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Effect of medial soft tissue releases during posterior-stabilized total knee arthroplasty on contact kinematics and patient-reported outcomes

Journal of Arthroplasty Mar 29, 2019

Morcos MW, et al. - In this prospective imaging study, authors estimated the postoperative in vivo tibiofemoral contact kinematics of a posterior-stabilized total knee arthroplasty (TKA) in subjects receiving minimal medial soft tissue releases intraoperatively vs those who were given extensive releases. They observed similar demographic characteristics among all the cases. They found no statistically significant differences in tibiofemoral contact positions or excursions on the medial or lateral condyles throughout flexion from 0° to 120°. They did not record any difference in postoperative patient-reported outcome scores. They concluded no large alteration of knee kinematics or clinical outcome scores when severe varus deformities with extensive medial soft tissue release were corrected as compared to those with minimal soft tissue release.
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