- Turkish Journal of Clinics and Laboratory
- Cilt: 15 Sayı: 2
- Short-term results of soft tissue balance obtained with \'manual gap balancing\' in varus knees; a p...
Short-term results of soft tissue balance obtained with \'manual gap balancing\' in varus knees; a prospective study supported by gait analysis
Authors : Fırat Doğruöz, Aliekber Yapar, Ömer Faruk Eğerci, Özkan Köse, Özal Özcan
Pages : 226-233
Doi:10.18663/tjcl.1469649
View : 21 | Download : 49
Publication Date : 2024-07-01
Article Type : Research
Abstract :Aim: The aim of this study was to investigate the contribution of medial ligament release using the manual gap balance method in patients with varus deformity to alignment and functional outcomes. Materials and Methods: The study included 14 female and 8 male patients who underwent total knee arthroplasty. Telemetric radiographs of the lower extremities and valgus stress radiographs of the knees to be operated on were taken for each patient one day before and 1.5 months after the operation. The functional evaluation of patients was conducted using the HSS (Hospital for Special Surgery, 1970) scoring system. Simultaneously, gait analyses were conducted. The patients were divided into groups based on their stress radiographs. Results: The mean valgus angle in postoperative static radiographs was 2.5 degrees. A statistically significant change in rotational deformity was observed in both swing and stance phases after surgery compared to preoperative values. Improvement in coronal plane varus knees was statistically significant. No significant change was found in the flexion-extension angles of sagittal plane kinematics. It was found that there was a statistically significant difference in the data for single support, double support, and stance percentage (p<0.05). Conclusion: In conclusion, it was observed that the soft tissue balance achieved through manual gap balancing without the use of technological equipment was sufficient and satisfactory in terms of functional scores, walking parameters, and alignment data.Keywords : Manuel bağ dengesi, varus diz, yürüme analizi