Primary Principles in Soft Tissue Balancing

  • Jacobus H. Müller
  • Willem van der Merwe


Soft tissue balance and alignment are integral to the success of a total knee arthroplasty (TKA). In 1985 it was already reported that most failures can be attributed to incorrect ligament balance or incorrect alignment [1]. Since 1985, numerous new and improved total knee replacement systems, surgical instruments, surgical methods, and computer-assisted surgery tools have seen the light. Ligament balancing and alignment however still remain the biggest considerations that impact the successful outcome of a total knee arthroplasty.


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Copyright information

© ISAKOS 2017

Authors and Affiliations

  1. 1.Biomedical Engineering Research Group, Department of Mechanical and Mechatronic EngineeringStellenbosch UniversityStellenboschSouth Africa
  2. 2.Sports Science Institute of South Africa Orthopaedic ClinicCape TownSouth Africa

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