SpringerLink
Log in

The Role of Tibial Force Sensors in Total Knee Arthroplasty

  • Chapter
  • First Online:
Essentials of Cemented Knee Arthroplasty

  • 1106 Accesses

Abstract

Increasing demand for total knee arthroplasty (TKA) and the costs associated with revision surgery drive investigations aimed at determining etiologies for aseptic failure. Additionally, clinically significant patient-reported outcomes and satisfaction are being linked to surgeon-controlled variables, such as knee balance and alignment. Strategies to mitigate technique-related causes of short- and long-term failure include the use of intraoperative guiding technologies. Specifically, sensor-based technologies have multiple described applications in providing in situ measurable feedback to the surgeon with the end goal of improved clinical results, complication reduction, and implant longevity in mind. This chapter explores the role of tibial-based pressure sensors in soft tissue balancing during TKA.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
GBP 19.95
Price includes VAT (United Kingdom)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
GBP 63.99
Price includes VAT (United Kingdom)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
GBP 79.99
Price includes VAT (United Kingdom)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
GBP 109.99
Price includes VAT (United Kingdom)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Allen M, Pagnano MW (2016) Neutral mechanical alignment: is it necessary? Bone Joint J 98-b(1 Suppl A):81

    Article  CAS  Google Scholar 

  • Amundsen S, Lee Y, González Della Valle A (2017) Algorithmic pie-crusting of the medial collateral ligament guided by sensing technology affects the use of constrained inserts during total knee arthroplasty. Int Orthop (SICOT) 41:1139–1145. https://doi.org/10.1007/s00264-017-3413-6

    Article  Google Scholar 

  • Camarata DA (2014) Soft tissue balance in total knee arthroplasty with a force sensor. Orthop Clin North Am 45(2):175

    Article  Google Scholar 

  • Chow JC, Breslauer L (2017) The use of intraoperative sensors significantly increases the patient-reported rate of improvement in primary total knee arthroplasty. Orthopedics 40(4):e648

    Article  Google Scholar 

  • Chow J, Wang K, Elson L et al (2017) Effects of cementing on ligament balance during total knee arthroplasty. Orthopedics 40(3):e455

    Article  Google Scholar 

  • Clarke HD, Fuchs R, Scuderi GR et al (2005) Clinical results in valgus total knee arthroplasty with the “pie crust” technique of lateral soft tissue releases. J Arthroplast 20(8):1010

    Article  Google Scholar 

  • D’Angelo F, Puricelli M, Binda T et al (2015) The use of an electronic system for soft tissue balancing in primary total knee arthroplasties: clinical and radiological evaluation. Surg Technol Int 26:261

    PubMed  Google Scholar 

  • D’Lima DD, Patil S, Steklov N et al (2007) An ABJS best paper: dynamic intraoperative ligament balancing for total knee arthroplasty. Clin Orthop Rel Res 463:208

    Article  Google Scholar 

  • Elmallah RK, Mistry JB, Cherian JJ et al (2016) Can we really “feel” a balanced total knee arthroplasty? J Arthroplast 31(9 Suppl):102

    Article  Google Scholar 

  • Garvin KL, Wright TM (2017) Strategies to improve total knee arthroplasty: a multidisciplinary research conference. J Am Acad Orthop Surg 25(Suppl 1):S1–S3. https://doi.org/10.5435/JAAOS-D-16-00633

    Article  PubMed  Google Scholar 

  • Geller JA, Lakra A, Murtaugh T (2017) The use of electronic sensor device to augment ligament balancing leads to a lower rate of arthrofibrosis after total knee arthroplasty. J Arthroplast 32(5):1502

    Article  Google Scholar 

  • Gharaibeh MA, Chen DB, MacDessi SJ (2018) Soft tissue balancing in total knee arthroplasty using sensor-guided assessment: is there a learning curve? ANZ J Surg 88(5):497–501. https://doi.org/10.1111/ans.14437

    Article  PubMed  Google Scholar 

  • Golladay GJ, Bradbury TL, Gordon AC et al (2019) Are patients more satisfied with a balanced total knee arthroplasty? J Arthroplast 34(7S):S195–S200

    Article  Google Scholar 

  • Griffin FM, Insall JN, Scuderi GR (2000) Accuracy of soft tissue balancing in total knee arthroplasty. J Arthroplast 15:970–973

    Article  CAS  Google Scholar 

  • Gustke KA, Golladay GJ, Roche MW et al (2014a) A new method for defining balance: promising short-term clinical outcomes of sensor-guided TKA. J Arthroplast 29(5):955

    Article  Google Scholar 

  • Gustke KA, Golladay GJ, Roche MW et al (2014b) Primary TKA patients with quantifiably balanced soft-tissue achieve significant clinical gains sooner than unbalanced patients. Adv Orthop 2014:628695. https://doi.org/10.1155/2014/628695

    Article  PubMed  PubMed Central  Google Scholar 

  • Gustke KA, Golladay GJ, Roche MW et al (2014c) Increased satisfaction after total knee replacement using sensor-guided technology. Bone Joint J 96-b(10):1333

    Article  CAS  Google Scholar 

  • Gustke KA, Golladay GJ, Roche MW et al (2017) A targeted approach to ligament balancing using kinetic sensors. J Arthroplast 32(7):2127

    Article  Google Scholar 

  • Jarvelin J, Hakkinen U, Rosenqvist G, Remes V (2012) Factors predisposing to claims and compensations for patient injuries following total hip and knee arthroplasty. Acta Orthop 83(2):190

    Article  Google Scholar 

  • Kappel A, Laursen M, Nielsen PT, Odgaard A (2019) Relationship between outcome scores and knee laxity following total knee arthroplasty: a systematic review. Acta Orthop 90(1):46–52. https://doi.org/10.1080/17453674.2018.1554400

    Article  PubMed  Google Scholar 

  • Khan M, Osman K, Green G, Haddad FS (2016) The epidemiology of failure in total knee arthroplasty: avoiding your next revision. Bone Joint J 98-b(1 Suppl A):105

    Article  CAS  Google Scholar 

  • Lakra A, Sarpong NO, Jennings EL et al (2019) The learning curve by operative time for soft tissue balancing in total knee arthroplasty using electronic sensor technology. J Arthroplast 34(3):483–487

    Article  Google Scholar 

  • Le DH, Goodman SB, Maloney WJ, Huddleston JI (2014) Current modes of failure in TKA: infection, instability, and stiffness predominate. Clin Orthop Rel Res 472(7):2197

    Article  Google Scholar 

  • Lombardi AV, Berend KR, Ng VY (2011) Neutral mechanical alignment: a requirement for successful TKA: affirms. Orthopedics 34(9):e504

    PubMed  Google Scholar 

  • MacDessi SJ, Bhimani A, Burns AWR et al (2019) Does soft tissue balancing using intraoperative pressure sensors improve clinical outcomes in total knee arthroplasty? A protocol of a multicentre randomised controlled trial. BMJ Open 9:e027812. https://doi.org/10.1136/bmjopen-2018-027812

    Article  PubMed  PubMed Central  Google Scholar 

  • Mulhall KJ, Ghomrawi HM, Scully S et al (2006) Current etiologies and modes of failure in total knee arthroplasty revision. Clin Orthop Rel Res 446:45

    Article  Google Scholar 

  • Nodzo S, Franceschini V, Della Valle AG (2017) Intraoperative load sensing variability during cemented, posterior stabilized total knee arthroplasty. J Arthroplast 32(1):66–70

    Article  Google Scholar 

  • Olcott CW, Scott RD (2000) A comparison of 4 intraoperative methods to determine femoral component rotation during total knee arthroplasty. J Arthroplast 15(1):22

    Article  CAS  Google Scholar 

  • Peters CL, Jimenez C, Erickson J et al (2013) Lessons learned from selective soft-tissue release for gap balancing in primary total knee arthroplasty: an analysis of 1216 consecutive total knee arthroplasties: AAOS exhibit selection. J Bone Joint Surg Am 95(20):e152

    Article  Google Scholar 

  • Roche M, Elson L, Anderson C (2014) Dynamic soft tissue balancing in total knee arthroplasty. Orthop Clin North Am 45(2):157

    Article  Google Scholar 

  • Roche M, Elson L, Anderson C (2015) A novel technique using sensor-based technology to evaluate tibial tray rotation. Orthopedics 38:e217–e222. https://doi.org/10.3928/01477447-20150305-60

    Article  PubMed  Google Scholar 

  • Roth JD, Howell SM, Hull ML (2017) An improved tibial force sensor to compute contact forces and contact locations in vitro after total knee arthroplasty. J Biomech Eng 139(4). https://doi.org/10.1115/1.4035471

  • Schnaser E, Lee L, Della Valle AG (2015) Position affects intraoperative compartmental loads during TKA: a pilot study using a novel radiofrequency knee soft-tissue aalancer. J Arthroplast 30:1348–1353, e3

    Article  Google Scholar 

  • Sharkey PF, Lichstein PM, Shen C et al (2014) Why are total knee arthroplasties failing today – has anything changed after 10 years? J Arthroplast 29:1774–1778

    Article  Google Scholar 

  • Su EP, Su SL, Della Valle AG (2010) Stiffness after TKR: how to avoid repeat surgery. Orthopedics 33(9):658

    PubMed  Google Scholar 

  • Verdonk PC, Pernin J, Pinaroli A et al (2009) Soft tissue balancing in varus total knee arthroplasty: an algorithmic approach. Knee Surg Sports Traumatol Arthrosc 17(6):660–666. https://doi.org/10.1007/s00167-009-0755-7

    Article  PubMed  Google Scholar 

  • Verstraete MA, Meere PA, Salvadore G et al (2017) Contact forces in the tibiofemoral joint from soft tissue tensions: implications to soft tissue balancing in total knee arthroplasty. J Biomech 58:195

    Article  Google Scholar 

  • Woon CY, Carroll KM, Lyman S, Mayman DJ (2019) Dynamic sensor-balanced knee arthroplasty: can the sensor “train” the surgeon? Arthroplast Today 5(2):202–210. https://doi.org/10.1016/j.artd.2019.03.001

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopedic Institute of the West, Department of Orthopaedic Surgery, Phoenix, AZ, USA

    Jimmy Chow

  2. Hospital for Special Surgery Florida, Department of Orthopaedic Surgery, West Palm Beach, FL, USA

    Martin Roche

  3. CU Hip Clinic, Champion Center, Department of Orthopaedic Surgery, Boulder, CO, USA

    Jessica Lee

  4. Holy Cross Hospital, Inc., Department of Orthopaedic Surgery, Fort Lauderdale, FL, USA

    Tsun-Yee Law

Authors
  1. Jimmy Chow
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Martin Roche
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jessica Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tsun-Yee Law
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jimmy Chow .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, University of California San Francisco UCSF, San Francisco, CA, USA

    Erik Hansen

  2. Department of Orthopedic Surgery, Medical University of Graz, Graz, Austria

    Klaus-Dieter Kühn

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer-Verlag GmbH, DE, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Chow, J., Roche, M., Lee, J., Law, TY. (2022). The Role of Tibial Force Sensors in Total Knee Arthroplasty. In: Hansen, E., Kühn, KD. (eds) Essentials of Cemented Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63113-3_68

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-63113-3_68

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-63112-6

  • Online ISBN: 978-3-662-63113-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation