Lateral approach for total knee arthroplasty in patients with valgus deformity: A step-by-step surgical technique.

ABSTRACT:

Background

The lateral approach in total knee arthroplasty (TKA) is indicated primarily for patients with valgus knee deformity, as it allows direct access to the lateral anatomy and systematic correction of associated pathologies.

Surgical technique

This technique involves strategic lateral soft tissue releases, which improve exposure to the posterolateral corner, enhance tibial rotation, and support patellar alignment without compromising medial vascularity or requiring a tibial tubercle osteotomy for joint exposure. Critical steps in the lateral TKA approach include maintaining a capsular-synovial overlap and preserving the Hoffa fat pad for optimal joint closure, releasing the lateral soft-tissue structures, and using a contralateral tibial cutting guide for enhanced acc

SUBMITTER: Yang B 

PROVIDER: S-EPMC12401512 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature