Comparison of Complete Distal Release of the Medial Collateral Ligament and Medial Epicondylar Osteotomy during Ligament Balancing in Varus Knee Total Knee Arthroplasty

BACKGROUND: During ligament balancing for severe medial contracture in varus knee total knee arthroplasty (TKA), complete distal release of the medial collateral ligament (MCL) or a medial epicondylar osteotomy can be necessary if a large amount of correction is needed. METHODS: This study retrospec...

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Main Authors: Sim, Jae Ang, Lee, Yong Seuk, Kwak, Ji Hoon, Yang, Sang Hoon, Kim, Kwang Hui, Lee, Beom Koo
Formato: Artigo
Idioma:Inglês
Publicado em: The Korean Orthopaedic Association 2013
Assuntos:
Original Article
Acesso em linha:https://ncbi.nlm.nih.gov/pmc/articles/PMC3858091/
https://ncbi.nlm.nih.gov/pubmed/24340148
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.4055/cios.2013.5.4.287
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spelling pubmed-38580912013-12-11 Comparison of Complete Distal Release of the Medial Collateral Ligament and Medial Epicondylar Osteotomy during Ligament Balancing in Varus Knee Total Knee Arthroplasty Sim, Jae Ang Lee, Yong Seuk Kwak, Ji Hoon Yang, Sang Hoon Kim, Kwang Hui Lee, Beom Koo Clin Orthop Surg Original Article BACKGROUND: During ligament balancing for severe medial contracture in varus knee total knee arthroplasty (TKA), complete distal release of the medial collateral ligament (MCL) or a medial epicondylar osteotomy can be necessary if a large amount of correction is needed. METHODS: This study retrospectively reviewed 9 cases of complete distal release of the MCL and 11 cases of medial epicondylar osteotomy which were used to correct severe medial contracture. The mean follow-up periods were 46.5 months (range, 36 to 78 months) and 39.8 months (range, 32 to 65 months), respectively. RESULTS: There were no significant differences in the clinical results between the two groups. However, the valgus stress radiograph revealed significant differences in medial instability. In complete distal release of the MCL, some stability was obtained by repair and bracing but the medial instability could not be removed completely. CONCLUSIONS: Medial epicondylar osteotomy for a varus deformity in TKA could provide constant medial stability and be a useful ligament balancing technique. The Korean Orthopaedic Association 2013-12 2013-11-18 /pmc/articles/PMC3858091/ /pubmed/24340148 http://dx.doi.org/10.4055/cios.2013.5.4.287 Text en Copyright © 2013 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
institution US NLM
collection PubMed Central
language Inglês
format Artigo
topic Original Article
spellingShingle Original Article
Sim, Jae Ang
Lee, Yong Seuk
Kwak, Ji Hoon
Yang, Sang Hoon
Kim, Kwang Hui
Lee, Beom Koo
Comparison of Complete Distal Release of the Medial Collateral Ligament and Medial Epicondylar Osteotomy during Ligament Balancing in Varus Knee Total Knee Arthroplasty
description BACKGROUND: During ligament balancing for severe medial contracture in varus knee total knee arthroplasty (TKA), complete distal release of the medial collateral ligament (MCL) or a medial epicondylar osteotomy can be necessary if a large amount of correction is needed. METHODS: This study retrospectively reviewed 9 cases of complete distal release of the MCL and 11 cases of medial epicondylar osteotomy which were used to correct severe medial contracture. The mean follow-up periods were 46.5 months (range, 36 to 78 months) and 39.8 months (range, 32 to 65 months), respectively. RESULTS: There were no significant differences in the clinical results between the two groups. However, the valgus stress radiograph revealed significant differences in medial instability. In complete distal release of the MCL, some stability was obtained by repair and bracing but the medial instability could not be removed completely. CONCLUSIONS: Medial epicondylar osteotomy for a varus deformity in TKA could provide constant medial stability and be a useful ligament balancing technique.
author Sim, Jae Ang
Lee, Yong Seuk
Kwak, Ji Hoon
Yang, Sang Hoon
Kim, Kwang Hui
Lee, Beom Koo
author_facet Sim, Jae Ang
Lee, Yong Seuk
Kwak, Ji Hoon
Yang, Sang Hoon
Kim, Kwang Hui
Lee, Beom Koo
author_sort Sim, Jae Ang
title Comparison of Complete Distal Release of the Medial Collateral Ligament and Medial Epicondylar Osteotomy during Ligament Balancing in Varus Knee Total Knee Arthroplasty
title_short Comparison of Complete Distal Release of the Medial Collateral Ligament and Medial Epicondylar Osteotomy during Ligament Balancing in Varus Knee Total Knee Arthroplasty
title_full Comparison of Complete Distal Release of the Medial Collateral Ligament and Medial Epicondylar Osteotomy during Ligament Balancing in Varus Knee Total Knee Arthroplasty
title_fullStr Comparison of Complete Distal Release of the Medial Collateral Ligament and Medial Epicondylar Osteotomy during Ligament Balancing in Varus Knee Total Knee Arthroplasty
title_full_unstemmed Comparison of Complete Distal Release of the Medial Collateral Ligament and Medial Epicondylar Osteotomy during Ligament Balancing in Varus Knee Total Knee Arthroplasty
title_sort comparison of complete distal release of the medial collateral ligament and medial epicondylar osteotomy during ligament balancing in varus knee total knee arthroplasty
publisher The Korean Orthopaedic Association
publishDate 2013
url https://ncbi.nlm.nih.gov/pmc/articles/PMC3858091/
https://ncbi.nlm.nih.gov/pubmed/24340148
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.4055/cios.2013.5.4.287
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