Abstract
The goal of a total knee replacement is a good Range of Motion, pain relief, stability. All these factors are mandatory to achieve a long time survive of the implant and a individual satisfaction. Ligament balancing is the main part to implant a total knee prothesis in a right way. There are 2 ways to have a ligament balanced prothesis; the bony landmark technique and the gap balancing technique. The 2 technique are evaluated but We thing that the best is to use a mixed technique.
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Insall J, Ranawat CS, Scott WN, Walker P (1976) Total condylar knee replacement: preliminary report. Clin Orthop Relat Res 120:149–154
Firestone TP, Eberle RW (2006) Surgical management of symptomatic instability following failed primary total knee replacement. J Bone Jt Surg Am 88(Suppl 4):80–84
Whiteside LA, Arima J (1995) The anteroposterior axis for femoral rotational alignment in valgus total knee arthroplasty. Clin Orthop Relat Res 321:168–172
Karade V, Ravi B, Agarwal M (2012) Extramedullary versus intramedullary tibial cutting guides in megaprosthetic total knee replacement. J Orthop Surg Res 7:33
Cashman JP, Carty FL, Synnott K, Kenny PJ (2011) Intramedullary versus extramedullary alignment of the tibial component in the Triathlon knee. J Orthop Surg Res 6:44
Reed MR, Bliss W, Sher JL et al. (2002) Extramedullary or intramedullary tibial alignment guides: a randomised, prospective trial of radiological alignment. J Bone Jt Surg Br 84:858–860
Oka S, Matsumoto T, Muratsu H et al (2013) The influence of the tibial slope on intra-operative soft tissue balance in cruciate-retaining and posterior-stabilized total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. May 21 [Epub ahead of print]. PMED ID: 23689963
Bellemans J, Robijns F, Duerinckx J et al. (2005) The influence of tibial slope on maximal flexion after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 13:193–196
Baldini A, Adravanti P (2008) Less invasive TKA: extramedullary femoral reference without navigation. Clin Orthop Relat Res 466:2694–2700
Berger RA, Rubash HE, Seel MJ et al. (1993) Determining the rotational alignment of the femoral component in total knee arthroplasty using the epicondylar axis. Clin Orthop Relat Res 286:40–47
Nagamine R, Miura H, Inoue Y et al. (1998) Reliability of the anteroposterior axis and the posterior condylar axis for determining rotational alignment of the femoral component in total knee arthroplasty. J Orthop Sci 3:194–198
Laskin RS (1995) Flexion space configuration in total knee arthroplasty. J Arthroplast 10:657–660
Aglietti P, Sensi L, Cuomo P, Ciardullo A (2008) Rotational position of femoral and tibial components in TKA using the femoral transepicondylar axis. Clin Orthop Relat Res 466:2751–2755
Lombardi AV Jr, Berend KR, Adams JB (2008) Patient-specific approach in total knee arthroplasty. Orthopedics 31:927–930
Meneghini RM, Daluga AT, Sturgis LA, Lieberman JR (2013) Is the pie-crusting technique safe for MCL release in varus deformity correction in total knee arthroplasty? J Arthroplast 28:1306–1309
Chen W, Nagamine R, Kondo K, Todo M (2011) Effect of medial soft-tissue releases during posterior-stabilised total knee arthroplasty. J Orthop Surg (Hong Kong) 19:230–233
Krackow KA, Jones MM, Teeny SM, Hungerford DS (1991) Primary total knee arthroplasty in patients with fixed valgus deformity. Clin Orthop Relat Res 273:9–18
Buechel FF (1990) A sequential three-step lateral release for correcting fixed valgus knee deformities during total knee arthroplasty. Clin Orthop Relat Res 260:170–175
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Ursino, N., Dagnino, A., Giacomello, P. et al. Il bilancio legamentoso nelle protesi totali di ginocchio. LO SCALPELLO 27, 106–110 (2013). https://doi.org/10.1007/s11639-013-0043-7
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DOI: https://doi.org/10.1007/s11639-013-0043-7