PMID- 32556437
OWN - NLM
STAT- MEDLINE
DCOM- 20210924
LR  - 20210924
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 29
IP  - 10
DP  - 2021 Oct
TI  - Similar postoperative outcomes after total knee arthroplasty with measured 
      resection and gap balancing techniques using a contemporary knee system: a 
      randomized controlled trial.
PG  - 3178-3185
LID - 10.1007/s00167-020-06103-4 [doi]
AB  - PURPOSE: The Attune(R) Knee System provides new instrumentation to achieve 
      symmetric flexion/extension gaps in total knee arthroplasty (TKA). However, there 
      is limited information on the optimal TKA technique using this system. The aim of 
      this randomised controlled trial was to determine which surgical technique 
      results in better postoperative clinical outcomes after TKA using the 
      contemporary Attune((R)) Knee System: the measured resection or gap balancing 
      technique. METHODS: A prospective randomized controlled trial was conducted with 
      100 patients undergoing TKA using measured resection (n = 50) or gap balancing 
      (n = 50) technique. The measured femoral sizer was used in the measured resection 
      group, while the balanced femoral sizer was used in the gap balancing group. 
      Functional outcomes and quality of life were assessed preoperatively and at 6 
      months and 2 years post-surgery, using the Knee Society Function Score (KSFS), 
      Knee Society Knee Score (KSKS), Oxford Knee Score (OKS), the Physical Component 
      Score (PCS) and Mental Component Score (MCS) of Short-Form 36 (SF-36). Using 
      weight-bearing coronal radiographs, the hip-knee-ankle angle (HKA), coronal 
      femoral component angle (CFA), coronal tibial component angle (CTA) and joint 
      line height were also evaluated for each patient. RESULTS: There were no 
      significant differences in the functional scores or the proportion of patients 
      from each group who were satisfied or had their expectations fulfilled at 6 
      months or 2 years post-surgery. There was also no significant difference in the 
      number of patients who attained minimum clinically important difference (MCID) 
      postoperatively between the groups. Postoperatively, there was no significant 
      difference in the number of HKA outliers between the groups (p = 0.202). The 
      postoperative CFA (p = 0.265) and CTA (p = 0.479) were similar between the 
      groups. There was also no significant difference in the absolute change 
      (p = 0.447) or proportion of outliers (p = 0.611) for joint line height between 
      the groups. CONCLUSION: Both measured resection and gap balancing techniques 
      resulted in comparable functional and quality of life outcomes up to 2 years 
      post-surgery. Both techniques appear to be equally effective in achieving 
      excellent outcomes with the Attune((R)) Knee System. LEVEL OF EVIDENCE: I.
CI  - (c) 2020. European Society of Sports Traumatology, Knee Surgery, Arthroscopy 
      (ESSKA).
FAU - Moorthy, Vikaesh
AU  - Moorthy V
AUID- ORCID: 0000-0002-5503-5687
AD  - Yong Loo Lin School of Medicine, National University Singapore, 1E Kent Ridge 
      Road, NUHS Tower Block, Level 11, Singapore, 119228, Singapore. 
      vikaeshmoorthy@yahoo.com.
FAU - Lai, Mun Chun
AU  - Lai MC
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
FAU - Liow, Ming Han Lincoln
AU  - Liow MHL
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
FAU - Chen, Jerry Yongqiang
AU  - Chen JY
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
FAU - Pang, Hee Nee
AU  - Pang HN
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
FAU - Chia, Shi-Lu
AU  - Chia SL
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
FAU - Lo, Ngai Nung
AU  - Lo NN
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
FAU - Yeo, Seng Jin
AU  - Yeo SJ
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, 
      Singapore.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20200615
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - *Arthroplasty, Replacement, Knee
MH  - Humans
MH  - Knee Joint/surgery
MH  - *Knee Prosthesis
MH  - Prospective Studies
MH  - Quality of Life
OTO - NOTNLM
OT  - Knee
OT  - Knee replacement
OT  - Quality of life
OT  - Randomized controlled trial
OT  - Total knee arthroplasty
EDAT- 2020/06/20 06:00
MHDA- 2021/09/25 06:00
CRDT- 2020/06/20 06:00
PHST- 2020/05/13 00:00 [received]
PHST- 2020/06/11 00:00 [accepted]
PHST- 2020/06/20 06:00 [pubmed]
PHST- 2021/09/25 06:00 [medline]
PHST- 2020/06/20 06:00 [entrez]
AID - 10.1007/s00167-020-06103-4 [pii]
AID - 10.1007/s00167-020-06103-4 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2021 Oct;29(10):3178-3185. doi: 
      10.1007/s00167-020-06103-4. Epub 2020 Jun 15.