Medial Collateral Ligament Release Facilitates Exposure in Revision Total Knee Arthroplasty

J Knee Surg RepDOI: 10.1055/s-0035-1551546Incidence of revision total knee arthroplasty is growing. Revision surgery aims at preserving the collateral ligaments to minimize implant constraint and stress on the implant-cement-bone interface. Exposure in the stiff knee can be challenging as a result of loss of soft tissue elasticity and capsular scarring brought on by multiple surgeries. If a quadriceps snip does not provide adequate visualization a quadriceps turndown or a tibial tubercle osteotomy is recommended to improve exposure. Such extensile approaches have various limitations and might risk compromising the extensor mechanism, recovery time, bone fixation, or wound healing. The current case report describes a novel technique to combine a quadriceps snip with cutting the medial collateral ligament to gain exposure. While patients require a hinged implant, the integrity of the extensor mechanism is preserved. This allows for immediate active and passive range of motion and places this approach at an advantage over a quadriceps turndown or tibial tubercle osteotomy.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract  |  open access Full text

Source: Journal of Knee Surgery Reports - May 27, 2015 Category: Orthopaedics Authors: Bou Monsef, JadBoettner, Friedrich Tags: Case Report Source Type: research