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Total knee replacement in the fixed valgus deformity using a lateral approach: role of the automatic iliotibial band release for a successful balancing.

Abstract：

: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 (p < 0.01) 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.

journal_name

Int Orthop

journal_title

International orthopaedics

authors

Boyer P,Boublil D,Magrino B,Massin P,Huten D,Guepar Group.

doi

10.1007/s00264-008-0698-5

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1577-83

issue

6

eissn

0341-2695

issn

1432-5195

journal_volume

33

pub_type

杂志文章

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