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Coronal plane stability of cruciate-retaining total knee arthroplasty in valgus gonarthrosis patients:A mid-term evaluation using stress radiographs

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World Journal of Orthopedics 2024年第8期15卷 764-772页

作者： Pruk Chaiyakit Pichayut Wattanapreechanon Department of Orthopaedics Faculty of Medicine Vajira HospitalNavamindradhiraj UniversityBangkok 10300Thailand

BACKGROUND Total knee arthroplasty(TKA)using implants with a high level of constraint has generally been recommended for patients with osteoarthritis(OA)who have valgus ***,studies have reported favorable outcomes even with cruciate-retaining(CR)*** To evaluate the coronal plane stability of CR-TKA in patients with valgus OA at the mid-term *** Patients with primary valgus OA of the knee who underwent TKA from January 2014 to January 2021 were evaluated through stress radiography using a digital stress device with 100 N of force on both the medial and lateral *** openings and degrees of angulation change were *** statistical analysis was performed for both continuous and categorical ***-rater reliability of the radiographic measurements was evaluated using Cronbach’s *** This study included 25 patients(28 knees)with a mean preoperative mechanical valgus axis of 11.3(3.6-27.3)*** mean follow-up duration was 3.4(1.04-7.4)*** radiographs showed a median varus and valgus gap opening of 1.6(IQR 0.6-3.0)mm and 1.7(IQR 1.3-2.3)mm and varus and valgus angulation changes of 2.5(IQR 1.3-4.8)degrees and 2.3(IQR 2.0-3.6)degrees,*** clinical signs of instability,implant loosening,or revision due to instability were observed throughout this case *** The present study demonstrated that using CR-TKA for patients with valgus OA of the knee promoted excellent coronal plane stability.

关键词： Valgus osteoarthritis knee Cruciate-retaining Knee arthroplasty stress radiograph Coronal stability

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