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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
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
The line drawings in this article are the work of Susan Klug (klugmedart@yahoo.com).
The original scientific article in which the surgical technique was presented was published in JBJS Vol. 85-A, Suppl. 1, pp. S38-42, 2003

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 Mar 01;86(suppl 1):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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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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