Ligament balancing in revision total knee arthroplasty

Clinical Orthopaedics and Related Research
Leo A Whiteside

Abstract

Ligament balancing in revision total knee arthroplasty involves placement and sizing of the femoral and tibial components and balancing procedures for the ligaments. A simplified technique is presented for sizing and positioning the implants and for balancing the ligaments. Eighty-nine knees with severe bone loss were treated with ligament-sparing exposure and bone-sparing resection techniques. The knees were stabilized by the spacer effect of the implants in flexion and extension, and nonlinked components were used. None of the knees had symptomatic instability, recurvatum, or flexion contracture. Five years after surgery the mean valgus laxity was 3 degrees +/- 2.5 degrees and the mean varus laxity was 4.5 degrees +/- 3.3 degrees Laxity did not increase after 10 years followup. The techniques used in this series have proven to be simple and reproducible, and to provide long-term reliability.

References

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Nov 4, 2000·The Journal of Arthroplasty·R L BarrackJ C Johnson
Nov 7, 2000·Clinical Orthopaedics and Related Research·L A WhitesideW M Mihalko
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Nov 20, 2002·Clinical Orthopaedics and Related Research·Takeshi KanamiyaMasatoshi Naito
Nov 20, 2002·Clinical Orthopaedics and Related Research·Leo A Whiteside, William M Mihalko

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Citations

May 5, 2006·Clinical Orthopaedics and Related Research·William M Mihalko, Kenneth A Krackow
Jun 25, 2010·Clinical Orthopaedics and Related Research·Carlos LaverniaJose Carlos Alcerro
Apr 15, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Zhitao RaoGuoan Li
Mar 24, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Aymard de Ladoucette
May 5, 2006·Clinical Orthopaedics and Related Research·Leo A Whiteside
Sep 11, 2021·The Journal of Knee Surgery·David A Crawford, Adolph V Lombardi

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