Revision total knee arthroplasty for excessive ligamentotaxis
| Autor: | Denise Portugal, Edward J. McPherson |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
musculoskeletal diseases
Reoperation medicine.medical_specialty medicine.medical_treatment Pain Polyethylene insert Postoperative Complications medicine Humans Orthopedics and Sports Medicine Arthroplasty Replacement Knee Reduction (orthopedic surgery) Valgus deformity Ligaments business.industry Leg length Soft tissue Middle Aged musculoskeletal system medicine.disease Arthroplasty Surgery Leg Length Inequality medicine.anatomical_structure Ligament Female business Revision total knee arthroplasty |
| Zdroj: | The Journal of arthroplasty. 22(8) |
| ISSN: | 0883-5403 |
| Popis: | Correction of varus/valgus deformity via soft tissue balancing is the accepted technique in knee arthroplasty surgery. However, in rare instances, excessive ligamentotaxis can result in overly stretched periarticular structures leading to pain and impaired function. This has been called the "joint jack phenomenon." We report a case in which a very thick polyethylene insert resulted in a painful knee and leg length discrepancy. Our solution was to use a salvage hinge knee arthroplasty to achieve joint space reduction, restore equal leg lengths, and avoid global instability. We believe this is the first report of a surgical reduction procedure to address this specific clinical problem. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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