Soft Tissue Balancing in Total Knee Arthroplasty

In this booklet, experts from across the world, including members of the ISAKOS Knee Arthroplasty Committee, offer clear, up-to-date guidance on all aspects of soft tissue or ligament balancing in primary total knee arthroplasty with the aim of enabling t

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Soft Tissue Balancing in Total Knee Arthroplasty

Shuichi Matsuda  •  Sébastien Lustig Willem van der Merwe Editors

Soft Tissue Balancing in Total Knee Arthroplasty

Editors Shuichi Matsuda Department of Orthopaedic Surgery Kyoto University Department of Orthopaedic Surgery Kyoto, Japan

Willem van der Merwe Sports Science Institute of South Africa Orthopaedic Clinic Cape Town, South Africa

Sébastien Lustig Department of Orthopedic Surgery Lyon University - Croix Rousse Hospital Department of Orthopedic Surgery Lyon, France

ISBN 978-3-662-54081-7    ISBN 978-3-662-54082-4 (eBook) DOI 10.1007/978-3-662-54082-4 Library of Congress Control Number: 2017937383 © ISAKOS 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer-Verlag GmbH Germany The registered company address is: Heidelberger Platz 3, 14197 Berlin, Germany

Preface

Total knee arthroplasty is one of the most successful procedures in orthopedic surgery. However, about 20% of patients are not satisfied with the results of knee arthroplasty. Factors affecting clinical results include soft tissue balancing, knee alignment, implant design, and fixation. Although every surgeon understands that soft tissue balancing is very important during knee arthroplasty, it has been difficult to accurately evaluate, intraoperatively. Moreover, questions remain regarding appropriate soft tissue conditions needed to improve clinical results. Extensive anatomical, clinical, and biomechanical studies have enabled more accurate evaluation of soft tissue conditions, and we are getting closer to achieving “appropriate soft tissue balancing” based on clinical evidence. This book provides an excellent summary of the current knowledge regarding soft tissue balancing in total knee arthroplasty, focusing on p