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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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<strong>of</strong> <strong>the</strong> tensor (Fig. 1B). During each measurement, <strong>the</strong> thigh and knee were aligned so as toeliminate <strong>the</strong> external load on <strong>the</strong> knee at each flexion angle.To explore <strong>the</strong> joint gap <strong>of</strong> medial and lateral compartment, "medial and lateral compartmentgap" were calculated using <strong>the</strong> following parameters: joint component gap (center gap),ligament balance (varus angle), and width between medial and lateral apex <strong>of</strong> femoralcomponent representing <strong>the</strong> contact points to polyethylene insert. Thus, medial compartmentgap is defined as “center gap” - 0.5 × “width between medial and lateral apex <strong>of</strong> femoralcomponent representing <strong>the</strong> contact points to polyethylene insert” × sin “varus angle”, andlateral compartment gap is “center gap” + 0.5 × “width between medial and lateral apex <strong>of</strong>femoral component representing <strong>the</strong> contact points to polyethylene insert” × sin “varus angle”.After expressing each measurement as a mean ± standard error <strong>of</strong> <strong>the</strong> mean (SE), we utilized astatistical s<strong>of</strong>tware package (Statview 5.0, Abacus Concepts Inc, Berkeley, CA) to analyze <strong>the</strong>data. We performed repeated measured <strong>of</strong> analysis <strong>of</strong> variance (ANOVA) to compare <strong>the</strong> s<strong>of</strong>ttissue balance <strong>of</strong> three groups, and performed a post hoc analysis by Fisher’s PLSD test. P 20º group.In assessing <strong>the</strong> kinematics <strong>of</strong> <strong>the</strong> joint component gap, knees significantly increased in <strong>the</strong>joint component gap until 90º <strong>of</strong> knee flexion, and <strong>the</strong>n significantly decreased toward deepknee flexion in all three groups (Fig. 2). This pattern <strong>of</strong> joint gap showed no significantdifference among <strong>the</strong> three groups in each angle (Fig. 2).The mean values <strong>of</strong> varus angle with <strong>the</strong> knee at 0, 10, 45, 90 and 135 degrees <strong>of</strong> flexion were1.4, 1.5, 2.2, 3.4 and 3.6 ° in <strong>the</strong> varus alignment < 10º group, 2.3, 2.6, 3.3, 4.5 and 4.9 ° in <strong>the</strong>10º < varus alignment < 20º group, and 4.2, 4.5, 6.3, 7.1 and 6.7 ° in <strong>the</strong> varus alignment > 20ºgroup.In assessing <strong>the</strong> kinematics <strong>of</strong> <strong>the</strong> varus imbalance, <strong>the</strong>re were slow increases in <strong>the</strong> varus anglefrom extension to 90º <strong>of</strong> knee flexion. During flexion beyond 90º, <strong>the</strong> size <strong>of</strong> <strong>the</strong> varus anglekept constant values (Fig. 3). The varus angle in <strong>the</strong> varus alignment > 20º group showedsignificantly larger values compared to those <strong>of</strong> <strong>the</strong> o<strong>the</strong>r two groups in each angle (p

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