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International Orthopaedics
Erschienen in: International Orthopaedics 9/2019

14.09.2018 | Original Paper

Outcomes after knee arthroplasty in extra-articular deformity

verfasst von: Fabricio Bolpato Loures, Wesley Correia, João Henrique Reis, Rodrigo Sattamini Pires e Albuquerque, Alan de Paula Mozela, Eduardo Branco de Souza, Phelippe Valente Maia, João Maurício Barretto

Erschienen in: International Orthopaedics | Ausgabe 9/2019

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Abstract

Purpose

To assess functional outcomes in patients undergoing total knee arthroplasty (TKA) without previous corrective osteotomy for treatment of knee osteoarthritis associated with extra-articular deformity.

Methods

From January to December 2016, patients with knee osteoarthritis with extra-articular deformities who presented for preoperative assessment before TKA were evaluated prospectively. Physical and radiological characteristics were documented pre- and postoperatively.

Results

TKA was performed in 33 knees; 25 were considered for analysis. The mean age was 65.2 years (range, 48–79 years). Sixteen deformities were secondary to fractures and nine to failed osteotomies. The mean Knee Society Score (KSS) improved from 27.1 pre-operatively to 68.7 post-operatively (p = 0.000). Pre-operative mechanical axis ranged from 32° varus (negative) to 26° valgus. After correction, 20 knees were within 3° (varus or valgus) of mechanical alignment.

Conclusion

In patients with extra-articular deformities, TKA with asymmetric intra-articular resection and ligament balancing can relieve pain and realign the mechanical axis of the lower limb.
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Metadaten
Titel
Outcomes after knee arthroplasty in extra-articular deformity
verfasst von
Fabricio Bolpato Loures
Wesley Correia
João Henrique Reis
Rodrigo Sattamini Pires e Albuquerque
Alan de Paula Mozela
Eduardo Branco de Souza
Phelippe Valente Maia
João Maurício Barretto
Publikationsdatum
14.09.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 9/2019
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-018-4147-9

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