scholarly journals Ipsilateral stress fracture of the proximal fibula after total knee arthroplasty in a patient with severe valgus knee deformity on a background of Rheumatoid arthritis

2018 ◽  
Vol 45 ◽  
pp. 17-21
Author(s):  
Hirokazu Takai ◽  
Sakumo Kii ◽  
Masatoshi Murayama ◽  
Nobutake Nakane ◽  
Tomoki Takahashi
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Arthroplasty ◽  
Stress Fracture ◽  
Knee Arthroplasty ◽  
Valgus Knee ◽  
Proximal Fibula ◽  
Knee Deformity ◽  
Total Knee

scholarly journals Lateral or medial approach for valgus knee in total knee arthroplasty - which one is better? A systematic review

2019 ◽  
Vol 47 (11) ◽  
pp. 5400-5413 ◽  
Author(s):  
Bin Wang ◽  
Dan Xing ◽  
Jiao Jiao Li ◽  
Yuanyuan Zhu ◽  
Shengjie Dong ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Evaluation Method ◽  
Primary Total Knee Arthroplasty ◽  
Lateral Approach ◽  
Tibial Tubercle ◽  
Valgus Knee ◽  
Medial Approach ◽  
Knee Deformity ◽  
Total Knee

Objective To identify whether the medial or lateral approach is superior for patients with valgus knees undergoing primary total knee arthroplasty (TKA). Methods Studies evaluating the 2 approaches were sourced from the PUBMED, EMBASE, Web of Science, and OVID databases. The quality of included studies was assessed using a modified quality evaluation method, and differences between approaches were systematically reviewed. Results Seventeen observational studies were included. The studies were published between 1991 and 2016, and included 5 retrospective studies and 12 prospective studies. Sixteen evaluation methods for the study outcomes were identified. Twelve and eight complication types were identified by studies reporting the lateral and medial approaches for valgus knee, respectively. Several studies showed that pain scores and knee function were superior using a lateral approach. Conclusion The lateral approach (combined with a tibial tubercle osteotomy or proximal quadriceps snip) was more useful and safer than the medial approach in the treatment of severe uncorrectable valgus knee deformity in patients undergoing TKA. Most of the available evidence supports the use of a lateral approach provided that the surgeon is familiar with the pathological anatomy of the valgus knee.

scholarly journals Bilateral Stress Fractures of the Femoral Neck after Total Knee Arthroplasty: Importance of Early Diagnosis

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Sei Morinaga ◽  
Kenichi Ueshima ◽  
Yoshinobu Maruhashi ◽  
Noriyuki Hashimoto ◽  
Shoji Watanabe ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Arthroplasty ◽  
Total Hip Arthroplasty ◽  
Femoral Neck ◽  
Stress Fracture ◽  
Knee Arthroplasty ◽  
English Literature ◽  
Rare Complication ◽  
Stress Fractures ◽  
Total Knee

Unilateral stress fracture of the femoral neck following total knee arthroplasty (TKA) is a rare complication; only 21 cases are described in English literature so far. Bilateral stress fractures of the femoral neck occurring simultaneously following a bilateral TKA have been seen in only 2 cases till now. We report a patient suffering from rheumatoid arthritis of both knees, who was treated with bilateral TKA. She developed spontaneous fractures of the femoral neck on both sides 12 months following the TKA. She was treated with bilateral total hip arthroplasty (THA). Stress fracture of the femoral neck should be suspected in patients complaining of hip pain who have undergone TKA.

scholarly journals Stress fracture of the proximal fibula after total knee arthroplasty

2016 ◽  
pp. bcr2016214886 ◽  
Author(s):  
Abhishek Vaish ◽  
Raju Vaishya ◽  
Amit Kumar Agarwal ◽  
Vipul Vijay
Keyword(s):  
Total Knee Arthroplasty ◽  
Stress Fracture ◽  
Knee Arthroplasty ◽  
Proximal Fibula ◽  
Total Knee

scholarly journals Application of 3D printed osteotomy guide plate-assisted total knee arthroplasty in treatment of valgus knee deformity

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Zhimin Shen ◽  
Hong Wang ◽  
Yiqiang Duan ◽  
Jian Wang ◽  
Fengyan Wang
Keyword(s):  
Total Knee Arthroplasty ◽  
Treatment Group ◽  
Knee Arthroplasty ◽  
Combined Treatment ◽  
Operation Time ◽  
Valgus Knee ◽  
Guide Plate ◽  
Knee Deformity ◽  
3D Printed ◽  
Total Knee

Abstract Introduction To analyze the application of 3D printed osteotomy guide plate-assisted total knee arthroplasty (TKA) for valgus knee deformity. Methods The clinical data of 20 patients with valgus knee deformity admitted to our hospital from April 2012 to April 2017 were collected and analyzed. According to the treatment method, these patients were divided into two groups: 3D printed osteotomy guide plate-assisted TKA (combined treatment group, n = 10) and TKA (treatment group, n = 10). The operation time, intraoperative bleeding volume, postoperative mean femorotibial angle (MFTA), and Knee Society Score (KSS) of the two groups were statistically analyzed. Results Compared with the treatment group, the operation time was significantly shorter (P < 0.05), the intraoperative blood loss and postoperative MFTA were significantly decreased (P < 0.05), and the clinical and functional scores were significantly increased (P < 0.05) in the combined treatment group. Conclusion 3D printed osteotomy guide plate-assisted TKA for valgus knee deformity is more effective than TKA alone.

scholarly journals Compensatory Function of the Subtalar Joint for Lower Extremity Malalignment

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Kensei Yoshimoto ◽  
Masahiko Noguchi ◽  
Akifumi Yamada ◽  
Yuki Nasu
Keyword(s):  
Total Knee Arthroplasty ◽  
Lower Extremity ◽  
Knee Arthroplasty ◽  
Subtalar Joint ◽  
Valgus Knee ◽  
Tibial Osteotomy ◽  
Varus Knee ◽  
Knee Deformity ◽  
Total Knee ◽  
Valgus Alignment

It is important to evaluate the subtalar joint and hip-knee-ankle alignment to understand lower extremity alignment. In this review, we focused on the compensatory changes in the subtalar joint alignment for the deformity of the knee and ankle joint, reviewing previous research. The subtalar joint alignment was compensatory valgus in patients with varus knee and ankle deformity, whereas it was uncertain whether the subtalar joint alignment was compensatory varus in patients with valgus knee and ankle deformity. The subtalar joint valgus alignment improved after total knee arthroplasty or high tibial osteotomy for varus knee deformity, even if the deformity was severe. In contrast, whether the subtalar joint alignment changed after the surgery for ankle or valgus knee deformity has not been considered. Further research on the compensatory function of the subtalar joint is needed.

scholarly journals Total knee arthroplasty in valgus knee deformity: is it still a challenge in 2021?

2021 ◽  
Author(s):  
D. Alesi ◽  
A. Meena ◽  
S. Fratini ◽  
V. G. Rinaldi ◽  
E. Cammisa ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Surgical Techniques ◽  
Valgus Deformity ◽  
Lateral Ligament ◽  
Valgus Knee ◽  
Ligament Balance ◽  
Comprehensive Knowledge ◽  
Knee Deformity ◽  
Total Knee

AbstractTotal knee arthroplasty in valgus knee deformities continues to be a challenge for a surgeon. Approximately 10% of patients who undergo total knee arthroplasty have a valgus deformity. While performing total knee arthroplasty in a severe valgus knee, one should aware with the technical aspects of surgical exposure, bone cuts of the distal femur and proximal tibia, medial and lateral ligament balancing, flexion and extension gap balancing, creating an appropriate tibiofemoral joint line, balancing the patellofemoral joint, preserving peroneal nerve function, and selection of the implant regarding constraint. Restoration of neutral mechanical axis and correct ligament balance are important factors for stability and longevity of the prosthesis and for good functional outcome. Thus, our review aims to provide step by step comprehensive knowledge about different surgical techniques for the correction of severe valgus deformity in total knee arthroplasty.

scholarly journals Postoperative laxity of the lateral soft tissue is largely negligible in total knee arthroplasty for varus osteoarthritis

2021 ◽  
Vol 29 (1) ◽  
pp. 230949902110020
Author(s):  
Seikai Toyooka ◽  
Hironari Masuda ◽  
Nobuhiro Nishihara ◽  
Takashi Kobayashi ◽  
Wataru Miyamoto ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Soft Tissue ◽  
Knee Arthroplasty ◽  
Mechanical Axis ◽  
Varus Deformity ◽  
Varus Knee ◽  
Before And After ◽  
Knee Deformity ◽  
Varus Stress ◽  
Total Knee

Purpose: To evaluate the integrity of lateral soft tissue in varus osteoarthritis knee by comparing the mechanical axis under varus stress during navigation-assisted total knee arthroplasty before and after compensating for a bone defect with the implant. Methods: Sixty-six knees that underwent total knee arthroplasty were investigated. The mechanical axis of the operated knee was evaluated under manual varus stress immediately after knee exposure and after navigation-assisted implantation. The correlation between each value of the mechanical axis and degree of preoperative varus deformity was compared by regression analysis. Results: The maximum mechanical axis under varus stress immediately after knee exposure increased in proportion to the degree of preoperative varus deformity. Moreover, the maximum mechanical axis under varus stress after implantation increased in proportion to the degree of preoperative varus deformity. Therefore, the severity of varus knee deformity leads to a progressive laxity of the lateral soft tissue. However, regression coefficients after implantation were much smaller than those measured immediately after knee exposure (0.99 vs 0.20). Based on the results of the regression formula, the postoperative laxity of the lateral soft tissue was negligible, provided that an appropriate thickness of the implant was compensated for the bone and cartilage defect in the medial compartment without changing the joint line. Conclusion: The severity of varus knee deformity leads to a progressive laxity of the lateral soft tissue. However, even if the degree of preoperative varus deformity is severe, most cases may not require additional procedures to address the residual lateral laxity.

Sign in / Sign up

Export Citation Format

Share Document