The Journal of Bone and Joint Surgery (American). 2009;91:101-106.
doi:10.2106/JBJS.I.00532
© 2009 The Journal of Bone and Joint Surgery, Inc.
Anatomy, Function, and Surgical Access of the Iliotibial Band in Total Knee Arthroplasty
Leo A. Whiteside, MD1 and
Marcel E. Roy, PhD1
1 Missouri Bone and Joint Research Foundation, 1000 Des Peres Road, Suite 150, St. Louis, MO 63131. E-mail address for L.A. Whiteside: whiteside@whitesidebio.com
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Introduction
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The iliotibial band often is a deforming force in the valgus knee, and sometimes it must be released or elongated to establish normal stability of the knee during total knee arthroplasty1-4. This structure is primarily ligamentous; it attaches to the iliac crest and then passes over the hip and knee to attach to the patella and then to the tibia and fibula below the knee.
This study of the iliotibial band was done to delineate its attachments about the lateral side of the knee, to describe its function in flexion and extension, and to develop an effective surgical procedure to lengthen it in patients with ligament imbalance.
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Materials and Methods
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Twenty human cadaver knees were dissected to identify the pertinent anatomic and surgical features of the iliotibial band and to evaluate its function during flexion and extension of the knee. The skin and subcutaneous tissue were removed, and the iliotibial band and . . . [Full Text of this Article]

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