alignment

Alignment

Principle

TKR Varus Implant

 

Correct alignment and soft tissue balancing

- two of the most important aspects of successful TKR

 

Technical Goals

 

1.  Restoration of mechanical alignment

- forces of the leg pass through the centre of the hip, knee and ankle

Chronic PLC Management

Issues

 

Limb alignment

 

Risk that late posterolateral corner reconstruction will fail in the setting of the varus knee

- varus knee alignment and varus thrust in stance phase

- consider osteotomy first in this setting

 

Results

 

Posterolateral Corner Reconstruction

 

Moulton et al. Am J Sports Med 2016

- systematic review of PCL reconstruction for chronic injuries

- 450 patients