Page 10 - Orthofeed 2022_issue1_June

Modified Medial Collateral Ligament Indentation Technique in Total Knee Arthroplasty 09
with Severe Type II Valgus Deformity

2. The KSS and KSF scores were similar between valgus deformity. J Bone Joint Surg Am. 2005; 87(Suppl
the LSR group and the MCLI group, and both 1): 271-84.
techniques involved thinner polyethylene inserts

without any common peroneal nerve paralysis. 4 2. Lange J, Haas SB. Correcting severe valgus deformity:
taking out the knock. Bone Joint J. 2017; 99: 60–4.
3. In the MCLI patients, CCK inserts were used in
a smaller proportion of patients than in the LSR 3. Krackow KA, Jones MM, Teeny SM, Hungerford DS.

group (15% vs 69.6%). 4 Primary total knee arthroplasty in patients with fixed
valgus deformity. Clin OrthopRelat Res. 1991; 273:9-18.
Is MCLI Technique better than
conventional LSR approach? 4. Li F, Wang C, Zhao MW, et al. Modified Medial Collateral

Ligament Indentation Technique in Total Knee
Advantages of the MCLI technique include : Arthroplasty with Severe Type II Valgus Deformity. Orthop
4
Surg. 2022; 0.1111/os.13230.
the unchanged position of the femur’s

epicondylar axis,

limited release of lateral structures,

stabilization of the flexion-extension gap,

the use of a standard thickness insert, with
which the original joint line can be maintained.

reduced risk of common peroneal nerve injury
(cases of common peroneal nerve paralysis
was nil in MCLI and one in the LSR group).

bone-to-bone contact surface was attained
with good bone healing potential after the
medial ligament was tightened.

Conclusion
Patient outcomes were satisfactorily good when
modified MCLI technique was used in TKA with

type II valgus deformity >20°. 4

Reference

1. Ranawat AS, Ranawat CS, Elkus M, Rasquinha VJ,
Rossi R, Babhulkar S. Total knee arthroplasty for severe