balancing

Balancing

Coronal Plane Balancing / Varus Valgus

 

Whiteside's Manual

 

  Medial Structures Lateral Structures
Tight in Extension

Posterior MCL

Semimembranosus

Posterior capsule

Pes Anserinus

ITB

Conversion HTO to TKR

Approach

 

1.  Incision and skin flaps

- previous incision may be L shaped

- may be good to use a vertical midline incision initially in HTO

- can usually incorporate incision

 

2.  Removal of hardware

- may wish to consider staged procedure

- staples not usually a problem (can ignore)