Soft Tissue Balancing in Total Knee Arthroplasty

  • Shuichi Matsuda
  • Sébastien Lustig
  • Willem van der Merwe

Table of contents

  1. Front Matter
    Pages i-xi
  2. Native Knee

    1. Front Matter
      Pages 1-1
    2. Kyle Muckenhirn, Jorge Chahla, Robert F. LaPrade
      Pages 3-15
    3. Jan Victor
      Pages 29-37
  3. Operative Procedure 1: Primary TKA

    1. Front Matter
      Pages 39-39
    2. Jacobus H. Müller, Willem van der Merwe
      Pages 41-48
    3. Myung Chul Lee
      Pages 59-64
    4. Rob Middleton, Andrew Price
      Pages 65-77
  4. Operative Procedure 2: Primary TKA

    1. Front Matter
      Pages 97-97
    2. David Figueroa, Francisco Figueroa
      Pages 99-105
    3. Jaroslaw Czekaj, Timothy Lording, Sébastien Lustig
      Pages 107-126
    4. Ricardo Varatojo, Ricardo Telles de Freitas, Mário Vale
      Pages 127-138
    5. Samih Tarabichi, Ahmed El-Naggar, Mohamed Adi
      Pages 139-149
  5. Assessment in Primary TKA

    1. Front Matter
      Pages 151-151
    2. Tomoyuki Matsumoto, Hirotsugu Muratsu, Ryosuke Kuroda
      Pages 153-169
    3. Gianmarco V. M. Regazzola, Myles R. J. Coolican
      Pages 171-180
  6. Clinical Relevance: Primary TKA

    1. Front Matter
      Pages 181-181
    2. Hitoshi Sekiya
      Pages 183-194
    3. Eun-Kyoo Song, Jong-Keun Seon, Young-Joo Shin, Hong-Ahn Lim
      Pages 195-204
  7. Patella

    1. Front Matter
      Pages 217-217
  8. Trouble Shooting

    1. Front Matter
      Pages 241-241
    2. Carlos Eduardo Silveira Franciozi, Rogério Teixeira de Carvalho, Yasuo Itami, Marcus Vinicius Malheiros Luzo
      Pages 243-252
    3. Nicolaas C. Budhiparama, Nadia N. Ifran, Sébastien Lustig, Michel Bonnin, Sebastien Parratte
      Pages 253-267
  9. Back Matter
    Pages 269-274

About this book


In this booklet, experts from across the world, including members of the ISAKOS Knee Arthroplasty Committee, offer clear, up-to-date guidance on all aspects of soft tissue or ligament balancing in primary total knee arthroplasty with the aim of enabling the reader to achieve optimal patient outcomes. After an introduction explaining the normal soft tissue condition in the native knee, surgical procedures are described, including techniques for the management of severe deformity. The most striking feature of the booklet, however, is the many pages devoted to the accurate evaluation and clinical relevance of ligament balancing. Different techniques and devices for intraoperative soft tissue assessment are discussed, highlighting, for example, the use of gap-measuring devices or trial liners with load-bearing sensors to achieve more objective evaluation. Above all, special attention is devoted to the crucial issue of the impact of intraoperative soft tissue balance on postoperative results. In the closing chapter, very experienced surgeons introduce intraoperative troubleshooting in order to assist successful completion of arthroplasty.


Kinematics Range of motion Varus knee Valgus knee Soft tissue

Editors and affiliations

  • Shuichi Matsuda
    • 1
  • Sébastien Lustig
    • 2
  • Willem van der Merwe
    • 3
  1. 1.Department of Orthopaedic SurgeryKyoto University Department of Orthopaedic SurgeryKyotoJapan
  2. 2.Department of Orthopedic SurgeryLyon University - Croix Rousse Hospital Department of Orthopedic SurgeryLyonFrance
  3. 3.Sports Science Institute of South Africa Orthopaedic ClinicCape TownSouth Africa

Bibliographic information