Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (9): 1343-1349.doi: 10.3969/j.issn.2095-4344.2014.09.006

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Total knee arthroplasty for treatment of valgus knee deformity

Zhang Rui 1, 2, Liu Hai-ping2, Xie Xing-wen2, You Cong-xin2, Wang Cheng-xiang2   

  1. 1 Gansu University of Traditional Chinese Medicine, Lanzhou 730000, Gansu Province, China; 2 First Department of Orthopedics, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, Gansu Province, China
  • Online:2014-02-26 Published:2014-02-26
  • About author:Zhang Rui, Attending physician, Gansu University of Traditional Chinese Medicine, Lanzhou 730000, Gansu Province, China; First Department of Orthopedics, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, Gansu Province, China

Abstract:

BACKGROUND: Valgus knee deformity is rare in the clinic. The therapeutic effects of artificial knee arthroplasty are worse than varus knee deformity. There is no unified opinion for replacement approach, soft tissue release method and procedure and prosthetic choice at present.
OBJECTIVE: To summarize case data and to observe clinical effects of total knee arthroplasty for valgus knee deformity.
METHODS: Clinical data of 37 cases of valgus knee deformity (42 knees) undergoing total knee arthroplasty, who were treated by the same group of physicians in the First Department of Orthopedics, Gansu Provincial Hospital of Traditional Chinese Medicine from January 2010 to December 2012 were retrospectively analyzed. There were 11 males (13 knees) and 26 females (29 knees), at the age from 56 to 78 years, with an average age of 63.7 years. The differences in range of motion, femorotibial angle and Hospital for Special Surgery knee score were compared before and after replacement. Clinical effects of total knee arthroplasty for valgus knee deformity were evaluated.
RESULTS AND CONCLUSION: The postoperative follow-up lasted from 6 to 36 months. Knee joint range of motion increased from preoperative 68.5° to an average of postoperative 108.5°. Femorotibial angle reduced from preoperative 16.82° to postoperative 5.62° on average. The average Hospital for Special Surgery knee score increased from preoperative 39 points to postoperative 88 points (P < 0.05). These results suggested that the curative effect of total knee arthroplasty for valgus knee deformity is proved. Total knee arthroplasty is an effective way to improve deformity.


中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程


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Key words: arthroplasty, replacement, knee, valgus knee, range of motion, joint

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