Combination of Accelerometer-Based Navigation and Force Sensor for Precise Bone Resection and Appropriate Soft Tissue Balancing in Total Knee Arthroplasty

  • Yasushi Oshima Division of Adult Reconstructive Surgery Department of Orthopaedic Surgery New York University Hospital for Joint Diseases 1040 First Avenue #345, New York, NY, 10022 USA Tel : 1 212 263 7296, Fax : 1 718 250 8850
  • Joseph Fetto Division of Adult Reconstructive Surgery Department of Orthopaedic Surgery New York University Hospital for Joint Diseases 1040 First Avenue #345, New York, NY, 10022 USA Tel : 1 212 263 7296, Fax : 1 718 250 8850

Abstract

Background: Precise bone resection and appropriate soft tissue balancing are considered indispensable in total knee arthroplasty (TKA). However, in most TKAs, only the experienced-based subjective physical “feel” of the surgeon, or either a computer-based navigation system or a soft tissue balancing system are applied to improve the results. In the present study, a combination of both an accelerometer-based navigation system and an electronic knee balancing force sensor were applied to attempt to obtain optimal outcomes.

Materials and Methods: An accelerometer-based navigation system and an electronic knee balancing force sensor were applied in combination in 5 TKAs. Thereafter, the incidence of radiographical outliers of the lower-extremity mechanical axis and the alignments of femoral and tibial components, and the incidence of intraoperative lateral retinacular release were evaluated and compared against those of 5 TKAs performed with the force sensor alone as a control.

Results: The posterior slope of the tibia was significantly improved in the TKAs performed with the combination of both devices (P=0.004). No lateral release was performed in any TKAs of either group.

Conclusion: TKAs performed under the combination of an accelerometer-based navigation system and an electronic knee balancing force sensor can obtain greater the accuracy of bone resection and appropriate soft tissue balancing.

Author Biographies

Yasushi Oshima, Division of Adult Reconstructive Surgery Department of Orthopaedic Surgery New York University Hospital for Joint Diseases 1040 First Avenue #345, New York, NY, 10022 USA Tel : 1 212 263 7296, Fax : 1 718 250 8850
MD, PhD, Orthopaedic Surgeon
Joseph Fetto, Division of Adult Reconstructive Surgery Department of Orthopaedic Surgery New York University Hospital for Joint Diseases 1040 First Avenue #345, New York, NY, 10022 USA Tel : 1 212 263 7296, Fax : 1 718 250 8850
MD, Associate Professor

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Published
2016-09-30
How to Cite
Oshima, Y., & Fetto, J. (2016). Combination of Accelerometer-Based Navigation and Force Sensor for Precise Bone Resection and Appropriate Soft Tissue Balancing in Total Knee Arthroplasty. Reconstructive Review, 6(3). https://doi.org/10.15438/rr.6.3.155
Section
Case Report