Outcomes after knee arthroplasty in extra-articular deformity
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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.
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.
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.
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.
KeywordsArthroplasty Extra-articular deformity Knee Mechanical axis
Compliance with ethical standards
Conflict of interest
The authors have no conflicts of interest.
Research involving human participants
The research project was approved by the institutional Research Ethics Committee with opinion number 2,046,597.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 1.Krackow KA, Holtgrewe JL (1990) Experience with a new technique for managing severely overcorrected valgus high tibial osteotomy at total knee arthroplasty. Clin Orthop Relat Res 213–224Google Scholar
- 12.Puliero B, Favreau H, Eichler D, Adam P, Bonnomet F, Ehlinger M (2018) Total knee arthroplasty in patients with varus deformities greater than ten degrees: survival analysis at a mean ten year follow up. Int OrthopGoogle Scholar
- 24.Saragaglia D, Sigwalt L, Gaillot J, Morin V, Rubens-Duval B, Pailhé R (2018) Results with eight and half-years average follow-up on two hundred and eight e-Motion FP® knee prostheses, fitted using computer navigation for knee osteoarthritis in patients with over ten degrees genu varum. Int Orthop 42(4):799–804CrossRefPubMedGoogle Scholar