1. Coronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee
- Author
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Vicente J. León-Muñoz, Silvio Manca, Mirian López-López, Francisco Martínez-Martínez, and Fernando Santonja-Medina
- Subjects
Medicine ,Science - Abstract
Abstract Individualized pre-operative assessment of the patterns of the lower extremity anatomy and deformities in patients undergoing total knee arthroplasty seems essential for a successful surgery. In the present study, we investigated the relationship among the coronal alignment and the rotational profile of the lower extremities in the Caucasian population with end-stage knee osteoarthritis. We conducted a prospective study of 385 knees that underwent a pre-operative three-dimensional computed tomography-based model. The lower extremity alignment was determined (mechanical tibiofemoral or hip-knee-ankle angle, supplementary angle of the femoral lateral distal angle, and proximal medial tibial angle). For each case, the femoral distal rotation (condylar twist angle), the femoral proximal version, and the tibial torsion were determined. As the coronal alignment changed from varus to valgus, the femoral external rotation increased (r = 0.217; p
- Published
- 2021
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