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Surgical Techniques   |    
Soft-Tissue Balance in Revision Total Knee ArthroplastySurgical Technique
Michael D. Ries, MD1; Steven B. Haas, MD2; Russell E. Windsor, MD2
1 Department of Orthopaedic Surgery, University of California at San Francisco, 500 Parnassus Avenue (MU 320-W), San Francisco, CA 94143. E-mail address: riesm@orthosurg.ucsf.edu
2 The Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021
The Journal of Bone & Joint Surgery.  2004; 86:81-86 
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Extract

Medial and lateral soft-tissue releases to correct varus and valgus deformities in primary total knee arthroplasty are achieved by sequential release of contracted soft-tissue constraints or, occasionally, advancement of elongated ligaments1-3. In primary total knee arthroplasty, soft-tissue constraints are typically well-defined anatomical structures, whereas, in revision total knee arthroplasty, the soft-tissue constraints may be thickened and scarred, attenuated, or absent. Soft-tissue balance in revision total knee arthroplasty is achieved by a combination of soft-tissue releases and variation in the bone resection level, implant position, and implant size4.
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