (p < 0.0001). Forty-eight of the 50 ankles had no revision TAA surgery. Subsidence of the talar component was seen in 8 ankles (6 in the biologic treatment group and 2 in the non-biologic treatment group); 2 of these ankles (both in the biologic treatment group) underwent revision TAA. The social functioning score of the SAFE-Q scale at the time of the latest follow-up was significantly higher in the biologic treatment group (p = 0.0079). The dosage of prednisolone (p = 0.0003), rate of usage of prednisolone (p = 0.0001), and disease-activity score (p < 0.01) at the latest follow-up were all significantly lower in the biologic treatment group. Conclusion: TAA is recommended for RA cases, if disease control, augmentation of bone strength, control of soft tissue balance, and adjustment of loading axis are taken into account. The prevention of talar component subsidence remains a challenge in patients with the combination of subtalar fusion, rheumatoid arthritis, and higher social activity levels.

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