SJR: 0.332 SNIP: 0.491 CiteScore™: 0.89
ISSN Print: 1050-6934
Volumes:Volume 28, 2018 Volume 27, 2017 Volume 26, 2016 Volume 25, 2015 Volume 24, 2014 Volume 23, 2013 Volume 22, 2012 Volume 21, 2011 Volume 20, 2010 Volume 19, 2009 Volume 18, 2008 Volume 17, 2007 Volume 16, 2006 Volume 15, 2005 Volume 14, 2004 Volume 13, 2003 Volume 12, 2002 Volume 11, 2001 Volume 10, 2000
Journal of Long-Term Effects of Medical Implants
Management of Fixed Deformities In Total Knee Arthroplasty
Rutgers Medical School
Total knee arthroplasty (TKA) has developed significantly since the early 1970s. The basic principles have not changed over the past 30 years; however, the techniques and prostheses have improved a great deal. The TKA must correct deformity while balancing the ligaments and equalizing the flexion and extension gaps. Deformity can be a result of bone angulation or ligament imbalance. Bone deformity must be isolated out to the diaphysis, metaphysis, or articular surface of the knee. The latter two areas can be managed at the same time as the arthroplasty. Diaphyseal changes that are greater than 20° of angulation most often require a separate operative procedure. Ligament imbalance can be managed with either lengthening of the tightened ligament or tightening of the lax ligament. While lengthening is the easier of the two approaches, both techniques are acceptable when performed correctly. Deformity of the knee can be a challenging problem, but with proper planning, the results are very acceptable and rewarding both for the patient and the operating surgeon.
|Begell Digital Portal||Begell Digital Library||eBooks||Journals||References & Proceedings||Research Collections|