Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Endocrine Surgery
  •  Orthopaedic Surgery
  •  Surgical Oncology
  •  Gastroenterological Surgery
  •  Neurological Surgery
  •  Otolaryngology - Head and Neck Surgery
  •  Bariatric Surgery
  •  Robotic Surgery


Citation: Clin Surg. 2018;3(1):2120.Research Article | Open Access

Postoperative Changes in Soft Tissue Balance in Mobileand Fixed-Bearing Posterior-Stabilized Total Knee Arthroplasty

Koji Takada, Eiichi Nakamura, Nobukazu Okamoto, Hiroki Irie, Daisuke Shiraishi

Department of Orthopaedic Surgery, Kumamoto University, Japan

*Correspondance to: Eiichi Nakamura 

 PDF  Full Text DOI: 10.25107/2474-1647.2120


Purpose: This prospective study was designed to evaluate the postoperative changes in soft tissue balance between Mobile- Bearing (MB) and Fixed- Bearing (FB) Posterior- Stabilized (PS) Total Knee Arthroplasty (TKA) with identical femoral components.
Methods: A total of 40 knees in 37 consecutive patients were randomly allocated to undergo either an MB PS TKA or an FB PS TKA (20 knees each). We investigated the correlation between the intraoperative soft tissue balance as evaluated by an offset- type tensor and the 1-year postoperative coronary ligament balance as assessed by stress radiographs.Results: In terms of soft tissue balance, there were no differences in the intra- and postoperative values between the groups. At extension, the close correlation between intra- and postoperative soft tissue balance was seen in both inserts. The correlations at 90° of flexion, on the other hand, were maintained in the MB group and lost in the FB group.Conclusion: Our results suggest that the intraoperative setting of soft tissue balance may change postoperatively. However, using this PS design, the MB insert could be more stable than the FB insert in terms of maintaining the balance postoperatively. This result may contribute to additional improvements in surgical techniques, particularly in adjusting the soft tissue balance to obtain a better outcome after TKA. (Trial registration: UMIN, UMIN000003151. Registered 8 February 2010 – Retrospectively registered, cgi?recptno=R000003821).


Arthroplasty; Knee replacement; Prostheses and implants; Surgical procedures; Guided tissue regeneration

Cite the article

Takada K, Nakamura E, Okamoto N, Irie H, Shiraishi D. Postoperative Changes in Soft Tissue Balance in Mobile- and Fixed-Bearing Posterior-Stabilized Total Knee Arthroplasty. Clin Surg. 2018; 3: 2120.

Search Our Journal

Journal Indexed In

Articles in PubMed

Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 PubMed  PMC  PDF  Full Text
Antimicrobial Peptides: A Potential Therapeutic Option for Surgical Site Infections
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Laparoscopic Versus Robot Techniques for the Choledochal Cyst in Children: An Initial Meta-Analysis
 Abstract  PDF  Full Text
Intralobar Pulmonary Sequestration with Successful Preservation of the Lung Lobe after Intraoperative Marking: A Case Report
 Abstract  PDF  Full Text
View More...