BACKGROUND We hypothesized that a number of clinical and radiologic parameters could influence the reducibility of varus deformity in total knee arthroplasty. The aim of this study was to identify the factors correlated with reducibility of varus deformity and predict more accurately the amount of medial soft tissue release required in varus deformity total knee arthroplasty. METHODS One hund...

Methods of designing equipment to improve quality have been developed by Taguchi. A key feature of these methods is the development of loss function, which quantifies the financial cost (loss) resulting from deviations from target dimensions. Total knee arthroplasties can fail due to prosthetic component malalignment. A Taguchi loss function for varus/valgus alignment of the prosthesis and revi...

BACKGROUND There are few studies comparing the biomechanical properties of angled blade plate and locking compression plates in supracondylar osteotomy. In the current randomized study, we prospectively compared the clinical and radiological outcomes of supracondylar osteotomy using these two plates. METHODS Forty patients with valgus knee malalignment were randomly assigned to two equal numb...

BACKGROUND Lateral knee osteoarthritis is notably common after anterior cruciate ligament reconstruction (ACLR). While valgus bracing has been investigated as an intervention for medial knee osteoarthritis (OA), little is known about the effectiveness of varus bracing for lateral knee OA after ACLR. PURPOSE To determine the immediate effects of a varus unloader knee brace on gait biomechanics...

Background In total knee arthroplasty (TKA) for valgus knees, the decision to use a constrained implant is often made intraoperatively depending on the extent of soft tissue releases performed and residual soft tissue imbalance. The purpose of this study is to determine if preoperative radiographic criteria of valgus knees can predict the extent of soft tissue releases required and the level of...

Introduction The frontal plane projection angle (FPPA) is a measure of the degree of dynamic knee valgus during functional tasks such as the single leg squat. An increased FPPA is associated with patellofemoral pain and is indicative of knee valgus during other tasks such as running. Therefore, it is important to determine factors that can contribute to FPPA in order to develop treatment strate...

OBJECTIVE Leg length discrepancy and excessive knee valgus are potential complications of juvenile chronic arthritis of the knee. The aim of the present study was to evaluate retrospectively the safety and efficacy of temporary stapling of the knee epiphyses in management of valgus deformities of the knee in children with JCA. METHODS Medical data of the patients with temporary epiphyseodesis...

A total knee replacement is one of the most successful orthopedic procedures to enable the patient’s return to a normal, active lifestyle. The angle of the mechanical axis depends on the surgeon’s decision, which effects the strain distribution on the femoral bone and may lead to a fracture of the femur . This study evaluated the equivalent total strain on the femoral shaft under daily activiti...

OBJECTIVE To investigate the relationship between the q-angle and anterior knee pain severity, functional capacity, dynamic knee valgus and hip abductor torque in women with patellofemoral pain syndrome (PFPS). METHODS This study included 22 women with PFPS. The q-angle was assessed using goniometry: the participants were positioned in dorsal decubitus with the knee and hip extended, and the ...

OBJECTIVES There is emerging evidence that knee alignment is associated with progression of osteoarthritis (OA). The aim of this study was to examine the relationship between baseline knee angle and the rate of cartilage loss in subjects with knee OA. METHODS One hundred and seventeen subjects with knee OA had standing radiographs and MRI on their symptomatic knee at baseline and at the 1.9+/...