Abstract :
Introduction: Total knee arthroplasty is one of the commonest musculoskeletol pain relieving surgery now a days. The long legacy of the different surgical techniques attracts the orthopaedic surgeons to opt for better results oriented techniques. Since in the mid 19s of origin of early knee arthroplasty to 2014 of gap balancing vs measured resection technique from US to the recent navigation & robotics era, different study showed improved results. For developing countries with financial constrains cost effective & results oriented more studies warranted.
Objectives: To study the results of all femoral cuts first followed by tibial cuts as a measured resection technique based on anatomical landmarks followed by scientific soft tissue balancing for total knee arthroplasty.
Materials and Methods: We have analyzed total (n= 126) the total knee replacement surgeries operated by our team during last 48 months retrospectively. Mean age was 66 years. All the Knee arthritis classified by Kellgren & Lawrence classification preoperatively. Results were evaluated by Oxford knee score (OKS).
Results: According to OKS 92.91% had excellent to good results & 7.09% had fair to poor results (95% CI).Out of fair to poor results group 33.56% patients were 65 years of age.
Conclusion: Total femur first followed by tibial measured resection cuts based on anatomical landmarks backed up with scientific soft tissue balancing & admission of all the other disciplines for total knee arthroplasty is a results oriented technique for increasing burden of operative patients & decreasing social morbidity.
Keyword :
Knee arthroplasty, Soft tissue balancing, Anatomical land marks, Arthritis, Femur first.