Tibiofemoral instability in primary total knee replacement: A review, Part 1: Basic principles and classification

YERCAN H. S., Ait Si Selmi T., Sugun T. S., Neyret P.

Knee, vol.12, no.4, pp.257-266, 2005 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 12 Issue: 4
  • Publication Date: 2005
  • Doi Number: 10.1016/j.knee.2005.01.004
  • Journal Name: Knee
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.257-266
  • Keywords: soft tissue balancing, flexion-extension gaps, tibiofemoral instability, total knee replacement, revision techniques
  • Manisa Celal Bayar University Affiliated: Yes

Abstract

Tibiofemoral instability following total knee replacement has received little attention. However it is a cause of early and late failure and usually requires revision surgery. Several factors may be implicated including improper soft tissue balancing, flexion-extension gap mismatch and acute ligamentous injuries. Meticulous surgical technique and proper prosthetic selection at the primary procedure avoids this complication. © 2005 Elsevier B.V. All rights reserved.