{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T17:16:59Z","timestamp":1769275019752,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,12,29]],"date-time":"2016-12-29T00:00:00Z","timestamp":1482969600000},"content-version":"vor","delay-in-days":58,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:p>Total knee arthroplasty (<jats:styled-content style=\"fixed-case\">TKA<\/jats:styled-content>) without soft tissue balance can create a balanced knee to a mechanical axis of near neutral with bone cuts, and remove osteophytes thoroughly. In this study, the authors present detailed steps for performing <jats:styled-content style=\"fixed-case\">TKA<\/jats:styled-content>. The attached video demonstrates the <jats:styled-content style=\"fixed-case\">TKA<\/jats:styled-content> procedure. The patient is a 77\u2010year\u2010old man who had suffered from knee pain for 12\u2009years. Physical examination showed the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pley test to be positive and that the range of motion (<jats:styled-content style=\"fixed-case\">ROM<\/jats:styled-content>) decreased. An <jats:styled-content style=\"fixed-case\">X<\/jats:styled-content>\u2010ray filmed at the positive lateral of the knee joint and the double lower extremity revealed a progression of degenerative osteoarthritis with genu varum. The key point of no soft tissue release is to make a rectangular extensional space by osteotomy. In addition, the osteophytes, especially syndesmophytes, should be removed thoroughly. As a result, the ligaments can achieve ideal length and the flexion contracture can also be remedied. Moreover, in surgeries without soft tissue release, bone mass and normal tissue are retained. Patients are satisfied to the surgery not only with less blood loss, anterior knee pain and <jats:styled-content style=\"fixed-case\">DVT<\/jats:styled-content>, but also faster rehabilitation. In summary, <jats:styled-content style=\"fixed-case\">TKA<\/jats:styled-content> without soft tissue balance is an efficient procedure for patients with knee osteoarthritis which can result in good prognosis.<\/jats:p>","DOI":"10.1111\/os.12289","type":"journal-article","created":{"date-parts":[[2016,12,29]],"date-time":"2016-12-29T12:40:27Z","timestamp":1483015227000},"page":"519-522","source":"Crossref","is-referenced-by-count":2,"title":["Surgical Technique of Total Knee Arthroplasty without Soft Tissue Balance"],"prefix":"10.1111","volume":"8","author":[{"given":"Hong\u2010tao","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Joint Surgery Hebei Medical University Third Affiliated Hospital  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiang\u2010tao","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery Hebei Medical University Third Affiliated Hospital  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery Hebei Medical University Third Affiliated Hospital  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi\u2010jun","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery Hebei Medical University Third Affiliated Hospital  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20101221-21"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/10929088.2014.889212"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.11.004"},{"key":"e_1_2_6_5_1","first-page":"2671","article-title":"Total knee arthroplasty for severe valgus deformity","volume":"86","author":"Ranawat AS","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1302\/0301-620X.60B3.681410","article-title":"ICLH arthroplasty of the knee: 1968\u2010\u20101977","volume":"60","author":"Freeman MA","year":"1978","journal-title":"J Bone Joint Surg Br"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198501000-00003"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199402000-00005"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.76B6.7983123"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(99)90078-5"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1097\/00003086-199112000-00005","article-title":"Primary total knee arthroplasty in patients with severe varus deformity. 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