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COPYRIGHT © BY THE JOURNAL OF BONE AND JOINT SURGERY,INCORPORATED

UEYAMA ET AL.

ASSOCIATION OF A WIDER MEDIAL GAP (MEDIAL LAXITY) IN FLEXION WITH SELF-REPORTED KNEE INSTABILITY AFTER MEDIAL- PIVOT TOTAL KNEE ARTHROPLASTY

http://dx.doi.org/10.2106/JBJS.21.01034 Page 1

The following content was supplied by the authors as supporting material and has not been copy-edited or verified by JBJS.

Supplementary Figure

Supplementary figure: The length between medial and lateral lowest points of femoral posterior condyles was defined as A. The difference of gap length between medial gap and lateral gap was defined as C. Threshold of postoperative subjective gap angle (θ°) was

approximated into gap length by trigonometric function; C= A× sinθ. A can be obtained from implant trader, it is determined by the design and size of each implant. θ was 2.9° from results in this study. Approximated values of C were shown in table 6. The difference in the medio- lateral gap distance (mm) obtained by a common spreader could be a rough guide to intraoperatively determine the gap balance.

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COPYRIGHT © BY THE JOURNAL OF BONE AND JOINT SURGERY,INCORPORATED

UEYAMA ET AL.

ASSOCIATION OF A WIDER MEDIAL GAP (MEDIAL LAXITY) IN FLEXION WITH SELF-REPORTED KNEE INSTABILITY AFTER MEDIAL- PIVOT TOTAL KNEE ARTHROPLASTY

http://dx.doi.org/10.2106/JBJS.21.01034 Page 2

Supplementary table. ICC regarding radiological measurement of gap parameters ICC (1, 2)

intra-observer reliability

ICC (2, 1)

inter-observer reliability

Gap angle 0.92 (0.85 – 0.96) 0.88 (0.77 – 0.95)

Medial Gap 0.91 (0.81 – 0.97) 0.87 (0.77 – 0.93)

Lateral Gap 0.89 (0.74 – 0.94) 0.85 (0.80 – 0.96)

Values in brackets indicate 95% CI. ICC; intraclass correlation coefficient, CI; Confidence interval. The ICCs were interpreted as follows: 0–0.40 (poor); 0.41–0.60 (moderate); 0.61–0.80 (good); 0.81–1.00 (excellent).

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