Abstract
The following points are essential to achieve success with the measured (anatomical reference) resection technique for cruciate-retaining total knee arthroplasty. First, the component is placed according to the anatomical landmarks of the patient while taking care to avoid rotational error by the anterior reference method.
Second, soft tissue dissection is minimized. Third, when release of the posterior cruciate ligament (PCL) is required, it is not performed at the ligament itself. Instead, V-shaped osteotomy is done at the tibial PCL attachment site, and tension on the ligament is adjusted with a cancellous bone graft (V shaped osteotomy with cancerous bone graft:VOCG).
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Akizuki, S., Horiuchi, H. (2017). Measured (Anatomical Reference) Resection Technique for Cruciate-Retaining Total Knee Arthroplasty. In: Matsuda, S., Lustig, S., van der Merwe, W. (eds) Soft Tissue Balancing in Total Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54082-4_5
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