Outcomes after knee arthroplasty in extra-articular deformity.

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.

journal_name

Int Orthop

authors

Loures FB,Correia W,Reis JH,Pires E Albuquerque RS,de Paula Mozela A,de Souza EB,Maia PV,Barretto JM

doi

10.1007/s00264-018-4147-9

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

2065-2070

issue

9

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-018-4147-9

journal_volume

43

pub_type

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