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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 153 - 160 (8page)
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introduction: Numerous methods of medial soft tissue release for severe varus deformity during total knee arthroplasty (TKA) have been reported. These include tibial stripping of the superficial medial collateral ligament (MCL), pie-crusting technique, and medial epicondylar osteotomy. However, there are inherent disadvantages in these techniques. Authors hereby present a novel quantitative method: femoral origin release of the medial collateral ligament (FORM).Surgical technique: For medial tightness remaining even after the release of the deep MCL and semimembranosus, the FORM is initiated with identification of the femoral insertion area of the MCL with the knee in flexion. Starting from the most posterior part of the femoral insertion, one third of the MCL femoral insertion is released from its attachment. If necessary, further sequential medial release is performed.materials and methods: Seventeen knees that underwent the FORM were evaluated for radiological and clinical outcomes.results: Regardless of the extent of the FORM, no knees showed residual valgus instability at 24 weeks after surgery.conclusions: As the FORM is performed in a stepwise manner, fine adjustment during medial release might be beneficial to prevent inadvertent over-release of the medial structures of the knee.
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참고문헌 (21)
참고문헌 신청
Mihalko WM / 2009 / Softtissue balancing during total knee arthroplasty in the varus knee / J Am Acad Orthop Surg 17:766~774
Mullaji AB / 2013 / Surgical technique : Computerassisted sliding medial condylar osteotomy to achieve gap balance in varus knees during TKA / Clin Orthop Relat Res 471:1484~1491
Verdonk PC / 2009 / Soft tissue balancing in varus total knee arthroplasty : an algorithmic approach / Knee Surg Sports Traumatol Arthrosc 17:660~666
Bellemans J / 2011 / Multiple needle puncturing: balancing the varus knee / Orthopedics 34:e510~e512
Kwak DS / 2016 / The pie-crusting technique using a blade knife for medial collateral ligament release is unreliable in varus total knee arthroplasty / Knee Surg Sports Traumatol Arthrosc 24:188~194
Mullaji AB / 2013 / Surgical technique : Computerassisted sliding medial condylar osteotomy to achieve gap balance in varus knees during TKA / Clin Orthop Relat Res 471:1484~1491
Verdonk PC / 2009 / Soft tissue balancing in varus total knee arthroplasty : an algorithmic approach / Knee Surg Sports Traumatol Arthrosc 17:660~666
Bellemans J / 2011 / Multiple needle puncturing: balancing the varus knee / Orthopedics 34:e510~e512
Kwak DS / 2016 / The pie-crusting technique using a blade knife for medial collateral ligament release is unreliable in varus total knee arthroplasty / Knee Surg Sports Traumatol Arthrosc 24:188~194
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