Posterior Capsular Release in Soft-Tissue Balancing to Correct Valgus Deformity and Flexion Contracture During Total Knee Arthroplasty.
- 1Department of Orthopaedic Surgery Tohoku Orthopaedic and Dental Clinic Sendai-city Japan.
- 2Department of Orthopaedic Surgery Tohoku Kousai Hospital Sendai-city Japan.
- 3Department of Orthopaedic Surgery Tohoku University Graduate School of Medicine Sendai-city Japan.
Abstract
Total knee arthroplasty for valgus knee deformities presents many challenging problems, especially in soft-tissue handling, although many soft-tissue balancing techniques have been described to date. Posterior capsular release, a soft-tissue balancing technique used to correct both valgus deformity and flexion contracture during total knee arthroplasty, is described in this technical note. Because this procedure does not sacrifice important lateral stabilizers, varus instability in knee flexion can be avoided. Furthermore, the release is performed just posterior to the femoral condyle without the risk of damaging the lateral collateral ligament and peroneal nerve associated with the posterior capsular division technique. We recommend this procedure as the first-choice strategy because additional procedures are required in some cases.
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BibTeX
@article{sugita2026posterior,
title = {{Posterior Capsular Release in Soft-Tissue Balancing to Correct Valgus Deformity and Flexion Contracture During Total Knee Arthroplasty.}},
author = {Takehiko Sugita and Yasuhito Sogi and Naohisa Miyatake and Akira Sasaki and Satoshi Kodajima and Ko Hashimoto and Toshimi Aizawa},
journal = {Arthroscopy techniques},
year = {2026},
month = nov,
doi = {10.1002/atn2.70390},
url = {https://europepmc.org/article/MED/42996743},
note = {CC BY},
}
RIS
TY - JOUR
TI - Posterior Capsular Release in Soft-Tissue Balancing to Correct Valgus Deformity and Flexion Contracture During Total Knee Arthroplasty.
AU - Takehiko Sugita
AU - Yasuhito Sogi
AU - Naohisa Miyatake
AU - Akira Sasaki
AU - Satoshi Kodajima
AU - Ko Hashimoto
AU - Toshimi Aizawa
PY - 2026
DA - 2026/11/05
JO - Arthroscopy techniques
DO - 10.1002/atn2.70390
UR - https://europepmc.org/article/MED/42996743
AB - Total knee arthroplasty for valgus knee deformities presents many challenging problems, especially in soft-tissue handling, although many soft-tissue balancing techniques have been described to date. Posterior capsular release, a soft-tissue balancing technique used to correct both valgus deformity and flexion contracture during total knee arthroplasty, is described in this technical note. Because this procedure does not sacrifice important lateral stabilizers, varus instability in knee flexion can be avoided. Furthermore, the release is performed just posterior to the femoral condyle without the risk of damaging the lateral collateral ligament and peroneal nerve associated with the posterior capsular division technique. We recommend this procedure as the first-choice strategy because additional procedures are required in some cases.
SN - 2212-6287
ER -