Minimum 2-Year Radiographic and Clinical Outcomes of Unrestricted Kinematic Alignment Total Knee Arthroplasty in Patients with Excessive Varus of the Tibia Component.
Yaron Bar ZivAhmad EssaKonstantin LamykinNajib ChacarGilad LivshitsSalah KhatibYoav ComayaNoam ShohatPublished in: Journal of personalized medicine (2022)
Kinematic alignment (KA) total knee arthroplasty (TKA) has gained much attention in recent years. However, debate remains on whether restrictions should be made on the tibia cut. The purpose of this study was to assess the safety and functional outcomes of excessive varus cuts. A single-center, retrospective analysis of consecutive patients undergoing TKA between 2018 and 2020 who had a minimum 2-year follow-up was conducted. EOS™ imaging conducted before and after surgery was analyzed for overall alignment, as well as for tibia and femur component positioning on the coronal planes. Patients were interviewed and asked to fill several questionnaires, including the visual analog score, Oxford knee score, and knee injury and osteoarthritis outcome score. Overall, 243 patients (71.9%) had a coronal tibial plate angle under 5° (moderate) and 95 patients (28.1%) had an angle above 5° (excessive). There were no significant differences between the moderate and excessive groups in patient-reported outcomes, nor were there differences in the number of patients achieving the minimal clinical difference. There were no cases of catastrophic failure or loosening. Unrestricted KA and excessive varus of the tibial component appears to be safe and efficient in relieving pain and restoring function for a minimum of 2 years following surgery.
Keyphrases
- total knee arthroplasty
- end stage renal disease
- patient reported outcomes
- total hip
- ejection fraction
- chronic kidney disease
- newly diagnosed
- patients undergoing
- knee osteoarthritis
- high resolution
- peritoneal dialysis
- weight gain
- percutaneous coronary intervention
- spinal cord
- coronary artery disease
- body mass index
- rheumatoid arthritis
- working memory
- chronic pain
- bone mineral density
- high intensity