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Total knee arthroplasty (TKA) is a common treatment for terminal knee arthropathy. Soft tissue balance is one of the key factors affecting the success rate of TKA. However, current measurement systems still face great challenges in terms of accuracy and timeliness. Herein, a novel force measurement system based on a smart spacer is proposed to measure soft tissue balance in a timely and accurate manner. The smart spacer is designed according to the simulated results, where six flexible pressure sensors with a high sensitivity of 99.56 N−1 and a wide detection range of 50 N are attached to the spacer base to directly detect the soft tissue balance force. Moreover, a soft tissue balance measurement system is constructed, which can measure the force at different positions, such as the extension position (0°), the middle position (45°), and the flexion position (90°), and display them on the computer in a timely manner. This novel real‐time knee soft tissue balance measurement system provides a way for surgeons or knee joint replacement surgery robots to accurately evaluate soft tissue balance and paves the way for improving the success rate of TKA and the patient's postoperative rehabilitation. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study was to evaluate the clinical outcomes of the Wiltse approach and percutaneous pedicle screw placement under O‐arm navigation for the treatment of thoracolumbar fracture. Methods: We enrolled a total of 54 patients with neurologically intact thoracolumbar fracture who received minimally invasive treatments between October 2014 and October 2018 in this retrospective study. Among these, 28 patients (22 males and six females, with a mean age of 48.6 ± 9.6 years) were treated with pedicle screw fixation through the Wiltse approach (WPSF), and another 26 (15 males and 11 females, with a mean age of 45.7 ± 10.6 years) received percutaneous pedicle screw fixation under O‐arm navigation (OPSF). Statistical methods were used to perform a detailed comparison of clinical outcomes, radiologic findings, and complications between the two groups obtained preoperatively, postoperatively, and at last follow‐up. Results: All patients underwent surgery successfully and finished a follow‐up of more than 12 months. No serious complications, such as infection, blood vessel injury, or spinal cord or nerve root injury occurred. Visual analog scale (VAS) scores, Oswestry disability index (ODI) scores, local Cobb angle (LCA), vertebral wedge angle (VWA), and R value were notably improved after surgery, though there was no clear discrepancy between the groups at each time point (P > 0.05). During the follow‐up period, no patients developed neurological impairment or implant‐related complications, and no patients underwent revision surgery. The WPSF group had a significantly shorter operation time than the OPSF group (68.1 ± 9.8 vs 76.1 ± 9.0 minutes, P = 0.005). Moreover, the WPSF group showed less cost of surgery than the WPSF group (48142.1 ± 1430.1 vs 59035.4 ± 1152.7 CNY, P < 0.001). There were no significant differences between the two groups in terms of the intraoperative bleeding, length of incision, or postoperative hospitalization time (P > 0.05). The accuracy of pedicle screw placement was 95.2% (160/168) in the WPSF group and 96.8% (151/156) in the OPSF group, with no significant difference between the groups (P = 0.432). Conclusion: Both WPSF and OPSF were safe and effective for the treatment of thoracolumbar fracture. Although the two groups showed favorable clinical and radiologic outcomes through to final follow‐up, we recommended the minimally invasive WPSF given its shorter operation time and lower cost of surgery. [ABSTRACT FROM AUTHOR]