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- W3119595922 abstract "Background: Historically, the femoral and tibial preparation for a total knee arthroplasty (TKA) are executed in isolation and then soft tissue releases are used to obtain a balanced knee. We present the clinical outcomes associated with a novel surgical method that links the tibial and femoral resections, avoids soft tissue releases, is performed extramedullary, and does not require special scans, robotics, or rapid prototype blocks. Materials and Methods: We measured hip, knee, ankle alignment radiographs preoperatively and postoperatively on 433 consecutive TKAs performed between November 2016 and August 2019. A new surgical technique called the l inked a nd t ensioned e xtramedullary r esections (LATER technique) for both extension and flexion gap balancing was utilized without any soft tissue releases. Results: One hundred thirty-four knees were found to have severe malalignment preoperatively (≥10 degrees of varus or valgus deformities). The average angular correction was 12 degrees toward neutral alignment. Of the entire cohort, 89.2% of patients reported being completely or mostly satisfied. Patients reported “a lot of improvement” or “back to normal” (92.3%). Conclusions: The LATER technique improves coronal alignment following a complex primary TKA. Contemporary TKA can be balanced without ligament releases. The avoidance of intramedullary violation and soft tissue releases decreased intraoperative blood loss and trauma. This technique also avoids the complexities of navigation, the complications associated with fat embolism, and the manufacturing of rapid prototype blocks. The LATER technique of coronally tensioned alignment is simple to use and has excellent patient-reported satisfaction and improvement scores." @default.
- W3119595922 created "2021-01-18" @default.
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- W3119595922 date "2020-12-30" @default.
- W3119595922 modified "2023-09-23" @default.
- W3119595922 title "An Extramedullary Spacing Block Technique to Restore Native Coronal Limb Alignment in TKA" @default.
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- W3119595922 doi "https://doi.org/10.1097/bto.0000000000000515" @default.
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