Correcting severe valgus deformity TAKING OUT THE KNOCK

被引:28
作者
Lange, J. [1 ]
Haas, S. B. [2 ]
机构
[1] Hosp Special Surg, Dept Orthopaed Surg, 535 East 70th St, New York, NY 10021 USA
[2] Hosp Special Surg, Dept Orthopaed Surg, Knee Serv, 535 East 70th St, New York, NY 10021 USA
关键词
TOTAL KNEE ARTHROPLASTY; LATERAL PARAPATELLAR APPROACH; CONSTRAINED CONDYLAR KNEE; ALIGNMENT; VARUS; RADIOGRAPHS; FAILURE; RELEASE; ANGLE; AXIS;
D O I
10.1302/0301-620X.99B1.BJJ-2016-0340.R1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Valgus knee deformity can present a number of unique surgical challenges for the total knee arthroplasty (TKA) surgeon. Understanding the typical patterns of bone and soft-tissue pathology in the valgus arthritic knee is critical for appropriate surgical planning. This review aims to provide the knee arthroplasty surgeon with an understanding of surgical management strategies for the treatment of valgus knee arthritis. Lateral femoral and tibial deficiencies, contracted lateral soft tissues, attenuated medial soft tissues, and multiplanar deformities may all be present in the valgus arthritic knee. A number of classifications have been reported in order to guide surgical management, and a variety of surgical strategies have been described with satisfactory clinical results. Depending on the severity of the deformity, a variety of TKA implant designs may be appropriate for use. Regardless of an operating surgeon's preferred surgical strategy, adherence to a step-wise approach to deformity correction is advised.
引用
收藏
页码:60 / 64
页数:5
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