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The difficult knee: severe varus and valgus.

Abstract

To correct severe varus or valgus deformity, the surgeon must have clear knowledge of the location, orientation, and physical characteristics of the soft tissue structures that provide stability to the knee. Correct ligament balance restores proper load transfer across the knee and minimizes polyethylene wear. The failure to adequately release contracted ligaments or the overzealous release of ligaments will result in instability and secondary accelerated wear of a total knee implant. I describe several methods of selective ligament release of the contracted soft tissues that contribute to fixed varus and valgus deformity.

Authors+Show Affiliations

Anderson Orthopaedic Research Institute, Alexandria, VA 223007, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

14646739

Citation

Engh, Gerard A.. "The Difficult Knee: Severe Varus and Valgus." Clinical Orthopaedics and Related Research, 2003, pp. 58-63.
Engh GA. The difficult knee: severe varus and valgus. Clin Orthop Relat Res. 2003.
Engh, G. A. (2003). The difficult knee: severe varus and valgus. Clinical Orthopaedics and Related Research, (416), 58-63.
Engh GA. The Difficult Knee: Severe Varus and Valgus. Clin Orthop Relat Res. 2003;(416)58-63. PubMed PMID: 14646739.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The difficult knee: severe varus and valgus. A1 - Engh,Gerard A, PY - 2003/12/4/pubmed PY - 2004/1/30/medline PY - 2003/12/4/entrez SP - 58 EP - 63 JF - Clinical orthopaedics and related research JO - Clin Orthop Relat Res IS - 416 N2 - To correct severe varus or valgus deformity, the surgeon must have clear knowledge of the location, orientation, and physical characteristics of the soft tissue structures that provide stability to the knee. Correct ligament balance restores proper load transfer across the knee and minimizes polyethylene wear. The failure to adequately release contracted ligaments or the overzealous release of ligaments will result in instability and secondary accelerated wear of a total knee implant. I describe several methods of selective ligament release of the contracted soft tissues that contribute to fixed varus and valgus deformity. SN - 0009-921X UR - https://www.unboundmedicine.com/medline/citation/14646739/The_difficult_knee:_severe_varus_and_valgus_ DB - PRIME DP - Unbound Medicine ER -