Does measuring the medial gap before bone resection in total knee arthroplasty provide optimum gap adjustment and prevent bone recutting?

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dc.contributor.authorTiftikci, U.
dc.contributor.authorSerbest, S.
dc.contributor.authorKaya, O.
dc.contributor.authorKeskinkilic, S. I.
dc.contributor.authorKilinc, C. Y.
dc.contributor.authorFirat, A.
dc.date.accessioned2025-01-21T16:37:48Z
dc.date.available2025-01-21T16:37:48Z
dc.date.issued2023
dc.departmentKırıkkale Üniversitesi
dc.description.abstractThis study aimed to demonstrate that measuring the medial gap before bone resection during total knee arthroplasty (TKA) provides an optimum gap adjustment in varus knees. In this study, patients were separated into two groups. Group 1 included patients whose medial joint gap was measured before bone resection and Group 2 included patients who underwent conventional technique without measuring. The medial joint gap was measured with a custom-made gap measuring device up to the point that the knee was corrected and aligned along its mechanical axis. Medial joint gap distances, distal medial femoral bone cut thicknesses, amounts of tibial resection calculated; gap internal distances measured after cutting and the thicknesses of the trial inserts were recorded. A comparison was made between the groups concerning the number of patients requiring an additional tibial bone cut and the distribution of insert thicknesses. Extra tibial bone resections were performed in two (5.7%) patients in Group 1 and 10 (28.6%) patients in Group 2. In Group 1, where the medial joint gap was measured, the need for an additional bone resection was statistically less (p=0.018). In comparing the distribution of insert size by group, the number of patients on whom an 8 mm insert had been used was significantly greater in Group 1 (p=0.024). The findings obtained in this study suggest that measuring the medial joint gap before bone resection in total knee arthroplasty may prevent repeated bone recutting and additional bone resections.
dc.identifier.doi10.52628/89.3.10208
dc.identifier.endpage468
dc.identifier.issn0001-6462
dc.identifier.issue3
dc.identifier.pmid37935230
dc.identifier.scopus2-s2.0-85176811126
dc.identifier.scopusqualityQ3
dc.identifier.startpage463
dc.identifier.urihttps://doi.org/10.52628/89.3.10208
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24538
dc.identifier.volume89
dc.identifier.wosWOS:001103094000013
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherActa Medica Belgica
dc.relation.ispartofActa Orthopaedica Belgica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectResection technique; total knee arthroplasty; medial joint gap.
dc.titleDoes measuring the medial gap before bone resection in total knee arthroplasty provide optimum gap adjustment and prevent bone recutting?
dc.typeArticle

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