Femoral bowing affects varus femoral alignment but not patient satisfaction in mechanically aligned total knee arthroplasty View Full Text


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DATE

2021-11-15

AUTHORS

Naoki Umatani, Shinichi Kuriyama, Kohei Nishitani, Shinichiro Nakamura, Hiromu Ito, Shuichi Matsuda

ABSTRACT

PurposeThis study evaluated whether patients with particular lower limb morphological factors have femoral and tibial component malpositioning during mechanically aligned total knee arthroplasty (TKA) and lower postoperative satisfaction.MethodsThis study included 146 knees in 117 Asian patients undergoing TKA for medial osteoarthritis. Preoperative bony morphological factors such as the angle between the femoral mechanical and anatomical axes (MA-AA angle), angle between the anatomical axes of the proximal and distal femur (lateral bowing femoral angle, LBFA), mechanical lateral distal femoral angle, medial proximal tibial angle, and % anatomical axis of the tibia were evaluated, as well as preoperative and 1-year postoperative 2011 Knee Society scores (KSSs).ResultsMA-AA angle and LBFA were significantly larger in knees with varus femoral component alignment versus neutral alignment. Preoperative MA-AA angle was underestimated in patients with larger MA-AA angle or LBFA, especially by inexperienced surgeons. Tibial morphological factors did not affect tibial component alignment. Changes in 2011 KSSs were similar among groups by lower limb alignment or femoral and tibial component alignment.ConclusionFemoral bowing affects varus femoral component alignment by obscuring preoperative planning, but it had little impact on patient satisfaction when mechanical alignment is targeted during TKA. More... »

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1-8

References to SciGraph publications

  • 2015-07-04. No condylar lift-off occurs because of excessive lateral soft tissue laxity in neutrally aligned total knee arthroplasty: a computer simulation study in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2015-05-16. Cross-cultural adaptation and validation of the Japanese version of the new Knee Society Scoring System for osteoarthritic knee with total knee arthroplasty in JOURNAL OF ORTHOPAEDIC SCIENCE
  • 2018-03-01. Effects of Femoral Lateral Bowing on Coronal Alignment and Component Position after Total Knee Arthroplasty: A Comparison of Conventional and Navigation-Assisted Surgery in KNEE SURGERY & RELATED RESEARCH
  • 2012-09-26. Femoral Lateral Bowing and Varus Condylar Orientation Are Prevalent and Affect Axial Alignment of TKA in Koreans in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2013-04-04. Slight undercorrection following total knee arthroplasty results in superior clinical outcomes in varus knees in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2014-04-24. Femoral shaft bowing in the coronal plane has more significant effect on the coronal alignment of TKA than proximal or distal variations of femoral shape in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2016-08-09. Remaining mild varus limb alignment leads to better clinical outcome in total knee arthroplasty for varus osteoarthritis in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2011-07-26. Residual Varus Alignment does not Compromise Results of TKAs in Patients with Preoperative Varus in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
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    http://scigraph.springernature.com/pub.10.1007/s00590-021-03164-0

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    http://dx.doi.org/10.1007/s00590-021-03164-0

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34779926


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