DOES POSTERIOR CONDYLAR OSTEOPHYTE OF FEMUR EFFECT ON GAP BALANCING AND LIMB ALIGNMENT DURING COMPUTER ASSISTED TOTAL KNEE ARTHROPLASTY?: PRELIMINARY STUDY

Gap planning in total knee arthroplasty (TKA) navigation is critically concerned. Osteophyte is one of the contributing factors for gap balancing in TKA. The osteophyte is normally removed before gap planning step. However, the posterior condylar osteophyte of femur is sometimes removed during the flexion gap preparation or may not be removed at all depends on individual case. This study attempts to investigate on how posterior condylar osteophyte affects on gap balancing and limb alignment during operation.The study was conducted on 35 varus osteoarthritis knees with posterior condylar osteophyte and undergone on TKA navigation. All knees were measured by CT scan for the size of posterior condylar osteophyte according to its width. Extension gap, flexion gap width, and limb alignment were measured by using the tension device with distraction force of 98 N on both medial and lateral sides under computer assisted surgery. The measuring of extension gap, flexion gap width, and limb alignment was undertaken ...