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Epicondylar advancement osteotomy for flexion gap asymmetry after total knee replacement


Klammer, G; Müller, D A; Koch, P P; Meyer, D C (2011). Epicondylar advancement osteotomy for flexion gap asymmetry after total knee replacement. Acta Orthopaedica Belgica, 77(5):680-683.

Abstract

A possible cause for a painful total knee prosthesis is flexion gap asymmetry with medial or lateral instability despite adequate axial and rotational alignment of both components and adequate extension gap balancing. To avoid component exchange, ligament advancement techniques can be used. Soft tissue procedures carry the risk of insufficiently stable scarring. Epicondylar sliding osteotomies are accepted as a mode of collateral ligament release in severe varus or valgus knee arthroplasties. We describe a technique of anterior epicondylar advancement for the correction of symptomatic flexion gap instability.

A possible cause for a painful total knee prosthesis is flexion gap asymmetry with medial or lateral instability despite adequate axial and rotational alignment of both components and adequate extension gap balancing. To avoid component exchange, ligament advancement techniques can be used. Soft tissue procedures carry the risk of insufficiently stable scarring. Epicondylar sliding osteotomies are accepted as a mode of collateral ligament release in severe varus or valgus knee arthroplasties. We describe a technique of anterior epicondylar advancement for the correction of symptomatic flexion gap instability.

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2 citations in Scopus®
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Additional indexing

Item Type:Journal Article, not refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2011
Deposited On:24 Feb 2012 21:27
Last Modified:05 Apr 2016 15:40
Publisher:Acta Medica Belgica
ISSN:0001-6462
Official URL:http://www.actaorthopaedica.be/acta/article.asp?lang=en&navid=244&id=15149&mod=Acta
PubMed ID:22187847
Permanent URL: http://doi.org/10.5167/uzh-60005

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