ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
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.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical assessment of antero-medial rotational knee laxity: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Pooled it
- Robotic-Assisted Medial Epicondylar Osteotomy and Dual Fixation Technique During Total Knee Arthroplasty for Severe Varus Deformity.Arthroplasty today · 2026Article
- A scoping review and guide for in vitro healthy human knee joint laxity.Frontiers in bioengineering and biotechnology · 2026Review
- Evaluation of a novel robotic testing method for stability and kinematics of total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Impacts of medial collateral ligament (MCL) stiffness adjustment on knee joint mechanics in mechanically aligned posterior-substituting (PS) total knee arthroplasty (TKA).Biomedical engineering letters · 2025Article
- A novel grid-assisted pie-crusting technique for achieving soft tissue balance in total knee arthroplasty.Frontiers in surgery · 2025Article
- Residual varus alignment after posterior-stabilized total knee arthroplasty limits medial soft tissue remodeling.BMC musculoskeletal disorders · 2023Article
- Current concept of kinematic alignment total knee arthroplasty and its derivatives.Bone & joint open · 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
- A constrained-condylar fixed-bearing total knee arthroplasty is stabilised by the medial soft tissues.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Length-Change Patterns of the Collateral Ligaments During Functional Activities After Total Knee Arthroplasty.Annals of biomedical engineering · 2020Observational
- Increased valgus laxity in flexion with greater tibial resection depth following total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Hip Joint Torsional Loading Before and After Cam Femoroacetabular Impingement Surgery.The American journal of sports medicine · 2019Article
- Tibiofemoral rotational alignment affects flexion angles in navigated posterior-stabilized total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- An in vitro analysis of medial structures and a medial soft tissue reconstruction in a constrained condylar total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to quantify the contributions of medial soft tissues to stability following cruciate-retaining (CR) or posterior-stabilised (PS) total knee arthroplasty (TKA).
methodsUsing a robotic system, eight cadaveric knees were subjected to ±90-N anterior-posterior force, ±5-Nm internal-external and ±8-Nm varus-valgus torques at various flexion angles. The knees were tested intact and then with CR and PS implants, and successive cuts of the deep and superficial medial collateral ligaments (dMCL, sMCL) and posteromedial capsule (PMC) quantified the percentage contributions of each structure to restraining the applied loads.
resultsIn implanted knees, the sMCL restrained valgus rotation (62 % across flexion angles), anterior-posterior drawer (24 and 10 %, respectively) and internal-external rotation (22 and 37 %). Changing from CR TKA to PS TKA increased the load on the sMCL when resisting valgus loads. The dMCL restrained 11 % of external and 13 % of valgus rotations, and the PMC was significant at low flexion angles.
conclusionsThis work has shown that medial release in the varus knee should be minimised, as it may inadvertently result in a combined laxity pattern. There is increasing interest in preserving constitutional varus in TKA, and this work argues for preservation of the sMCL to afford the surgeon consistent restraint and maintain a balanced knee for the patient.
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