Total knee arthroplasty in patients with substantial deformities using primary knee components
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| 008 | 210128e20151201xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00167-014-3269-x |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3269-x | ||
| 245 | 0 | 0 | |a Total knee arthroplasty in patients with substantial deformities using primary knee components |h [Elektronische Daten] |c [J. De Muylder, J. Victor, O. Cornu, L. Kaminski, E. Thienpont] |
| 520 | 3 | |a Purpose: Although advocated for severe varus and valgus deformities, constrained implant designs are associated with a number of disadvantages in total knee arthroplasty (TKA). Combining a minimally invasive surgical approach with an interchangeable posterior stabilized (PS) implant design may allow adequate soft tissue balancing with a minimal amount of constraint and without residual instability. Methods: Retrospectively 51 patients operated with the minimally invasive far medial subvastus approach for severe varus or valgus deformity, who underwent primary TKA with a fully interchangeable PS implant (Vanguard, Biomet Inc., Warsaw IN, USA) between 2009 and 2013 were examined. Soft tissue releases was performed using a piecrust needling technique. Preoperative alignment and surgical parameters were collected for all patients. All patients underwent preoperative and follow-up radiographic assessment and completed a battery of clinical assessments. Results: All procedures were performed successfully, with alignment improving from a preoperative mean (SD) varus deformity of 165° (3°) and a mean (SD) valgus deformity of 196° (4.5°) to an overall mean (SD) postoperative mechanical alignment of 179.5° (3.0°). Nine patients had postoperative varus, while three patients had a postoperative valgus deviation from neutral alignment >3°. The mean change in joint line position in extension was −0.0±0.6mm. Clinical scores at final follow-up were excellent for both groups. Conclusions: Good TKA outcomes can be achieved in patients with substantial varus or valgus deformities using a combination of a minimally invasive far medial subvastus approach, interchangeable PS implants and soft tissue releases with a piecrust needling technique. Level of evidence: III. | |
| 540 | |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 | ||
| 690 | 7 | |a Total knee arthroplasty |2 nationallicence | |
| 690 | 7 | |a Minimally invasive surgery |2 nationallicence | |
| 690 | 7 | |a Posterior stabilized |2 nationallicence | |
| 690 | 7 | |a Prosthesis design |2 nationallicence | |
| 690 | 7 | |a Joint deformity |2 nationallicence | |
| 700 | 1 | |a De Muylder |D J. |u Department of Orthopaedic Surgery, Cliniques universitaires Saint Luc-UCL, Av. Hippocrate 10, 1200, Brussels, Belgium |4 aut | |
| 700 | 1 | |a Victor |D J. |u Department of Orthopaedic Surgery, UZ Gent, Ghent, Belgium |4 aut | |
| 700 | 1 | |a Cornu |D O. |u Department of Orthopaedic Surgery, Cliniques universitaires Saint Luc-UCL, Av. Hippocrate 10, 1200, Brussels, Belgium |4 aut | |
| 700 | 1 | |a Kaminski |D L. |u Department of Orthopaedic Surgery, Cliniques universitaires Saint Luc-UCL, Av. Hippocrate 10, 1200, Brussels, Belgium |4 aut | |
| 700 | 1 | |a Thienpont |D E. |u Department of Orthopaedic Surgery, Cliniques universitaires Saint Luc-UCL, Av. Hippocrate 10, 1200, Brussels, Belgium |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/12(2015-12-01), 3653-3659 |x 0942-2056 |q 23:12<3653 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3269-x |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3269-x |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a De Muylder |D J. |u Department of Orthopaedic Surgery, Cliniques universitaires Saint Luc-UCL, Av. Hippocrate 10, 1200, Brussels, Belgium |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Victor |D J. |u Department of Orthopaedic Surgery, UZ Gent, Ghent, Belgium |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Cornu |D O. |u Department of Orthopaedic Surgery, Cliniques universitaires Saint Luc-UCL, Av. Hippocrate 10, 1200, Brussels, Belgium |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kaminski |D L. |u Department of Orthopaedic Surgery, Cliniques universitaires Saint Luc-UCL, Av. Hippocrate 10, 1200, Brussels, Belgium |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Thienpont |D E. |u Department of Orthopaedic Surgery, Cliniques universitaires Saint Luc-UCL, Av. Hippocrate 10, 1200, Brussels, Belgium |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/12(2015-12-01), 3653-3659 |x 0942-2056 |q 23:12<3653 |1 2015 |2 23 |o 167 | ||