Coronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee

Abstract Individualized pre-operative assessment of the patterns of the lower extremity anatomy and deformities in patients undergoing total knee arthroplasty seems essential for a successful surgery. In the present study, we investigated the relationship among the coronal alignment and the rotation...

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Autores principales:	Vicente J. León-Muñoz, Silvio Manca, Mirian López-López, Francisco Martínez-Martínez, Fernando Santonja-Medina
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fd737537d01a4a94ab306c7af2588178
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spelling	oai:doaj.org-article:fd737537d01a4a94ab306c7af25881782021-12-02T14:37:15ZCoronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee10.1038/s41598-021-87483-62045-2322https://doaj.org/article/fd737537d01a4a94ab306c7af25881782021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87483-6https://doaj.org/toc/2045-2322Abstract Individualized pre-operative assessment of the patterns of the lower extremity anatomy and deformities in patients undergoing total knee arthroplasty seems essential for a successful surgery. In the present study, we investigated the relationship among the coronal alignment and the rotational profile of the lower extremities in the Caucasian population with end-stage knee osteoarthritis. We conducted a prospective study of 385 knees that underwent a pre-operative three-dimensional computed tomography-based model. The lower extremity alignment was determined (mechanical tibiofemoral or hip-knee-ankle angle, supplementary angle of the femoral lateral distal angle, and proximal medial tibial angle). For each case, the femoral distal rotation (condylar twist angle), the femoral proximal version, and the tibial torsion were determined. As the coronal alignment changed from varus to valgus, the femoral external rotation increased (r = 0.217; p < 0.0005). As the coronal alignment changed from varus to valgus, the external tibial torsion increased (r = 0.248; p < 0.0005). No correlation was found between the global coronal alignment and the femoral version. The present study demonstrates a linear relationship between the coronal alignment and the rotational geometry of the distal femur. This correlation also occurs with the tibial torsion. Perhaps outcomes of total knee arthroplasty surgery might be improved by addressing these deformities as well.Vicente J. León-MuñozSilvio MancaMirian López-LópezFrancisco Martínez-MartínezFernando Santonja-MedinaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Vicente J. León-Muñoz Silvio Manca Mirian López-López Francisco Martínez-Martínez Fernando Santonja-Medina Coronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee
description	Abstract Individualized pre-operative assessment of the patterns of the lower extremity anatomy and deformities in patients undergoing total knee arthroplasty seems essential for a successful surgery. In the present study, we investigated the relationship among the coronal alignment and the rotational profile of the lower extremities in the Caucasian population with end-stage knee osteoarthritis. We conducted a prospective study of 385 knees that underwent a pre-operative three-dimensional computed tomography-based model. The lower extremity alignment was determined (mechanical tibiofemoral or hip-knee-ankle angle, supplementary angle of the femoral lateral distal angle, and proximal medial tibial angle). For each case, the femoral distal rotation (condylar twist angle), the femoral proximal version, and the tibial torsion were determined. As the coronal alignment changed from varus to valgus, the femoral external rotation increased (r = 0.217; p < 0.0005). As the coronal alignment changed from varus to valgus, the external tibial torsion increased (r = 0.248; p < 0.0005). No correlation was found between the global coronal alignment and the femoral version. The present study demonstrates a linear relationship between the coronal alignment and the rotational geometry of the distal femur. This correlation also occurs with the tibial torsion. Perhaps outcomes of total knee arthroplasty surgery might be improved by addressing these deformities as well.
format	article
author	Vicente J. León-Muñoz Silvio Manca Mirian López-López Francisco Martínez-Martínez Fernando Santonja-Medina
author_facet	Vicente J. León-Muñoz Silvio Manca Mirian López-López Francisco Martínez-Martínez Fernando Santonja-Medina
author_sort	Vicente J. León-Muñoz
title	Coronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee
title_short	Coronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee
title_full	Coronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee
title_fullStr	Coronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee
title_full_unstemmed	Coronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee
title_sort	coronal and axial alignment relationship in caucasian patients with osteoarthritis of the knee
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/fd737537d01a4a94ab306c7af2588178
work_keys_str_mv	AT vicentejleonmunoz coronalandaxialalignmentrelationshipincaucasianpatientswithosteoarthritisoftheknee AT silviomanca coronalandaxialalignmentrelationshipincaucasianpatientswithosteoarthritisoftheknee AT mirianlopezlopez coronalandaxialalignmentrelationshipincaucasianpatientswithosteoarthritisoftheknee AT franciscomartinezmartinez coronalandaxialalignmentrelationshipincaucasianpatientswithosteoarthritisoftheknee AT fernandosantonjamedina coronalandaxialalignmentrelationshipincaucasianpatientswithosteoarthritisoftheknee
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Coronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee

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