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Preoperative planning and surgical technique: how do I balance my ankle?

Authors
 Woo Jin Choi  ;  Bom Soo Kim  ;  Jin Woo Lee 
Citation
 Foot & Ankle International, Vol.33(3) : 244-249, 2012 
Journal Title
 Foot & Ankle International 
ISSN
 1071-1007 
Issue Date
2012
MeSH
Algorithms ; Ankle Joint/physiopathology ; Ankle Joint/surgery ; Arthroplasty, Replacement, Ankle/methods* ; Bone Malalignment/physiopathology ; Bone Malalignment/surgery ; Calcaneus/surgery ; Humans ; Joint Instability/physiopathology ; Joint Instability/surgery ; Ligaments, Articular/physiopathology ; Ligaments, Articular/surgery* ; Metatarsal Bones/surgery ; Osteoarthritis/physiopathology ; Osteoarthritis/surgery ; Osteotomy ; Preoperative Care*
Keywords
Total Ankle Arthroplasty ; Ligament Balancing ; Peritalar Instability
Abstract
Ligament balancing during total ankle arthroplasty is an important step in optimizing the mechanical balance of the ankle joint. Soft-tissue contractures that result from varus or valgus coronal plane deformity can pose a difficult problem, and the surgeon should have a standard procedure for managing such situations in the operating room. Balance may be assessed intraoperatively with the use of spacer blocks, laminar spreaders, and tensioning devices as well as by placement of trial components. Techniques used to balance the varus or valgus ankle during primary total ankle arthroplasty include osteophyte resection, soft-tissue release, and bone resection. Mediolateral ligament balancing is crucial for long-term success and patient satisfaction.
Full Text
http://fai.sagepub.com/content/33/3/244
DOI
22734289
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Bom Soo(김범수)
Lee, Jin Woo(이진우) ORCID logo https://orcid.org/0000-0002-0293-9017
Choi, Woo Jin(최우진)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/90296
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