title: Functional outcome after computer-assisted total knee arthroplasty using measured resection versus gap balancing techniques: a randomised controlled study.
abstract: OBJECTIVE
  To compare the 2-year outcome of total knee arthroplasty (TKA) using the measured resection versus the gap balancing techniques.
  
  
  METHODS
  21 men and 31 women aged 41 to 89 (mean, 73) years who underwent primary TKA by a single surgeon for osteoarthritis and had an American Society of Anesthesiologists I or II physical status were prospectively studied. Patients were randomised to undergo computer-assisted TKA using the measured resection technique (n=26) or the gap balancing technique (n=26). At the 2-year follow-up, patients were assessed by a single orthopaedic registrar blinded to the type of surgery using the Knee Society score (KSS), functional Knee Society score (FKSS), and revised Oxford Knee score (ROKS).
  
  
  RESULTS
  In the measured resection group, the mean KSS, FKSS, and ROKS increased from 34.3, 48, and 21 to 85.9, 89.6, and 36.5, respectively. In the gap balancing group, the respective scores increased from 35.4, 50, and 22.5 to 89.1, 92.4, and 40.6. Postoperative increases in the respective scores were slightly better with the gap balancing technique; the respective p values were 0.46, 0.44, and 0.12.
  
  
  CONCLUSIONS
  Improvements in the knee scores were comparable with the 2 techniques.
authors.affiliation: Department of Trauma and Orthopaedics, Epsom and St. Helier Hospital, Carshalton, United Kingdom.
authors.forename: Vinay Kumar
authors.initials: VK
authors.lastname: Singh
authors.forename: Ranjive
authors.initials: R
authors.lastname: Varkey
authors.forename: Ravi
authors.initials: R
authors.lastname: Trehan
authors.forename: Yogeesh
authors.initials: Y
authors.lastname: Kamat
authors.forename: Ramakrishna
authors.initials: R
authors.lastname: Raghavan
authors.forename: Adhikari
authors.initials: A
authors.lastname: Adhikari
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery*; D011446:Prospective Studies; D020127:Recovery of Function; D016037:Single-Blind Method; D025321:Surgery, Computer-Assisted; D016896:Treatment Outcome