The Effect of Total Knee Arthroplasty on Hindfoot Alignment in Patients with Severe Genu Varum and Genu Valgum | ||
| The Archives of Bone and Joint Surgery | ||
| دوره 8، شماره 3، مرداد 2020، صفحه 413-419 اصل مقاله (464.71 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2019.33735.1883 | ||
| نویسندگان | ||
| Hosseinali Hadi1؛ Mahmood Jabal Amoli2؛ Abolfazl Bagherifard2؛ Ahmadreza Behrouzi3؛ Fatemeh Safi4؛ Amir Azimi1؛ Mahtab Ghanbari5؛ Gholamreza Azarnia Samarin* 1 | ||
| 1Orthopedic Department, Arak University of Medical Sciences, Arak, Iran | ||
| 2Bone and Joint Reconstruction Research Center, Shafa Yahyaian Hospital, Iran University of Medical Science, Tehran, Iran | ||
| 3Valiasr Hospital, Arak University of Medical Sciences, Arak, Iran | ||
| 4Radiology Department, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran | ||
| 5Nursing Department, Qom University of Medical Sciences, Qom, Iran | ||
| چکیده | ||
| Background: The maintenance of deformity in the ankle and hindfoot after correction of knee deformity following knee arthroplasty may cause abnormal tension in the knee and patient dissatisfaction. The aim of this study was to determine the effect of knee arthroplasty on the hindfoot alignment in patients with severe genu varum and valgum. Methods: A total of 84 patients with primary osteoarthritis, were enrolled in the study. The knee deformity was measured using a long leg film before surgery. The long axial radiographic view of hindfoot was taken in the standing position for all patients, before and six months after surgery. Comparisons were made on changes in the hindfoot angles measured before and after surgery. Results: A total of 84 patients with mean age of 62.28 ± 7.77 years, 77 (92%) and seven patients (eight percent) had knee varus and valgus deformity, respectively. In the knee varus group, the mean preoperative hindfoot angle was + 5.32 ± 6.12 ° (valgus) which was changed to - 0.25 ± 4.91 ° (varus) in the postoperative phase. In the knee valgus group, the mean pre and postoperative hindfoot angles were - 7.71 ± 7.06° (varus) and - 2.14 ± 5.92 ° (varus), respectively. The mean preoperative hindfoot angle in severe and very severe varus knee groups were + 5.45 ± 3.30 and + 5.28 ± 6.86 °, respectively. These angles were changed to + 0.21± 5.17 and -1.60 ± 3.89° six months after surgery, respectively. The mean preoperative hindfoot angle in severe and very severe valgus knee deformity groups were - 7.00 ± 4.69 and -8.66 ± 10.69 °, respectively. These angles were changed to - 2.00 ± 5.71 and - 2.33 ± 7.50 °after surgery, respectively. There was no significant difference between patients with severe and very severe deformity in terms of pre and post-operative hindfoot angle. Conclusion: The hindfoot alignment is significantly corrected after knee arthroplasty. The severity of knee deformity does not correlate with the severity of the hindfoot deformity before and after surgery. Level of evidence: I | ||
| کلیدواژهها | ||
| Genu valgum؛ Genu varum؛ Hindfoot alignment؛ Knee arthroplasty | ||
| مراجع | ||
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