Total knee arthroplasty in the varus knee: tips and tricks.
Deformity
Knee
Outcomes
Total knee arthroplasty
Varus
Journal
International orthopaedics
ISSN: 1432-5195
Titre abrégé: Int Orthop
Pays: Germany
ID NLM: 7705431
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
received:
21
07
2018
accepted:
13
08
2018
pubmed:
25
8
2018
medline:
24
9
2019
entrez:
25
8
2018
Statut:
ppublish
Résumé
Varus knee deformity is very common, and it can be classified according to the severity and reducibility of the deformity. Pre-operative planning is mandatory to obtain a good result. Both clinical and radiological planning should be carefully performed, particularly focused on collateral ligament deficiency. In most of the cases, a postero-stabilized implant is necessary, but in the presence of a varus thrust, a midlevel constrained (MLC) implant may be necessary. Rarely, if a severe extra-articular deformity is present, a femoral osteotomy and a high constrain implant may be necessary. In most of the cases, a standard midline approach can be performed. Soft tissue balancing is crucial, avoiding excessive releases of the medial collateral ligament (MCL). In the presence of severe deformity, more aggressive procedure such as tibial reduction osteotomy or sliding medial epicondyle osteotomy can be performed. In literature, good outcomes are reported for total knee arthroplasty (TKA) in varus deformity. In this manuscript, the available literature on TKA in varus deformity is analyzed, and the preferred surgical techniques of the authors are described.
Identifiants
pubmed: 30141140
doi: 10.1007/s00264-018-4116-3
pii: 10.1007/s00264-018-4116-3
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
151-158Références
Clin Orthop Relat Res. 2003 Nov;(416):58-63
pubmed: 14646739
Clin Orthop Relat Res. 1986 Jan;(202):117-24
pubmed: 3955938
Clin Orthop Relat Res. 1991 Dec;(273):19-31
pubmed: 1959270
J Bone Joint Surg Br. 2012 May;94(5):642-7
pubmed: 22529084
J Arthroplasty. 2016 Oct;31(10):2156-60
pubmed: 27237965
J Arthroplasty. 2009 Dec;24(8):1164-9.e1
pubmed: 19577897
Acta Biomed. 2017 Jun 07;88(2S):112-117
pubmed: 28657572
Knee. 2011 Dec;18(6):456-60
pubmed: 20850328
Am J Sports Med. 2000 May-Jun;28(3):282-96
pubmed: 10843117
Clin Orthop Relat Res. 2012 Jan;470(1):45-53
pubmed: 21656315
J Bone Joint Surg Am. 2012 May 16;94(10):e66
pubmed: 22617932
J Arthroplasty. 2010 Oct;25(7):1151-6
pubmed: 20452181
Osteoarthritis Cartilage. 2015 Jul;23(7):1099-106
pubmed: 25677110
J Arthroplasty. 2006 Sep;21(6):803-8
pubmed: 16950030
J Arthroplasty. 2009 Aug;24(5):795-805
pubmed: 18534536
Knee Surg Sports Traumatol Arthrosc. 2013 Oct;21(10):2325-30
pubmed: 23552665
Osteoarthritis Cartilage. 2012 Jul;20(7):686-93
pubmed: 22430052
J Bone Joint Surg Am. 1974 Jun;56(4):665-74
pubmed: 4835814
J Bone Joint Surg Am. 1976 Jul;58(5):583-94
pubmed: 946969
Ann Rheum Dis. 1989 Mar;48(3):227-31
pubmed: 2930278
Clin Orthop Relat Res. 2014 Jan;472(1):126-32
pubmed: 23709274
Clin Biomech (Bristol, Avon). 1999 Dec;14(10):717-21
pubmed: 10545626
J Am Acad Orthop Surg. 2009 Dec;17(12):766-74
pubmed: 19948701
J Arthroplasty. 2018 Sep;33(9):2800-2803
pubmed: 29705681
Knee Surg Sports Traumatol Arthrosc. 2015 Dec;23(12):3653-9
pubmed: 25246172
J Orthop Res. 2014 Aug;32(8):1068-74
pubmed: 24820681
Clin Orthop Relat Res. 2017 Jun;475(6):1618-1626
pubmed: 28091802
Orthopedics. 2015 Feb;38(2):e112-7
pubmed: 25665115
J Bone Joint Surg Am. 2005;87 Suppl 2:71-80
pubmed: 16326726
Knee Surg Sports Traumatol Arthrosc. 2009 Jun;17(6):660-6
pubmed: 19290507
J Arthroplasty. 2004 Oct;19(7):862-6
pubmed: 15483802
Knee Surg Sports Traumatol Arthrosc. 2017 Sep;25(9):2873-2879
pubmed: 26831863
Acta Orthop. 2006 Feb;77(1):149-55
pubmed: 16534716
Eur J Radiol. 2016 Jan;85(1):228-232
pubmed: 26724670
J Arthroplasty. 2004 Jan;19(1):19-22
pubmed: 14716645
J Bone Joint Surg Br. 1994 Nov;76(6):938-42
pubmed: 7983123
Clin Orthop Relat Res. 2011 Apr;469(4):1154-60
pubmed: 21120711
Int Orthop. 2014 Feb;38(2):273-83
pubmed: 24366186
Clin Orthop Relat Res. 2015 Jan;473(1):166-74
pubmed: 25024033
Knee Surg Sports Traumatol Arthrosc. 2018 May;26(5):1506-1514
pubmed: 28299385
Clin Orthop Relat Res. 2013 May;471(5):1484-91
pubmed: 23283680
Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1629-1635
pubmed: 29204861
Clin Orthop Relat Res. 1996 Oct;(331):29-34
pubmed: 8895616
Int Orthop. 2018 Apr;42(4):799-804
pubmed: 28831536
J Biomech. 2005 Feb;38(2):349-55
pubmed: 15598463
Int Orthop. 2017 Jul;41(7):1369-1377
pubmed: 28396931
J Am Acad Orthop Surg. 2016 Apr;24(4):220-30
pubmed: 26990712
Bone Joint J. 2016 Jan;98-B(1 Suppl A):101-4
pubmed: 26733653
J Arthroplasty. 2016 Jul;31(7):1465-9
pubmed: 26897489
Arch Orthop Trauma Surg. 2017 Mar;137(3):393-400
pubmed: 28110363
Clin Biomech (Bristol, Avon). 2016 Nov;39:109-114
pubmed: 27744006
Clin Orthop Relat Res. 2007 Aug;461:238-44
pubmed: 17549027
Arthritis Rheum. 1998 Jul;41(7):1233-40
pubmed: 9663481
Int Orthop. 2019 Feb;43(2):333-341
pubmed: 29931548
J Arthroplasty. 2007 Jun;22(4 Suppl 1):15-9
pubmed: 17570271
J Arthroplasty. 2005 Aug;20(5):550-61
pubmed: 16309988