ArticleArthroplasty today2017
Preoperative radiographic valgus alignment predicts the extent of lateral soft tissue release and need for constraint in valgus total knee arthroplasty.
Article in Arthroplasty today, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed, 4 citations in OpenAlex.
- Total knee arthroplasty in valgus knees achieves comparable outcomes to varus knees: a propensity score matched multicenter study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Final intraoperative gaps commonly exceed resection-based reference gaps during sequential balancing in imageless robot-assisted total knee arthroplasty.Journal of experimental orthopaedics · 2026Article
- Dynamic gap analysis of valgus knees shows large inter-individual variability of gaps.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 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 constraint needed to balance the knee during TKA.
methodsA single surgeon's 807 consecutive TKA standing hip-knee-ankle radiographs from 2007-2012 were analyzed. One hundred eighty-seven valgus knees were identified and annotated. Statistical univariate and multivariate analyses were performed for both outcomes, lateral release and articulation, to assess the association with risk factors of gender, age, and preoperative radiographic markers of valgus deformity. A
resultsUse of a constrained articulation was associated with increased valgus deformity (mechanical hip-knee-ankle angle,
conclusionsOur data demonstrate that preoperative radiographic characteristics of the valgus knee can be utilized to predict the extent of lateral soft tissue release and whether a constrained articulation will be required in TKA. This will provide surgeons with useful information to offer accurate preoperative counseling to patients and to ensure that the appropriate prosthetic parts are available during surgery.
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