Tags

Type your tag names separated by a space and hit enter

[Total knee replacement in valgus knee].
Zhonghua Wai Ke Za Zhi. 2005 Oct 15; 43(20):1305-8.ZW

Abstract

OBJECTIVE

To investigate the methods and clinical results of total knee replacement (TKA) in patients with valgus knee deformity.

METHODS

Between January 1996 and August 2004, 87 TKAs were performed by means of medial parapatellar approach, standard osteotomy and only lateral soft tissue release with posterior stabilized implants on 74 patients (11 men and 63 women) with valgus deformity. The average age at the time of operation was 62.93 years (range, 26-80 years). Clinical and radiographic evaluations including range of motion (ROM), Knee Society Score System (KSS) and the tibial and femur angle (T-F angle) were performed at follow-up.

RESULTS

After a mean follow-up of 33.8 months (range, 5 months-9 years), the average ROM improved from 91 degrees (range, 70 degrees-120 degrees) preoperatively to 112.4 degrees (range, 80 degrees-130 degrees) postoperatively, the average KSS improved from 22.7 points (0-48 points) preoperatively to 81.7 points (range, 71-93 points) postoperatively. The average function score improved from 26.5 points preoperatively to 86.3 points postoperatively, the average T-F angle was corrected from 21.59 degrees (range, 12 degrees-40 degrees) of valgus preoperatively to 8.7 degrees (0 degrees-11 degrees) of valgus postoperatively. One knee had lightly instability at follow-up, one knee with patellar dislocation preoperatively had subdislocation postoperatively, no other complication occurred.

CONCLUSIONS

The techniques of medial parapatellar approach, standard osteotomy and only lateral soft tissue release with posterior stabilized implants can correct a fixed valgus deformity very successfully in patients undergoing primary total knee replacement, and provides excellent results.

Authors+Show Affiliations

Lü HS
Arthritis Institute, Peking University People's Hospital, Beijing 100044, China.
Guan ZP
No affiliation info available
Zhou DG
No affiliation info available
Yuan YL
No affiliation info available

MeSH

AdultAgedAged, 80 and overArthroplasty, Replacement, KneeFemaleFollow-Up StudiesHumansJoint Deformities, AcquiredKnee JointKnee ProsthesisMaleMiddle AgedRetrospective StudiesTreatment Outcome

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

16271240

Citation

Lü, Hou-shan, et al. "[Total Knee Replacement in Valgus Knee]." Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], vol. 43, no. 20, 2005, pp. 1305-8.
Lü HS, Guan ZP, Zhou DG, et al. [Total knee replacement in valgus knee]. Zhonghua Wai Ke Za Zhi. 2005;43(20):1305-8.
Lü, H. S., Guan, Z. P., Zhou, D. G., & Yuan, Y. L. (2005). [Total knee replacement in valgus knee]. Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], 43(20), 1305-8.
Lü HS, et al. [Total Knee Replacement in Valgus Knee]. Zhonghua Wai Ke Za Zhi. 2005 Oct 15;43(20):1305-8. PubMed PMID: 16271240.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Total knee replacement in valgus knee]. AU - Lü,Hou-shan, AU - Guan,Zhen-peng, AU - Zhou,Dian-ge, AU - Yuan,Yan-lin, PY - 2005/11/8/pubmed PY - 2007/4/18/medline PY - 2005/11/8/entrez SP - 1305 EP - 8 JF - Zhonghua wai ke za zhi [Chinese journal of surgery] JO - Zhonghua Wai Ke Za Zhi VL - 43 IS - 20 N2 - OBJECTIVE: To investigate the methods and clinical results of total knee replacement (TKA) in patients with valgus knee deformity. METHODS: Between January 1996 and August 2004, 87 TKAs were performed by means of medial parapatellar approach, standard osteotomy and only lateral soft tissue release with posterior stabilized implants on 74 patients (11 men and 63 women) with valgus deformity. The average age at the time of operation was 62.93 years (range, 26-80 years). Clinical and radiographic evaluations including range of motion (ROM), Knee Society Score System (KSS) and the tibial and femur angle (T-F angle) were performed at follow-up. RESULTS: After a mean follow-up of 33.8 months (range, 5 months-9 years), the average ROM improved from 91 degrees (range, 70 degrees-120 degrees) preoperatively to 112.4 degrees (range, 80 degrees-130 degrees) postoperatively, the average KSS improved from 22.7 points (0-48 points) preoperatively to 81.7 points (range, 71-93 points) postoperatively. The average function score improved from 26.5 points preoperatively to 86.3 points postoperatively, the average T-F angle was corrected from 21.59 degrees (range, 12 degrees-40 degrees) of valgus preoperatively to 8.7 degrees (0 degrees-11 degrees) of valgus postoperatively. One knee had lightly instability at follow-up, one knee with patellar dislocation preoperatively had subdislocation postoperatively, no other complication occurred. CONCLUSIONS: The techniques of medial parapatellar approach, standard osteotomy and only lateral soft tissue release with posterior stabilized implants can correct a fixed valgus deformity very successfully in patients undergoing primary total knee replacement, and provides excellent results. SN - 0529-5815 UR - https://www.unboundmedicine.com/medline/citation/16271240/[Total_knee_replacement_in_valgus_knee]_ DB - PRIME DP - Unbound Medicine ER -