Postoperative alignment of total knee replacement. Its effect on survival.

Abstract:

:Four hundred twenty-one posterior cruciate condylar total knee arthroplasties were performed between 1975 and 1983. Anatomic alignment of the knee was recorded on follow-up evaluations from two months to 13 years postoperatively. Patients were stratified into a normal group that was 5 degrees to 8 degrees anatomic valgus, a varus group that was from 4 degrees anatomic valgus to any degree of varus, and a valgus group that was more than 9 degrees anatomic valgus. There were eight failures, five in the varus group and three in the normal group. There were no failures in the valgus group. Kaplan-Meier survival curves showed no significant difference between normal and valgus groups; however, there was a statistical difference between the valgus and varus and the normal and varus groups. A surgeon should align a total knee prosthesis in neutral or a slight amount of anatomic valgus to give the patient the best chance for long-term survival.

journal_name

Clin Orthop Relat Res

authors

Ritter MA,Faris PM,Keating EM,Meding JB

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

153-6

issue

299

eissn

0009-921X

issn

1528-1132

pub_type

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