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David T. Wallace Department of Biomedical Engineering, University of Strathclyde, Glasgow, UK
Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, UK

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Philip E. Riches Department of Biomedical Engineering, University of Strathclyde, Glasgow, UK

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Frédéric Picard Department of Biomedical Engineering, University of Strathclyde, Glasgow, UK
Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, UK

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Introduction Instability - reported as a feeling of buckling or giving way - is a commonplace symptom in osteoarthritic (OA) knees, being found in up to 72% of individuals. 1 – 5 In an attempt to understand and treat instability, either

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Chilan Bou Ghosson Leite Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Patricia Moreno Grangeiro Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Diego Ubrig Munhoz Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Pedro Nogueira Giglio Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Gilberto Luis Camanho Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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Riccardo Gomes Gobbi Instituto de Ortopedia e Traumatologia, Hospital das Clinicas, HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil

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anomalies are often associated with CFD, 4 such as dysplasia of the cruciate ligaments, leading to an anteroposterior knee instability. 5 Manner et al assessed the ligamentous dysplasia in congenital lower limb deformities, particularly in cases of

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Jonathan G. Robin Box Hill Hospital, Eastern Health Network, Australia

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Philippe Neyret Lyon 1 University, France

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recently attention has been directed at treating coronal malalignment and associated knee instabilities with HTO with and without ligament reconstruction. Further, there has been more interest shown in sagittal plane deformity of the proximal tibia. In

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Andrea Ferrera Department of Orthopaedic and Traumatology, Orthopaedic and Trauma Centre, Turin, Italy

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Jacques Menetrey Centre de Médecine du Sport et de l’Exercice (CMSE), Swiss Olympic Medical Center, Hirslanden Clinique La Colline, Geneva, Switzerland
Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland

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as a risk factor for failure of ACL reconstruction. Nowadays, PTO might be performed, if degenerative changes occur, in patients with varus knee plus ACL rupture in the absence of dynamic instability on weight-bearing lateral radiographs. ACL

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Lucy C. Walker Freeman Hospital, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, UK

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Nick D. Clement Freeman Hospital, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, UK

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Kanishka M. Ghosh Freeman Hospital, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, UK

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David J. Deehan Freeman Hospital, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, UK

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Introduction Total knee arthroplasty (TKA) is an effective intervention for managing end-stage degenerative joint disease of the knee. 1 The clinical outcome relies upon surgical factors such as implant alignment, sizing, and rotation as

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N. Reha Tandogan Çankaya Orthopedics, Ankara, Turkey

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Asim Kayaalp Çankaya Orthopedics, Ankara, Turkey

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tibial attachment. Widespread bone bruising in the lateral compartment indicates the severity of valgus injury. Reconstruction of medial injuries Reconstruction of medial knee injuries is indicated for chronic symptomatic medial instability

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, “La Paz” University Hospital-IdiPaz, Madrid, Spain

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%, with infection and aseptic loosening as the most common complications. Rotating hinge knee prostheses were most commonly indicated for infection, aseptic loosening, instability and bone loss. They had good outcome scores and survivorship, but continued

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Carlos A. Encinas-Ullán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital-IdiPaz, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital-IdiPaz, Spain

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, even for individuals with high physical demands. However, surgical treatment is necessary in cases of severe medial or multi-ligament injury to prevent chronic instability and posttraumatic arthritis. Epidemiology MCL is the most common knee

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Anoop Prasad Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Richard Donovan Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Manoj Ramachandran Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Sebastian Dawson-Bowling Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Steven Millington Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Rej Bhumbra Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Pramod Achan Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Sammy A. Hanna Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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included instability (11%), stiffness (6%), periprosthetic fracture (4%), infection (2%), aseptic loosening (1%) and extensor mechanism disruption (1%). Ten of 36 knees (28%) developed recurrent recurvatum post-operatively (five CRs, four CCKs and one RHK

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Jimmy Wui Guan Ng Nottingham City Hospital, Nottingham, UK

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Benjamin V. Bloch Nottingham City Hospital, Nottingham, UK

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Peter J. James Nottingham City Hospital, Nottingham, UK

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-flexion instability. Mid-flexion instability is defined as instability of the knee after TKA between 0° and 90° knee flexion. Inadvertent elevation of joint line, iatrogenic damage/insufficiency of the superficial medial collateral ligament and MR design TKA are

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