A goal of total knee arthroplasty is to obtain symmetric and balanced flexion and extension gaps. Controversy exists regarding the best surgical technique to utilize to obtain gap balance. Some favor the use of a measured resection technique in which bone landmarks, such as the transepicondylar, the anterior-posterior, or the posterior condylar axes are used to determine proper femoral componen...

BACKGROUND Temporomandibular joint (TMJ) ankylosis can be accompanied by various degrees of functional and esthetic problems. Adequate mouth opening, occlusal stability, and harmonious facial form are the main goals of treatment for ankylosis. Distraction osteogenesis has proven to be an excellent treatment for lengthening the ramus-condyle unit. However, various timings for distraction have be...

The objectives of the study were to evaluate the outcome of Gap arthroplasty and Interpositional arthroplasty in terms of mouth opening for management of TMJ ankylosis. This Quasi experimental study was carried out in Oral & Maxillofacial Surgical unit, Khyber College of Dentistry, Peshawar from May 2006 to August 2007. Sixty patients of TMJ ankylosis seeking treatment for the first time, irres...

The treatment gap between conservative management and total knee arthroplasty may leave patients with moderate cases of knee osteoarthritis (OA) without an ideal treatment option. The KineSpring(®) Knee Implant System may be a viable treatment option to fill the treatment gap for patients with knee OA who are not willing or inappropriate candidates for total knee arthroplasty, yet do not demons...

BACKGROUND This meta-analysis was designed to compare the accuracy of soft tissue balancing and femoral component rotation as well as change in joint line positions, between the measured resection and gap balancing techniques in primary total knee arthroplasty. METHODS Studies were included in the meta-analysis if they compared soft tissue balancing and/or radiologic outcomes in patients who ...

Surgical intervention by resection of the ankylotic mass through gap arthroplasty alone resulted in reankylosis. Attempts have been made to prevent such reankylosis with interpositional arthroplasty. Numerous materials have been interposed between the resected bone surface and articular fossa at the base of the skull. Alloplastic materials such as silicone, silastic, proplast, Teflon, rubber pr...

Soft-tissue balancing during total knee arthroplasty is an important step in optimizing the mechanical balance of the knee joint. Soft-tissue contractures that result from varus coronal plane deformity can pose a difficult problem, and the surgeon should have a standard procedure for managing such situations in the operating room. Balance may be assessed intraoperatively with the use of spacer ...

UNLABELLED Gap-dependent total knee arthroplasty involves applying a tension force to open the joint space. Intuitively, this force is dependent on the degree of joint deformity. AIM The study aims at determining the amount of force and its influence on morphological parameters. MATERIAL AND METHODS In a group of 70 patients in whom total knee arthroplasty was performed ligament tension for...