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Appropriate balancing of the patellofemoral joint (PFJ) using a lateral release can help to prevent patellar instability in total knee arthroplasty (TKA).
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Some authors [ 2– 4] have stated that releases of these structures are best addressed by direct access using a lateral approach.
Sinuses were grafted using a lateral approach.
Using a lateral approach, the right proximal femur was exposed.
The use of a lateral release significantly increased the risk of revision (OR 1.85; 1.85-3.01.85
Of the 10/59 that did not have a lateral release, five of them had had a prior lateral release at a previous surgery.
If a lateral release is to be performed, it is made through this same incision.
A lateral release was undertaken when a lateral patellar shift was observed after implantation.
With cutting of the lateral retinaculum near the patella, about 1 cm up to the fibers of the lateral vastus muscle, a lateral release was performed.
Technical factors associated with increased revision risk included receiving a lateral release.
For example, requiring a lateral release may be indicative of procedural complexity.
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