A technique of staged lateral release to correct patellar tracking in total knee arthroplasty.
Optimal patellar tracking and component alignment are important in achieving a well-functioning total knee arthroplasty (TKA). The patella is constrained partly by design of the prosthetic trochlear groove, and patellar tracking is governed by a combination of static and dynamic factors. Maltracking may result from excessive or unbalanced tension in the surrounding soft tissues. This article describes a staged progressive lateral release of the patellar retinaculum in TKA, which is classified into 6 stages. Stage 1 transects the deep lateral patellofemoral ligament; stages 2 to 6 extend the lateral patellar incision distally from vastus lateralis to the tibial tubercle. This technique was used in a series of 96 primary TKAs. We report the rates of the various stages of lateral release and the variables that might affect the decision to perform such a release.
Department of Orthopaedic Surgery, Charing Cross Hospital, London, UK.
Robin K
RK
Strachan
Azhar M
AM
Merican
Bernard
B
Devadasan
Rohit
R
Maheshwari
Andrew A
AA
Amis
D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D005260:Female; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008297:Male; D020370:Osteoarthritis, Knee / Q000601:surgery; D010329:Patella / Q000601:surgery*