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The Journal of Arthroplasty, ISSN: 0883-5403, Vol: 19, Issue: 7, Page: 935-940
Knee
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Reconstruction of the medial femoral condyle and medial collateral ligament in total knee arthroplasty using tendoachilles allograft with a calcaneal bone block
Peters, Christopher L; Dienst, Michael; Erickson, JillKnee
Absence or compromise of the medial collateral ligament (MCL) in conjunction with osseous defects of the medial femoral condyle in total knee arthroplasty (TKA) is a challenging reconstructive problem. Treatment usually requires a highly constrained TKA with or without ligamentous reconstruction. To restore the medial femoral condylar bone and to provide ligamentous stability on the medial side of the knee, the authors present a technique for reconstruction of the medial femoral condyle and MCL using a tendoachilles allograft with a calcaneal bone block. The construct also can be augmented with a semitendinosus tendon autograft. Two illustrative cases and a review of the literature are presented.
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