[Complete knee prosthesis in severe genu valgum. Retrospective review of 90 knees surgically treated through the anterio-external approach].

Abstract

The authors have made a retrospective study of 90 total knee arthroplasties performed through a lateral approach in knees with a valgus deformity superior or equal to 10 degrees. The mean function score increased from 35.9 to 73.2 postoperatively; the mean knee score increased from 60.2 to 93.6. Radiological evaluation of the mechanical angle (HKA) showed 16 degrees of valgus deviation preoperatively versus only 1.5 degrees of valgus post-operatively. A strict operative technique using a lateral approach in severe valgus knee deformity makes it possible to reproducibly achieve joint stability with good mobility and a neutral mechanical axis in total knee arthroplasty.

• Authors: L Lootvoet, E Blouard, O Himmer, J P Ghosez
• Journal: Acta orthopaedica Belgica (Acta Orthop Belg) Vol. 63 Issue 4 Pg. 278-86 (Dec 1997) ISSN: 0001-6462 [Print] Belgium
• Vernacular Title: Prothèse totale du genou sur grand genu valgum. Revue rétrospective de 90 genoux opérés par abord antéro-externe.
• PMID: 9479782 (Publication Type: Journal Article)

Topics

• Aged
• Aged, 80 and over
• Arthritis, Rheumatoid (diagnostic imaging, physiopathology, surgery)
• Arthroplasty, Replacement, Knee (adverse effects, methods)
• Biomechanical Phenomena
• Female
• Femur (diagnostic imaging, surgery)
• Hematoma (etiology)
• Humans
• Joint Diseases (diagnostic imaging, physiopathology, surgery)
• Joint Instability (diagnostic imaging, physiopathology, surgery)
• Knee Joint (diagnostic imaging, physiopathology, surgery)
• Knee Prosthesis
• Male
• Middle Aged
• Necrosis
• Osteoarthritis (diagnostic imaging, physiopathology, surgery)
• Paralysis (etiology)
• Patella (diagnostic imaging, surgery)
• Radiography
• Range of Motion, Articular
• Reproducibility of Results
• Retrospective Studies
• Sciatic Nerve (physiopathology)
• Skin (pathology)
• Tibia (diagnostic imaging, surgery)
• Walking (physiology)