ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Total knee arthroplasty for valgus osteoarthritis: the results of a standardized soft-tissue release technique.
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 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Correlation of revision rate of unicompartmental knee arthroplasty with total knee arthroplasty: a meta-analysis of clinical studies and worldwide arthroplasty registers.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Lateral or medial approach for valgus knee in total knee arthroplasty - which one is better? A systematic review.The Journal of international medical research · 2019Pooled it
- Total knee arthroplasty for valgus deformity correction using "inverted cruciform release": technique and outcomes.BMC musculoskeletal disorders · 2026Article
- Unrestricted Kinematic Alignment Is a Feasible Strategy for Lateral Compartment Osteoarthritis: Short-Term Outcomes of a Contralateral Knee-Referenced Approach.Journal of clinical medicine · 2026Article
- The impact of soft tissue release on radiological and clinical outcomes in functional alignment robot-assisted total knee arthroplasty.Journal of orthopaedic surgery and research · 2025Article
- Article
- Why Kinematic Alignment Makes Little Sense in Valgus Osteoarthritis of the Knee: A Narrative Review.Journal of clinical medicine · 2024Review
- LATERAL EPICONDYLE SLIDING OSTEOTOMY IN KNEE ARTHROPLASTIES WITH VALGUS DEFORMITY.Acta ortopedica brasileira · 2024Article
- Precision soft tissue balancing: grid-assisted pie-crusting in total knee arthroplasty.Frontiers in surgery · 2024Article
- Individual Phenotype Does Not Impact the Outcome of Mechanical Aligned Total Knee Arthroplasties for Valgus Osteoarthritis.Medicina (Kaunas, Lithuania) · 2023Article
- Minimum 2-Year Radiographic and Clinical Outcomes of Kinematic Alignment Total Knee Arthroplasty in the Valgus Knee.Journal of personalized medicine · 2022Article
- Common peroneal nerve palsy after TKA in valgus deformities; a systematic review.Journal of experimental orthopaedics · 2022Article
- Posteromedial Corner Release with the Knee in Figure-of-Four Position vs Conventional Position for Varus Knee Arthroplasty.Orthopaedic surgery · 2021Article
- Incidence of Soft-Tissue Releases, Clinical and Radiological Outcomes of Lateral Parapatellar Approach for Valgus Arthritic Knees: A 4-year Follow-up Study with A Review of Literature.Indian journal of orthopaedics · 2021Review
- The effects of soft tissue lateral release on the stability of the ligament complex of the knee.Archives of orthopaedic and trauma surgery · 2020Article
- A simple method for determining ligament stiffness during total knee arthroplasty in vivo.Scientific reports · 2019Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe study reports the 2-year follow-up results of patients with valgus osteoarthritis undergoing total knee arthroplasty (TKA) with a standardized soft-tissue release.
methodsBetween 2008 and 2013, 222 TKAs were performed for valgus osteoarthritis by a single surgeon. A total of 181 TKAs in 164 patients were available for a minimum 2-year follow-up (range 24-87 months). Preoperative and postoperative range of motion (ROM), mechanical alignment, the postoperative medial proximal tibial angle (MPTA), Western Ontario and McMaster Universities Arthritis Index (WOMAC), VF-12 score, visual analogue pain scale (VAS), and the actual UCLA activity score, desired UCLA score, ligamentous stability (medial collateral ligament) and complications and revision rates were recorded.
resultsThe ROM increased from a preoperative flexion contracture of 4.7° (range 0-40) and flexion of 110° (range 35-135) to a postoperative mean flexion contracture of 0.1° (range -5 to 10) and flexion of 128° (range 100-140). The mean hip-knee-ankle alignment was changed from 8.4° of mechanical valgus (range 5.3-25.4) to 0.02° of varus alignment (range -2.9 to 4.1). Tibia component angle (MPTA) was 90.4° (range 86.1-93.7). The WOMAC score, VF-12, UCLA and VAS significantly improved after surgery (p < 0.05). Two patients (1.1 %) underwent revision surgery for instability.
conclusionThe described standardized soft-tissue release (release of the iliotibial band and posterolateral corner) provided excellent clinical results at a minimum 2-year follow-up and can be used safely for a "cook-book" approach to the valgus knee with up to 25° mechanical valgus alignment. LEVEL OF EVIDENCE: IV.
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