Soft-tissue balancing during total knee arthroplasty in the varus knee

William Mihalko, Khaled J. Saleh, Kenneth A. Krackow, Leo A. Whiteside

Research output: Contribution to journalReview article

70 Citations (Scopus)

Abstract

Soft-tissue balancing during total knee arthroplasty is an important step in optimizing the mechanical balance of the knee joint. Soft-tissue contractures that result from varus coronal plane deformity can pose a difficult problem, and the surgeon should have a standard procedure for managing such situations in the operating room. Balance may be assessed intraoperatively with the use of spacer blocks, laminar spreaders, and tensioning devices as well as by placement of trial components. Techniques used to balance the varus knee during primary total knee arthroplasty include femoral component rotation, osteophyte resection, soft-tissue release, and bone resection. Flexion and extension gap balancing is crucial for long-term success and patient satisfaction.

Original languageEnglish (US)
Pages (from-to)766-774
Number of pages9
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume17
Issue number12
DOIs
StatePublished - Jan 1 2009

Fingerprint

Knee Replacement Arthroplasties
Knee
Osteophyte
Contracture
Operating Rooms
Knee Joint
Thigh
Patient Satisfaction
Bone and Bones
Equipment and Supplies
Surgeons

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Soft-tissue balancing during total knee arthroplasty in the varus knee. / Mihalko, William; Saleh, Khaled J.; Krackow, Kenneth A.; Whiteside, Leo A.

In: Journal of the American Academy of Orthopaedic Surgeons, Vol. 17, No. 12, 01.01.2009, p. 766-774.

Research output: Contribution to journalReview article

Mihalko, William ; Saleh, Khaled J. ; Krackow, Kenneth A. ; Whiteside, Leo A. / Soft-tissue balancing during total knee arthroplasty in the varus knee. In: Journal of the American Academy of Orthopaedic Surgeons. 2009 ; Vol. 17, No. 12. pp. 766-774.
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