Techniques and Outcomes of Medial Soft Tissue Release for Moderate to Severe Varus Deformity in Total Knee Arthroplasty: A Literature Review

Authors

  • Vorasilp Cheeva-akrapan Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Aree Tanavalee, MD Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Chotetawan Tanavalee, MD Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Srihatach Ngarmukos, MD Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Keywords:

osteoarthritic knee, varus deformity, total knee arthroplasty, medial soft tissue release

Abstract

Total knee arthroplasty for osteoarthritic knee with severe varus deformity always requires medial soft tissue release to reach a perfect outcome of the surgery. Up until now, there is still no consensus for the best technique of medial soft tissue release. This literature review collected and compared some aspects of each proposed techniques. The data were recruited from the PubMed and Google Scholar. The authors chose six medial soft tissue release techniques to be reviewed. These included subperiosteal release of superficial medial collateral ligament, pie-crusting technique, multiple needle puncture technique, medial epicondylar osteotomy, femoral origin release of the medial collateral ligament, and semimembranosus release. The results showed that each technique had a distinct superiority to each other. Each technique may be preferred in some situations. After a thorough discussion, the authors preferred the conventional subperiosteal release of superficial medial collateral ligament technique.  

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References

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Published

2022-03-08

How to Cite

1.
Cheeva-akrapan V, Tanavalee, MD A, Tanavalee, MD C, Ngarmukos, MD S. Techniques and Outcomes of Medial Soft Tissue Release for Moderate to Severe Varus Deformity in Total Knee Arthroplasty: A Literature Review. JseaOrtho [Internet]. 2022 Mar. 8 [cited 2024 Dec. 22];43(3-4):40-8. Available from: https://jseaortho.org/index.php/jsao/article/view/50

Issue

Vol. 43 No. 3-4 (2019): July - October

Section

Review Articles

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