Babazadeh Sina, Stoney James D, Lim Keith, Choong Peter F M
Department of Orthopaedics, St. Vincent's Hospital;
Orthop Rev (Pavia). 2009 Oct 10;1(2):e26. doi: 10.4081/or.2009.e26.
Ligament balancing affects many of the postoperative criteria for a successful knee replacement. A balanced knee contributes to improved alignment and stability. Ligament balancing helps reduce wear and loosening of the joint. A patient with a balanced knee is more likely to have increased range of motion and proprioception, and decreased pain. All these factors help minimize the need for revision surgery. Complications associated with ligament balancing can include instability caused by over-balancing and the possibility of neurovascular damage during or as a result of ligament balancing. This article attempts to summarize the literature, to define a balanced knee, and outline the benefits and possible complications of ligament balancing. Different techniques, sequences, and tools used in ligament balancing, and their relevance in correcting various deformities are reviewed.
韧带平衡影响膝关节置换成功的许多术后标准。平衡的膝关节有助于改善对线和稳定性。韧带平衡有助于减少关节磨损和松动。膝关节平衡的患者更有可能增加活动范围和本体感觉，并减轻疼痛。所有这些因素都有助于减少翻修手术的必要性。与韧带平衡相关的并发症可能包括过度平衡导致的不稳定以及韧带平衡过程中或之后发生神经血管损伤的可能性。本文试图总结相关文献，定义平衡的膝关节，并概述韧带平衡的益处和可能的并发症。还将回顾韧带平衡中使用的不同技术、顺序和工具，以及它们在纠正各种畸形方面的相关性。
