Ligament balancing in total knee arthroplasty—Medial stabilizing technique

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Ligament balancing in total knee arthroplasty—Medial stabilizing technique

Ligament balancing is one of the most important surgical techniques for successful total knee arthroplasty. It has traditionally been recommended that medial and lateral as well as flexion and extension gaps are equal. This article reviews the relevant literature and discusses the clinical importance of the aforementioned gaps. Current evidence indicates that achieving medial stability througho...

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Gap Balancing vs. Measured Resection Technique in Total Knee Arthroplasty

A goal of total knee arthroplasty is to obtain symmetric and balanced flexion and extension gaps. Controversy exists regarding the best surgical technique to utilize to obtain gap balance. Some favor the use of a measured resection technique in which bone landmarks, such as the transepicondylar, the anterior-posterior, or the posterior condylar axes are used to determine proper femoral componen...

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Soft tissue balancing in total knee arthroplasty.

A good outcome in total knee arthroplasty depends on many factors: joint alignment, range of motion, patellar tracking and ligament stability. A correct soft tissue balance keeps the joint aligned in flexion and extension, and therefore constitutes the most important factor for durability of the implant. Indeed, incorrect soft tissue balancing is the primary cause of early implant failure neces...

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Posterior cruciate ligament balancing in total knee arthroplasty: a numerical study with a dynamic force controlled knee model

BACKGROUND Adequate soft tissue balancing is a key factor for a successful result after total knee arthroplasty (TKA). Posterior cruciate ligament (PCL) is the primary restraint to posterior translation of the tibia after cruciate retaining TKA and is also responsible for the amount of joint compression. However, it is complex to quantify the amount of ligament release with its effects on load ...

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Posterior cruciate ligament-retaining and posterior-stabilized total knee arthroplasty: differences in surgical technique.

The debate over the relative merits of substituting or retaining the posterior cruciate ligament in total knee arthroplasty is still ongoing. This article discusses the differences between the two procedures, considering the biomechanics and the surgical techniques involved.

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ژورنال

عنوان ژورنال: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology

سال: 2015

ISSN: 2214-6873

DOI: 10.1016/j.asmart.2015.07.002