{"id":"https://openalex.org/W7225326388","doi":"https://doi.org/10.1002/atn2.70390","title":"Posterior Capsular Release in Soft\u2010Tissue Balancing to Correct Valgus Deformity and Flexion Contracture During Total Knee Arthroplasty","display_name":"Posterior Capsular Release in Soft\u2010Tissue Balancing to Correct Valgus Deformity and Flexion Contracture During Total Knee Arthroplasty","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225326388","doi":"https://doi.org/10.1002/atn2.70390","pmid":"https://pubmed.ncbi.nlm.nih.gov/42996743","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13739859"},"language":"en","primary_location":{"id":"doi:10.1002/atn2.70390","doi":"https://doi.org/10.1002/atn2.70390","is_oa":true,"landing_page_url":"https://doi.org/10.1002/atn2.70390","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/atn2.70390","source":{"id":"https://openalex.org/S2764888703","display_name":"Arthroscopy Techniques","issn_l":"2212-6287","issn":["2212-6287"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-70","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroscopy Techniques","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/atn2.70390","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046701977","display_name":"Takehiko Sugita","orcid":"https://orcid.org/0000-0002-7843-5931","observed_orcids":["https://orcid.org/0000-0002-7843-5931"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Takehiko Sugita","raw_affiliation_strings":["Department of Orthopaedic Surgery Tohoku Orthopaedic and Dental Clinic  Sendai\u2010city Japan"],"raw_orcid":"https://orcid.org/0000-0002-7843-5931","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Tohoku Orthopaedic and Dental Clinic  Sendai\u2010city Japan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043431833","display_name":"Yasuhito Sogi","orcid":"https://orcid.org/0000-0002-7160-267X","observed_orcids":["https://orcid.org/0000-0002-7160-267X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yasuhito Sogi","raw_affiliation_strings":["Department of Orthopaedic Surgery Tohoku Orthopaedic and Dental Clinic  Sendai\u2010city Japan"],"raw_orcid":"https://orcid.org/0000-0002-7160-267X","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Tohoku Orthopaedic and Dental Clinic  Sendai\u2010city Japan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029735591","display_name":"Naohisa Miyatake","orcid":"https://orcid.org/0000-0002-9103-9917","observed_orcids":["https://orcid.org/0000-0002-9103-9917"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Naohisa Miyatake","raw_affiliation_strings":["Department of Orthopaedic Surgery Tohoku Orthopaedic and Dental Clinic  Sendai\u2010city Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Tohoku Orthopaedic and Dental Clinic  Sendai\u2010city Japan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101503081","display_name":"Akira Sasaki","orcid":"https://orcid.org/0000-0001-7127-4111","observed_orcids":["https://orcid.org/0000-0001-7127-4111"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Akira Sasaki","raw_affiliation_strings":["Department of Orthopaedic Surgery Tohoku Orthopaedic and Dental Clinic  Sendai\u2010city Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Tohoku Orthopaedic and Dental Clinic  Sendai\u2010city Japan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160834957","display_name":"Satoshi Kodajima","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087932","display_name":"KKR Tohoku Kosai Hospital","ror":"https://ror.org/0050g6f93","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210087932"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Satoshi Kodajima","raw_affiliation_strings":["Department of Orthopaedic Surgery Tohoku Kousai Hospital  Sendai\u2010city Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Tohoku Kousai Hospital  Sendai\u2010city Japan","institution_ids":["https://openalex.org/I4210087932"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026510958","display_name":"Ko Hashimoto","orcid":"https://orcid.org/0000-0002-9644-054X","observed_orcids":["https://orcid.org/0000-0002-9644-054X"]},"institutions":[{"id":"https://openalex.org/I201537933","display_name":"Tohoku University","ror":"https://ror.org/01dq60k83","country_code":"JP","type":"education","lineage":["https://openalex.org/I201537933"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ko Hashimoto","raw_affiliation_strings":["Department of Orthopaedic Surgery Tohoku University Graduate School of Medicine  Sendai\u2010city Japan"],"raw_orcid":"https://orcid.org/0000-0002-9644-054X","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Tohoku University Graduate School of Medicine  Sendai\u2010city Japan","institution_ids":["https://openalex.org/I201537933"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062108209","display_name":"Toshimi Aizawa","orcid":"https://orcid.org/0000-0003-1571-5618","observed_orcids":["https://orcid.org/0000-0003-1571-5618"]},"institutions":[{"id":"https://openalex.org/I201537933","display_name":"Tohoku University","ror":"https://ror.org/01dq60k83","country_code":"JP","type":"education","lineage":["https://openalex.org/I201537933"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Toshimi Aizawa","raw_affiliation_strings":["Department of Orthopaedic Surgery Tohoku University Graduate School of Medicine  Sendai\u2010city Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Tohoku University Graduate School of Medicine  Sendai\u2010city Japan","institution_ids":["https://openalex.org/I201537933"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5046701977"],"corresponding_institution_ids":[],"apc_list":{"value":975,"currency":"USD","value_usd":975},"apc_paid":{"value":975,"currency":"USD","value_usd":975},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8796111,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"e70390","last_page":"e70390"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/total-knee-arthroplasty","display_name":"total knee arthroplasty","score":0.9010000228881836},{"id":"https://openalex.org/keywords/valgus-deformity","display_name":"valgus deformity","score":0.8740000128746033},{"id":"https://openalex.org/keywords/flexion-contracture","display_name":"flexion contracture","score":0.9879999756813049},{"id":"https://openalex.org/keywords/soft-tissue-balancing","display_name":"soft tissue balancing","score":0.996999979019165},{"id":"https://openalex.org/keywords/varus-instability","display_name":"varus instability","score":0.7580000162124634},{"id":"https://openalex.org/keywords/lateral-collateral-ligament","display_name":"lateral collateral ligament","score":0.8399999737739563},{"id":"https://openalex.org/keywords/common-peroneal-nerve","display_name":"peroneal nerve","score":0.7829999923706055},{"id":"https://openalex.org/keywords/knee-flexion","display_name":"knee flexion","score":0.5419999957084656}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9480000138282776},{"id":"https://openalex.org/C3017871827","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Total knee arthroplasty","level":2,"score":0.6937999725341797},{"id":"https://openalex.org/C2781017183","wikidata":"https://www.wikidata.org/wiki/Q7911553","display_name":"Valgus","level":2,"score":0.6899999976158142},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6370999813079834},{"id":"https://openalex.org/C2780345532","wikidata":"https://www.wikidata.org/wiki/Q735353","display_name":"Posterior cruciate ligament","level":3,"score":0.5569000244140625},{"id":"https://openalex.org/C2778879847","wikidata":"https://www.wikidata.org/wiki/Q14541638","display_name":"Valgus deformity","level":3,"score":0.5023999810218811},{"id":"https://openalex.org/C2776922776","wikidata":"https://www.wikidata.org/wiki/Q92787340","display_name":"Lateral release","level":3,"score":0.4584999978542328},{"id":"https://openalex.org/C2776937108","wikidata":"https://www.wikidata.org/wiki/Q1480291","display_name":"Contracture","level":2,"score":0.4271000027656555},{"id":"https://openalex.org/C2779753412","wikidata":"https://www.wikidata.org/wiki/Q39888","display_name":"Ligament","level":2,"score":0.4212999939918518},{"id":"https://openalex.org/C2779982284","wikidata":"https://www.wikidata.org/wiki/Q1182746","display_name":"Deformity","level":2,"score":0.4203999936580658},{"id":"https://openalex.org/C96646087","wikidata":"https://www.wikidata.org/wiki/Q978198","display_name":"Condyle","level":2,"score":0.3880999982357025},{"id":"https://openalex.org/C2778096516","wikidata":"https://www.wikidata.org/wiki/Q3241072","display_name":"Medial collateral ligament","level":3,"score":0.3506999909877777},{"id":"https://openalex.org/C2908736133","wikidata":"https://www.wikidata.org/wiki/Q37425","display_name":"Knee Joint","level":2,"score":0.3208000063896179},{"id":"https://openalex.org/C2910895738","wikidata":"https://www.wikidata.org/wiki/Q12151385","display_name":"FEMORAL CONDYLE","level":3,"score":0.30559998750686646},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.29339998960494995},{"id":"https://openalex.org/C2780101951","wikidata":"https://www.wikidata.org/wiki/Q2443822","display_name":"Varus deformity","level":4,"score":0.27799999713897705},{"id":"https://openalex.org/C2986595273","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Total knee replacement","level":2,"score":0.27790001034736633},{"id":"https://openalex.org/C2776389721","wikidata":"https://www.wikidata.org/wiki/Q2167748","display_name":"Osteotomy","level":2,"score":0.26579999923706055},{"id":"https://openalex.org/C2776664896","wikidata":"https://www.wikidata.org/wiki/Q1577203","display_name":"Common peroneal nerve","level":2,"score":0.2524999976158142},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.25060001015663147}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1002/atn2.70390","doi":"https://doi.org/10.1002/atn2.70390","is_oa":true,"landing_page_url":"https://doi.org/10.1002/atn2.70390","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/atn2.70390","source":{"id":"https://openalex.org/S2764888703","display_name":"Arthroscopy Techniques","issn_l":"2212-6287","issn":["2212-6287"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-70","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroscopy Techniques","raw_type":"journal-article"},{"id":"pmid:42996743","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42996743","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroscopy techniques","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13739859","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13739859/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthrosc Tech","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1002/atn2.70390","doi":"https://doi.org/10.1002/atn2.70390","is_oa":true,"landing_page_url":"https://doi.org/10.1002/atn2.70390","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/atn2.70390","source":{"id":"https://openalex.org/S2764888703","display_name":"Arthroscopy Techniques","issn_l":"2212-6287","issn":["2212-6287"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-70","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroscopy Techniques","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8199999928474426}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225326388.pdf","grobid_xml":"https://content.openalex.org/works/W7225326388.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1990902779","https://openalex.org/W2000482930","https://openalex.org/W2001354348","https://openalex.org/W2009021483","https://openalex.org/W2091274306","https://openalex.org/W2138281043","https://openalex.org/W2177435620","https://openalex.org/W2290249893","https://openalex.org/W2400664349","https://openalex.org/W2409728773","https://openalex.org/W2744870675","https://openalex.org/W2890904706","https://openalex.org/W3014377237","https://openalex.org/W3129970089","https://openalex.org/W3155112457","https://openalex.org/W3208876851","https://openalex.org/W4406535201","https://openalex.org/W4407240324"],"related_works":["https://openalex.org/W2312927837","https://openalex.org/W7015665944","https://openalex.org/W2569519749","https://openalex.org/W2102155462","https://openalex.org/W3208876851","https://openalex.org/W2177435620","https://openalex.org/W1987495464","https://openalex.org/W6923447515","https://openalex.org/W2978529719","https://openalex.org/W2091274306"],"abstract_inverted_index":{"Total":[0],"knee":[1,5,43,63],"arthroplasty":[2],"for":[3],"valgus":[4,36],"deformities":[6],"presents":[7],"many":[8,16],"challenging":[9],"problems,":[10],"especially":[11],"in":[12,47,62,111],"soft-tissue":[13,17,29],"handling,":[14],"although":[15],"balancing":[18,30],"techniques":[19],"have":[20],"been":[21],"described":[22,46],"to":[23,33,75],"date.":[24],"Posterior":[25],"capsular":[26,95],"release,":[27],"a":[28],"technique":[31],"used":[32],"correct":[34],"both":[35],"deformity":[37],"and":[38,88],"flexion":[39,64],"contracture":[40],"during":[41],"total":[42],"arthroplasty,":[44],"is":[45,71],"this":[48,52,100],"technical":[49],"note.":[50],"Because":[51],"procedure":[53,101],"does":[54],"not":[55],"sacrifice":[56],"important":[57],"lateral":[58,85],"stabilizers,":[59],"varus":[60],"instability":[61],"can":[65],"be":[66],"avoided.":[67],"Furthermore,":[68],"the":[69,76,80,84,93,103],"release":[70],"performed":[72],"just":[73],"posterior":[74,94],"femoral":[77],"condyle":[78],"without":[79],"risk":[81],"of":[82],"damaging":[83],"collateral":[86],"ligament":[87],"peroneal":[89],"nerve":[90],"associated":[91],"with":[92],"division":[96],"technique.":[97],"We":[98],"recommend":[99],"as":[102],"first-choice":[104],"strategy":[105],"because":[106],"additional":[107],"procedures":[108],"are":[109],"required":[110],"some":[112],"cases.":[113]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-06T00:00:00"}