Coronal plane knee laxity measurement: Is computer-assisted navigation useful?
BACKGROUND
The goal of this observational study is to measure the physiological laxity of a knee, supposedly normal in the coronal plane, at 0 and 90° of flexion with a navigation system that can be used during total knee replacement.


OBJECTIVE
The physiological laxity measured by this navigation system is different from the results already published using other measurement devices.


METHODS
Twenty patients consecutively operated on for an isolated anterior cruciate ligament injury were selected. Medial and lateral laxities at 0 and 90° of knee flexion were measured by the navigation system during cruciate replacement.


RESULTS
The mean medial laxity in extension was 3.6±1.2°. The mean lateral laxity in extension was 4.1±1.9°. The mean medial laxity at 90° of flexion was 2.1±1.2°. The mean lateral laxity at 90° of flexion was 3.7±1.2°. The medial and lateral laxities in extension were not asymmetric. The medial and lateral laxities at 90° of flexion were asymmetric. Medial laxities in extension and at 90° of flexion were asymmetric. Lateral laxities in extension and at 90° of flexion were not asymmetric.


CONCLUSIONS
The data collected in our study suggest, during total knee replacement, the following tolerable ligamentous balance: medial and lateral laxities in extension about 3°, medial laxity at 90° of flexion about 2°, and lateral laxity at 90° of flexion about 4°.


METHODS
Level IV. Prospective study.
Jenny
J-Y
JY
Hand reconstruction surgical center, Strasbourg University Teaching Hospitals, Strasbourg, France. jean-yves.jenny@chru-strasbourg.fr
D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D001863:Bone Screws; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D007593:Joint Instability / Q000175:diagnosis* / Q000601:surgery*; D007718:Knee Injuries / Q000601:surgery*; D008297:Male; D010027:Osteotomy / Q000295:instrumentation; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology; D025321:Surgery, Computer-Assisted / Q000295:instrumentation*; D055815:Young Adult