This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow An erratum has been published
Right arrow An erratum has been published
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ries, M. D.
Right arrow Articles by Windsor, R. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ries, M. D.
Right arrow Articles by Windsor, R. E.
Related Collections
Right arrow Surgical Techniques
Right arrow Adult Knee
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery (American) 86:81-86 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.

Soft-Tissue Balance in Revision Total Knee Arthroplasty

Surgical Technique

Michael D. Ries, MD1, Steven B. Haas, MD2 and Russell E. Windsor, MD2

1 Department of Orthopaedic Surgery, University of California at San Francisco, 500 Parnassus Avenue (MU 320-W), San Francisco, CA 94143. E-mail address: riesm@orthosurg.ucsf.edu
2 The Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021

The original scientific article in which the surgical technique was presented was published in JBJS Vol. 85-A, Suppl. 1, pp. S38-42, 2003

The first 150 words of the full text of this article appear below.


   INTRODUCTION
 
Medial and lateral soft-tissue releases to correct varus and valgus deformities in primary total knee arthroplasty are achieved by sequential release of contracted soft-tissue constraints or, occasionally, advancement of elongated ligaments1-3. In primary total knee arthroplasty, soft-tissue constraints are typically well-defined anatomical structures, whereas, in revision total knee arthroplasty, the soft-tissue constraints may be thickened and scarred, attenuated, or absent. Soft-tissue balance in revision total knee arthroplasty is achieved by a combination of soft-tissue releases and variation in the bone resection level, implant position, and implant size4.


   SURGICAL TECHNIQUE
 
Relationship Between Medial-Lateral and Flexion-Extension Balancing
Medial-lateral soft-tissue balance depends on the length of the collateral ligaments and musculotendinous constraints, which may be contracted or elongated as a result of prior surgery and/or deformity. Balance of the collateral ligaments implies that the soft-tissue tension on the medial and lateral sides of the knee, as determined with varus and valgus stress-testing with spacer blocks or trial components in . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?