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• W2921780802 abstract "Background:This study aimed to explore a new surgical technique for gap balance by tightening the medial collateral ligament (MCL) in total knee arthroplasty (TKA) in patients with fixed valgus deformity. Materials and Methods:A prospective analysis was performed on 15 patients (16 knees) with a fixed valgus deformity that was corrected by tightening the MCL during TKA. A single surgeon performed all the 16 TKAs using nonconstrained posterior substituting implant, with two knees treated with long-stem tibial prosthesis. Clinical scores, knee stability, and radiographic evaluations were recorded preoperatively and postoperatively. Results:Complete weight-bearing could be carried out under the protection of the brace postoperatively. At the third month after surgery, X-rays showed the brace was not worn. The mean follow-up was 26.6 months (range 12–42 months). The average preoperative mechanical axis was 15.4 ± 2.3° (range 11–25°), and postoperatively it was 0.6 ± 0.1° (range 0–2°). No complication relative to the technique occurred. Conclusion:This new surgical technique has demonstrated excellent early clinical results and can be a good supplement for fixed valgus knee arthroplasty.Level of Evidence: III." @default.
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• W2921780802 date "2019-01-01" @default.
• W2921780802 modified "2023-10-16" @default.
• W2921780802 title "Tightening medial collateral ligament during total knee arthroplasty for patients with fixed valgus deformity: A novel technique" @default.
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• W2921780802 doi "https://doi.org/10.1177/2309499019834695" @default.
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