Smart instrumentation for determination of ligament stiffness and ligament balance in total knee arthroplasty.

Details

Serval ID
serval:BIB_C5179FC05BD0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Smart instrumentation for determination of ligament stiffness and ligament balance in total knee arthroplasty.
Journal
Medical Engineering and Physics
Author(s)
Hasenkamp W., Villard J., Delaloye J.R., Arami A., Bertsch A., Jolles B.M. (co-last), Aminian K. (co-last), Renaud P. (co-last)
ISSN
1873-4030 (Electronic)
ISSN-L
1350-4533
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
36
Number
6
Pages
721-725
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish PDF : Technical note
Abstract
Ligament balance is an important and subjective task performed during total knee arthroplasty (TKA) procedure. For this reason, it is desirable to develop instruments to quantitatively assess the soft-tissue balance since excessive imbalance can accelerate prosthesis wear and lead to early surgical revision. The instrumented distractor proposed in this study can assist surgeons on performing ligament balance by measuring the distraction gap and applied load. Also the device allows the determination of the ligament stiffness which can contribute a better understanding of the intrinsic mechanical behavior of the knee joint. Instrumentation of the device involved the use of hall-sensors for measuring the distractor displacement and strain gauges to transduce the force. The sensors were calibrated and tested to demonstrate their suitability for surgical use. Results show the distraction gap can be measured reliably with 0.1mm accuracy and the distractive loads could be assessed with an accuracy in the range of 4N. These characteristics are consistent with those have been proposed, in this work, for a device that could assist on performing ligament balance while permitting surgeons evaluation based on his experience. Preliminary results from in vitro tests were in accordance with expected stiffness values for medial collateral ligament (MCL) and lateral collateral ligament (LCL).
Pubmed
Web of science
Create date
27/07/2014 16:16
Last modification date
21/01/2024 8:14
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