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The degenerative knee — surgical techniques: “Gap balancing”

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The Knee Joint

Abstract

Ligament balancing is an integral part of total knee arthroplasty and depends on correct alignment of the knee in flexion and extension. Since the mid-1970s, the concepts of releasing the medial collateral ligaments in knees with varus deformity and the lateral ligaments in knees with valgus deformity have been widely taught and practised (1, 2).

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References

  1. Insall J, Ranawat CS, Scott WN, Walker P (z) Total condylar knee replacement: a preliminary report 1976. Clin Orthop 388:3–6

    Google Scholar 

  2. Whiteside LA (2002) Soft tissue balancing: the knee. J Arthroplasty 17(Suppl 1):23–27

    Article  PubMed  Google Scholar 

  3. Insall JN, Scuderi GR, Komistek RD, et al. (2002) Correlation between condylar lift-off and femoral component alignment. Clin Orthop 403:143–152

    Article  PubMed  Google Scholar 

  4. Sharkey PF, Hozack WJ, Rothman RH, et al. (2002) Why are total knee arthroplasties failing today? Clin Orthop 404:7–13

    Article  PubMed  Google Scholar 

  5. Mulhall KJ, Ghomrawi HM, Scully S, et al. (2006) Current etiologies and modes of failure in total knee arthroplasty revision. Clin Orthop 446:45–50

    Article  PubMed  Google Scholar 

  6. Claus A, Scharf HP (2007) “Ligament balancing” bei Varusgonarthrose. Orthopade 36:643–649

    Article  PubMed  CAS  Google Scholar 

  7. Insall J, Binazzi R, Scoudry M, Mestriner L (1985) Total knee arthroplasty. Clin Orthop 192:13–22

    PubMed  Google Scholar 

  8. Laskin RS (1995) Flexion space configuration in total knee arthroplasty. J Arthroplasty 10:657–660

    Article  PubMed  CAS  Google Scholar 

  9. Bellemans J (2005) Achieving maximal flexion. In: Bellemans J, Ries MD, Victor J (eds) Total knee arthroplasty. Springer, Berlin Heidelberg

    Chapter  Google Scholar 

  10. Whiteside L, Kazuhiko S, Milhalko W (2000) Functional medial ligament balancing in total knee arthroplasty. Clin Orthop 380:45–57

    Article  PubMed  Google Scholar 

  11. Whiteside L (2004) Ligament balancing in total knee arthroplasty. Springer, Berlin Heidelberg

    Book  Google Scholar 

  12. Zalzal P, Papini M, Petruccelli D, et al. (2004) An In Vivo biomechanical analysis of the soft tissue envelope of osteoarthritic knees. J Arthroplasty 19:217–223

    Article  PubMed  Google Scholar 

  13. Aglietti P, Lup D, Cuomo P, Baldini A, De Luca L (2007) Total knee arthroplasty using a pie-crusting technique for valgus deformity. Clin Orthop Relat Res 464:73–77

    PubMed  Google Scholar 

  14. Ranawat AS, Ranawat CS, Elkus M, et al. (2005) Total knee arthroplasty for severe valgus deformity. J Bone Joint Surg Am 87(Suppl 1):271–284

    PubMed  Google Scholar 

  15. Neyret P, Verdonk P, Si Selmi TA (2008) Kniechirurgie Urban & Fischer München Jena

    Google Scholar 

  16. Whiteside L, Milhalko W (2002) Surgical procedure for flexion contracture and recurvatum in total knee arthroplasty. Clin Orthop 404:189–195

    Article  PubMed  Google Scholar 

  17. Horlocker TT, Cabanela ME, Wedel DJ (1994) Does postoperative epidural analgesia increase the risk of peroneal nerve palsy after total knee arthroplasty? Anesth Analg 79:495–500

    PubMed  CAS  Google Scholar 

  18. Idusuyi OB, Morrey BF (1996) Peroneal nerve palsy after total knee arthroplasty. Assessment of predisposing and prognostic factors. J Bone Joint Surg Am 78:177–184

    PubMed  CAS  Google Scholar 

  19. Asp JP, Rand JA (1990) Peroneal nerve pulsy after total knee arthroplasty. Clin Orthop Relat Res 261:233–237

    PubMed  Google Scholar 

  20. Paley D (2000) Principles of deformity correction. Springer, Berlin Heidelberg

    Google Scholar 

  21. Wasielewski RC, Galat DD, Komistek RD (2004) An intraoperative pressure-measuring device used in total knee arthroplasties and its kinematic correlation. Clin Orthop 427:171–178

    Article  PubMed  Google Scholar 

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Stukenborg-Colsman, C., Ostermeier, S., Windhagen, H. (2012). The degenerative knee — surgical techniques: “Gap balancing”. In: The Knee Joint. Springer, Paris. https://doi.org/10.1007/978-2-287-99353-4_73

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  • DOI: https://doi.org/10.1007/978-2-287-99353-4_73

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-99352-7

  • Online ISBN: 978-2-287-99353-4

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