ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2015
Laxity after complete release of the medial collateral ligament in primary total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 30 citations in OpenAlex.
- Reduction Osteotomy versus Extensive Release on Clinical Outcome Measures in Simultaneous Bilateral Total Knee Arthroplasty.Medical science monitor : international medical journal of experimental and clinical research · 2017Trial
- Alignment-dependent changes in tibiofemoral contact mechanics after selective medial soft tissue release during medial meniscus posterior root repair: an exploratory human cadaveric study.International orthopaedics · 2026Article
- Robotic-Assisted Medial Epicondylar Osteotomy and Dual Fixation Technique During Total Knee Arthroplasty for Severe Varus Deformity.Arthroplasty today · 2026Article
- Can preoperative lower limb alignment angles predict necessary soft tissue release during total knee arthroplasty for varus knees? A retrospective cohort study.International orthopaedics · 2025Article
- Complete Release of the Superficial Medial Collateral Ligament in Total Knee Arthroplasty.Arthroplasty today · 2024Article
- Residual varus alignment can reduce joint awareness, restore joint parallelism, and preserve the soft tissue envelope during total knee arthroplasty for varus osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Clinical Outcomes of Repair of Complete Detachment of Medial Collateral Ligament at the Tibial Insertion in Bilateral Total Knee Arthroplasty.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Effect of medial collateral ligament release and osteophyte resection on medial laxity in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Intraoperative repair for iatrogenic MCL tear due to medial pie-crusting in TKA yields satisfactory mid-term outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Posteromedial Corner Release with the Knee in Figure-of-Four Position vs Conventional Position for Varus Knee Arthroplasty.Orthopaedic surgery · 2021Article
- [Prevention and treatment of iatrogenic medial collateral ligament injuries in total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Intraoperative physiological lateral laxity in extension and flexion for varus knees did not affect short-term clinical outcomes and patient satisfaction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Management of Medial Collateral Ligament Insufficiency During Total Knee Arthroplasty with a Screw and Rectangular Spiked Washer: A Case Series of 14 Patients.Orthopaedic surgery · 2020Article
- Residual medial tightness in extension is corrected spontaneously after total knee arthroplasty in varus knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Results with eight and a half years average follow-up on two hundred and eight e-Motion FP® knee prostheses, fitted using computer navigation for knee osteoarthritis in patients with over ten degrees genu varum.International orthopaedics · 2018Article
- Selective medial soft tissue release combined with tibial reduction osteotomy in total knee arthroplasty.Journal of orthopaedic surgery and research · 2017Article
- Remaining mild varus limb alignment leads to better clinical outcome in total knee arthroplasty for varus osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Concurrent femoral and tibial osteotomies versus soft tissue balance in total knee arthroplasty: A technical case report.Journal of orthopaedics · 2017Article
- Varus-valgus stress radiograph as a predictor for extensive medial release in total knee arthroplasty.International orthopaedics · 2016Article
- The superficial medial collateral ligament is the primary medial restraint to knee laxity after cruciate-retaining or posterior-stabilised total knee arthroplasty: effects of implant type and partial release.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMedial collateral ligament (MCL) release is one of the essential steps toward the achievement of ligament balancing during the total knee arthroplasty (TKA) in patients with varus deformity. When the varus deformity is severe, complete release of the MCL until balanced is often required. However, it is believed that complete MCL release may lead to catastrophic laxity. The purpose of this prospective study is to compare the medial joint gap opening in postoperative valgus stress radiograph in patients with complete MCL release against patients with partial release.
methodsOut of 209 primary TKAs performed for degenerative osteoarthritis, complete MCL release was required in 33 cases (group I) by sub-periosteal detachment at proximal tibia using periosteal elevator. For the remaining 176 knees (group II), partial release of MCL was done. At postoperative 6 months and 1 year, both groups were evaluated for comparing the joint gap on valgus stress radiographs using modified Telos device in 0°, 45°, and 90° of flexion. Additional parameters which were analyzed included preoperative varus and valgus stress radiographs in full extension and pre- and postoperative mechanical alignment in each group. The knee range of motion (ROM) and clinical scores were evaluated at 1-year follow-up.
resultsThe mean values of the joint opening on the postoperative valgus stress test with the knee joint extended, and in the 45° and 90° flexed states at 6 months and at 1 year postoperatively in group I were not statistically significantly different from those of group II. The clinical scores also did not show a statistically significant difference between two groups. There was a statistically significant difference in ROM between two groups, pre- and postoperatively and the difference was 5°, respectively.
conclusionThis study suggests that complete MCL release for ligament balancing is a safe procedure and does not lead to postoperative laxity.
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