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Intraoperative Soft-Tissue Balance and Clinical Results (ROM, Function)

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Book cover Soft Tissue Balancing in Total Knee Arthroplasty

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Abstract

A good outcome in total knee arthroplasty (TKA) depends on many factors: joint alignment, range of motion (ROM), patella tracking, and ligament stability [1]. If correct soft-tissue balancing is not achieved after TKA, the patient may initially suffer instability of joint, pain, and swelling after surgery and experience gait disturbance due to giving way, and as it increases risk of wear and aseptic loosening in long-term follow-up, it is considered the most important process. However, achieving accurate soft-tissue balancing is not an easy goal in TKA. Generally, well intraoperative balance affects good postoperative gap balance. Some studies report that the more intraoperative flexion laxity, the better postoperative ROM [2]. But the best method for obtaining appropriate soft-tissue balance and better ROM remains controversial, with dispute focusing on the cutoff value of flexion laxity [3, 4].

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kyoto University Department of Orthopaedic Surgery, Kyoto, Japan

    Eun-Kyoo Song MD, Jong-Keun Seon MD, Young-Joo Shin MD & Hong-Ahn Lim MD

  2. Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University Bitgoeul Hospital, Gwangju, Korea

    Eun-Kyoo Song MD, Jong-Keun Seon MD, Young-Joo Shin MD & Hong-Ahn Lim MD

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  1. Eun-Kyoo Song MD
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  2. Jong-Keun Seon MD
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  3. Young-Joo Shin MD
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  4. Hong-Ahn Lim MD
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Correspondence to Eun-Kyoo Song MD .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Kyoto University Department of Orthopaedic Surgery, Kyoto, Japan

    Shuichi Matsuda

  2. Department of Orthopedic Surgery, Lyon University - Croix Rousse Hospital Department of Orthopedic Surgery, Lyon, France

    Sébastien Lustig

  3. Sports Science Institute of South Africa Orthopaedic Clinic, Cape Town, South Africa

    Willem van der Merwe

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Song, EK., Seon, JK., Shin, YJ., Lim, HA. (2017). Intraoperative Soft-Tissue Balance and Clinical Results (ROM, Function). In: Matsuda, S., Lustig, S., van der Merwe, W. (eds) Soft Tissue Balancing in Total Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54082-4_16

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  • DOI: https://doi.org/10.1007/978-3-662-54082-4_16

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