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  4. Smart instrumentation for determination of ligament stiffness and ligament balance in total knee arthroplasty
 
research article

Smart instrumentation for determination of ligament stiffness and ligament balance in total knee arthroplasty

Hasenkamp, Willyan
•
Villard, Jimmy
•
Delaloye, Jean-Romain
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2014
Medical Engineering & Physics

Ligament balance is an important and subjective task performed during total knee arthroplasty (TKA) procedure. For this reason, it is desirable to develop instruments to quantitatively assess the soft-tissue balance since excessive imbalance can accelerate prosthesis wear and lead to early surgical revision. The instrumented distractor proposed in this study can assist surgeons on performing ligament balance by measuring the distraction gap and applied load. Also the device allows the determination of the ligament stiffness which can contribute a better understanding of the intrinsic mechanical behavior of the knee joint. Instrumentation of the device involved the use of hall-sensors for measuring the distractor displacement and strain gauges to transduce the force. The sensors were calibrated and tested to demonstrate their suitability for surgical use. Results show the distraction gap can be measured reliably with 0.1 mm accuracy and the distractive loads could be assessed with an accuracy in the range of 4 N. These characteristics are consistent with those have been proposed, in this work, for a device that could assist on performing ligament balance while permitting surgeons evaluation based on his experience. Preliminary results from in vitro tests were in accordance with expected stiffness values for medial collateral ligament (MCL) and lateral collateral ligament (LCL).

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Type
research article
DOI
10.1016/j.medengphy.2013.12.001
Web of Science ID

WOS:000337930700010

Author(s)
Hasenkamp, Willyan
Villard, Jimmy
Delaloye, Jean-Romain
Arami, Arash  
Bertsch, Arnaud  
Jolles-Haeberli, Brigitte  
Aminian, Kamiar  
Renaud, Philippe  
Date Issued

2014

Publisher

Elsevier Sci Ltd

Published in
Medical Engineering & Physics
Volume

36

Issue

6

Start page

721

End page

725

Subjects

Load monitoring

•

Strain sensors

•

Total knee arthroplasty

•

Soft-tissue balance

•

Ligament balance

•

Ligament stiffness

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

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Available on Infoscience
January 9, 2014
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/99402
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