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Factors Affecting Flexion Gap Tightness in Cruciate-Retaining Total Knee Arthroplasty

Authors
Journal
The Journal of Arthroplasty
0883-5403
Publisher
Elsevier
Publication Date
Volume
24
Issue
2
Identifiers
DOI: 10.1016/j.arth.2007.10.022
Keywords
  • Knee
  • Flexion-Extension Gap
  • Posterior Tibial Slope
  • Total Knee Arthroplasty

Abstract

Abstract With the exception of flexion gap tightness, which is common in cruciate-retaining (CR) total knee arthroplasty (TKA), the risk factors of flexion gap tightness have not been described. This retrospective study characterized factors that are associated with flexion gap tightness in CR TKA. Data on 203 consecutive knees that underwent CR TKA were reviewed. The prevalence rate of flexion gap tightness was 21.1%. By logistic regression analysis after adjusting for age, preoperative flexion contracture, and referencing method used for femoral sizing, insufficient tibial slope remained a significant independent risk factor of flexion gap tightness. Although excessive tibial slope should be avoided, the findings of the present study demonstrate that the risk of flexion gap tightness can be reduced by increasing the tibial slope in CR TKA.

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