Tibia Valga Morphology in Osteoarthritic Knees: Importance of Preoperative Full Limb Radiographs in Total Knee Arthroplasty

被引:28
作者
Alghamdi, Ahmed [1 ]
Rahme, Michel [2 ]
Lavigne, Martin [3 ]
Masse, Vincent [3 ]
Vendittoli, Pascal-Andre [3 ]
机构
[1] King Fahad Med City, Riyadh, Saudi Arabia
[2] Hop Hautepierre, Strasbourg, France
[3] Hop Maison Neuve Rosemont, Montreal, PQ H1T 2M4, Canada
关键词
tibia valga; genu valgum; total knee arthroplasty; knee morphology; STRESS-FRACTURES; AXIAL ALIGNMENT; VARUS; PROGRESSION; NAVIGATION; MALALIGNMENT; ASSOCIATION; RELIABILITY; INCREASE; FEMUR;
D O I
10.1016/j.arth.2014.03.001
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
Osteoarthritis of the knee is associated with deformities of the lower limb. Tibia valga is a contributing factor to lower limb alignment in valgus knees. We evaluated 97 valgus knees and 100 varus knees. Long-leg films were taken in weight bearing with both knees in full extension. For valgus knees, 52 knees (53%) had a tibia valga deformity. Average tibia valgus deformation was 5.0. For varus knees, there was only 1 case of tibia valga (1%), with a deformation of 2.5. The aim of this study was to assess the prevalence of primary tibia valga in valgus and varus knees and understand how it affects our approach to total knee arthroplasty (TKA). We recommend having full-leg length films when planning for TKA in valgus knees. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:1671 / 1676
页数:6
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