The correction of severe varus deformity in total knee arthroplasty by tibial component downsizing and resection of uncapped proximal medial bone.
J Arthroplasty
; 19(1): 19-22, 2004 Jan.
Article
em En
| MEDLINE
| ID: mdl-14716645
ABSTRACT
The clinical and radiologic outcome of 10 patients (12 knees) with a mean varus deformity of 24 degrees (range, 20 degrees to 40 degrees ) treated with total knee arthroplasty (TKA) is presented. We describe a technique of downsizing and lateralizing the tibial component with subsequent removal of the proximal medial tibia flush with the downsized component. At a mean follow-up of 42 months (range, 12 to 64 months), the mean preoperative Knee Society and function scores had improved from 24 and 34 to 94 and 85, respectively, at follow-up. No implant has been revised. At follow-up evaluation, no evidence of osteolysis or radiographic loosening was seen and the mean tibiofemoral angle was 4 degrees of valgus. This technique provides mid-term stable correction and excellent clinical and radiographic results in patients with severe varus deformity.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Deformidades Articulares Adquiridas
/
Artroplastia do Joelho
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Humans
Idioma:
En
Revista:
J Arthroplasty
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Estados Unidos