Reliability of Laxity Acquisitions Under Controlled Load Environment During Navigated Total Knee Arthroplasty

Laurent Angibaud; Florian Kerveillant; Philippe Dubard; Marine Torrollion; Matthew Rueff; Wen Fan; James Huddleston

doi:10.29007/nxdl

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Reliability of Laxity Acquisitions Under Controlled Load Environment During Navigated Total Knee Arthroplasty

4 pages•Published: December 13, 2022

Laurent Angibaud, Florian Kerveillant, Philippe Dubard, Marine Torrollion, Matthew Rueff, Wen Fan and James Huddleston

Abstract

Proper soft tissue balancing during total knee arthroplasty (TKA) is critical to ensure successful clinical outcomes. As an attempt to offer an intra-operative characterization of the soft-tissue envelope, a novel method enables the possibility of acquiring the joint laxities under a quasi-constant distraction force throughout the entire range of motion. TKAs were performed using a computer-assisted orthopaedic surgery (CAOS) system on a fresh-frozen human cadaveric specimen. A total of 60 laxity acquisitions were performed by 5 surgeons using the CAOS system. There was an excellent interobserver reliability of the laxity acquisitions (ICC=0.913-0.992). Similarly, the intraobserver reliability was also excellent (ICC=0.846-0.984). These findings demonstrated that the acquisition of the knee joint laxities under the proposed controlled load environment is highly reliable.

Keyphrases: Force-controlled distractor, Ligament Laxity, Reliability, Soft-tissue balance, Total knee arthroplasty

In: Ferdinando Rodriguez Y Baena, Joshua W Giles and Eric Stindel (editors). Proceedings of The 20th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, vol 5, pages 15--18

Links:	https://easychair.org/publications/paper/Wflf
	https://doi.org/10.29007/nxdl

BibTeX entry

@inproceedings{CAOS2022:Reliability_of_Laxity_Acquisitions,
  author    = {Laurent Angibaud and Florian Kerveillant and Philippe Dubard and Marine Torrollion and Matthew Rueff and Wen Fan and James Huddleston},
  title     = {Reliability of Laxity Acquisitions Under Controlled Load Environment During Navigated Total Knee Arthroplasty},
  booktitle = {Proceedings of The 20th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery},
  editor    = {Ferdinando Rodriguez Y Baena and Joshua W Giles and Eric Stindel},
  series    = {EPiC Series in Health Sciences},
  volume    = {5},
  pages     = {15--18},
  year      = {2022},
  publisher = {EasyChair},
  bibsource = {EasyChair, https://easychair.org},
  issn      = {2398-5305},
  url       = {https://easychair.org/publications/paper/Wflf},
  doi       = {10.29007/nxdl}}

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