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Peer-Reviewed Publication
J Knee Surg2026September 2, 2026Journal Article

Objective Quantification of Soft-Tissue Balance in Total Knee Arthroplasty: Expanded Validation of the Pendulum Knee Drop Test Across Multiple Surgeons.

Kevin Abbruzzese1, Michael A Mont2, Michael Dunbar3, Jared Weir4, Chase W Smitterberg2, Sally LiArno1
1Stryker, Department of Orthopaedics, New Jersey, United States, Mahweh.
2The Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Department of Orthopaedic Surgery, Maryland, United States, Baltimore.
3Dalhousie University Orthopaedics, Nova Scotia, Canada, Halifax.
4Weir Orthopaedics, Department of Orthopaedic Surgery, Michigan, United States, Saginaw.

Abstract

Despite increasing evidence showing major diversity in subjective balancing approaches, soft-tissue balance during total knee arthroplasty (TKA) remains primarily based upon empirical surgeon assessment. A quantitative technique for describing knee stiffness and laxity after TKA was previously introduced: the modified pendulum knee drop (PKD) test. This study expands upon prior validation work by…

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