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A new surgical technique for medial collateral ligament balancing: multiple needle puncturing

(2010) JOURNAL OF ARTHROPLASTY. 25(7). p.1151-1156
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Abstract
In this article, we present our experience with a new technique for medial soft tissue balancing, where we make multiple punctures in the medial collateral ligament (MCL) using a 19-gauge needle, to progressively stretch the MCL until a correct ligament balance is achieved. Ligament status was evaluated both before and after the procedure using computer navigation and mediolateral stress testing. The procedure was considered successful when 2 to 4-mm mediolateral joint line opening was obtained in extension and 2 to 6 mm in flexion. In 34 of 35 cases, a progressive correction of medial tightness was achieved according to the above described criteria. One case was considered overreleased in extension. Needle puncturing is a new, effective, and safe technique for progressive correction of MCL tightness in the varus knee.
Keywords
ligament balancing, needle punctures, varus, TOTAL KNEE ARTHROPLASTY, PIE CRUST TECHNIQUE, DUPUYTRENS-DISEASE, VALGUS DEFORMITY, TRIGGER THUMB, FLEXION GAP, FOLLOW-UP, LAXITY, OSTEOARTHRITIS, RELEASE

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Citation

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Chicago
Bellemans, Johan, Hilde Vandenneucker, Johan Van Lauwe, and Jan Victor. 2010. “A New Surgical Technique for Medial Collateral Ligament Balancing: Multiple Needle Puncturing.” Journal of Arthroplasty 25 (7): 1151–1156.
APA
Bellemans, J., Vandenneucker, H., Van Lauwe, J., & Victor, J. (2010). A new surgical technique for medial collateral ligament balancing: multiple needle puncturing. JOURNAL OF ARTHROPLASTY, 25(7), 1151–1156.
Vancouver
1.
Bellemans J, Vandenneucker H, Van Lauwe J, Victor J. A new surgical technique for medial collateral ligament balancing: multiple needle puncturing. JOURNAL OF ARTHROPLASTY. 2010;25(7):1151–6.
MLA
Bellemans, Johan, Hilde Vandenneucker, Johan Van Lauwe, et al. “A New Surgical Technique for Medial Collateral Ligament Balancing: Multiple Needle Puncturing.” JOURNAL OF ARTHROPLASTY 25.7 (2010): 1151–1156. Print.
@article{1967330,
  abstract     = {In this article, we present our experience with a new technique for medial soft tissue balancing, where we make multiple punctures in the medial collateral ligament (MCL) using a 19-gauge needle, to progressively stretch the MCL until a correct ligament balance is achieved. Ligament status was evaluated both before and after the procedure using computer navigation and mediolateral stress testing. The procedure was considered successful when 2 to 4-mm mediolateral joint line opening was obtained in extension and 2 to 6 mm in flexion. In 34 of 35 cases, a progressive correction of medial tightness was achieved according to the above described criteria. One case was considered overreleased in extension. Needle puncturing is a new, effective, and safe technique for progressive correction of MCL tightness in the varus knee.},
  author       = {Bellemans, Johan and Vandenneucker, Hilde and Van Lauwe, Johan and Victor, Jan},
  issn         = {0883-5403},
  journal      = {JOURNAL OF ARTHROPLASTY},
  keyword      = {ligament balancing,needle punctures,varus,TOTAL KNEE ARTHROPLASTY,PIE CRUST TECHNIQUE,DUPUYTRENS-DISEASE,VALGUS DEFORMITY,TRIGGER THUMB,FLEXION GAP,FOLLOW-UP,LAXITY,OSTEOARTHRITIS,RELEASE},
  language     = {eng},
  number       = {7},
  pages        = {1151--1156},
  title        = {A new surgical technique for medial collateral ligament balancing: multiple needle puncturing},
  url          = {http://dx.doi.org/10.1016/j.arth.2010.03.007},
  volume       = {25},
  year         = {2010},
}

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