Total knee replacement in the fixed valgus deformity using a lateral approach: role of the automatic iliotibial band release for a successful balancing
| Autor: | P. Massin, D. Boublil, Patrick Boyer, Denis Huten, B. Magrino |
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| Rok vydání: | 2008 |
| Předmět: |
musculoskeletal diseases
Adult Joint Instability Male medicine.medical_specialty Knee Joint medicine.medical_treatment Knee replacement Osteoarthritis Arthritis Rheumatoid Ilium medicine Humans Orthopedics and Sports Medicine Prospective Studies Range of Motion Articular Arthroplasty Replacement Knee Postural Balance Valgus deformity Aged Retrospective Studies Aged 80 and over Original Paper biology Tibia business.industry Bone Malalignment Middle Aged Osteoarthritis Knee medicine.disease biology.organism_classification musculoskeletal system Arthroplasty Surgery Biomechanical Phenomena Valgus Joint Deformities Acquired Orthopedic surgery Female Range of motion business human activities Lateral approach Follow-Up Studies |
| Zdroj: | International orthopaedics. 33(6) |
| ISSN: | 1432-5195 |
| Popis: | The purpose of this work was to document eleven years of experience in knee replacement for fixed knee valgus through a lateral approach with special emphasis on the balancing procedures. At a mean follow-up of seven years, only one revision for sepsis was required in this series of 63 knee replacements. The mean knee score improved from 37 (range 20-45) to 91 (range 65-100) at the last review (p0.01) while the function score increased from 29.5 (range 0-50) to 78.7 (range 10-100) (p = 0.01). The mean mechanical axis (HKA) was 14.7 degrees of valgus preoperatively and 1 degrees of valgus postoperatively. After the iliotibial band was automatically released in the approach, only four of 63 knees required additional release for tightness in extension. These results underline the appeal of the lateral approach with the automatic release of the iliotibial band. If required, additional ligament release is recommended step-by-step after bone section to avoid postoperative instability. |
| Databáze: | OpenAIRE |
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