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Updated: Apr 25, 2026
Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy
Published on: February 17, 2023
Measured resection versus gap balancing technique for femoral rotational alignment: a prospective study
Anastasios P Nikolaides1, Eustathios I Kenanidis1, Kyriakos A Papavasiliou1
1Third Orthopaedic Department, Aristotle University of Thessaloniki-Medical School, "Papageorgiou" General Hospital, Thessaloniki, Greece.
Purpose:
To compare the measured resection technique and the gap balancing technique for correction of the femoral rotational alignment.
Methods:
57 women and 6 men (mean age, 70 years) with end-stage osteoarthritis and <15º malalignment and <10º flexion contracture of the knee underwent primary total knee arthroplasty through the medial approach using the measured resection technique (n=34) or the gap balancing technique (n=29). Femoral rotational alignment was evaluated before and 7 days after surgery using computed tomography by referencing the 2 posterior condyles to the transepicondylar axis.
Results:
The 2 groups did not differ significantly in terms of correction of the femoral rotational alignment (3.4º ± 1.4º vs. 3.5º ± 3.1º, p=0.817).
Conclusion:
The measured resection and the gap balancing techniques achieved comparable correction of femoral rotational alignment.
