ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Distal femoral phenotypes in Asian varus osteoarthritic knees.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Comparison of Patellar Tracking Following Kinematic Alignment Versus Mechanical Alignment Total Knee Arthroplasty via the Mini-Subvastus Approach.Orthopaedic surgery · 2025Trial
- Progression of bone and joint space deformity in patients with mild knee osteoarthritis: Data from the IMI-APPROACH cohort.Osteoarthritis and cartilage open · 2026Article
- Posterior Tibial Slope Is Highly Variable and Asymmetric in Asian Osteoarthritic Knees: A Three-Dimensional CT Analysis.Journal of clinical medicine · 2026Article
- Cross-sectional Evaluation of the Mechanical Axis and Other Angular Parameters of the Lower Limbs in Male Professional Soccer Players.Revista brasileira de ortopedia · 2026Article
- [Cross-sectional Evaluation of the Mechanical Axis and Other Angular Parameters of the Lower Limbs in Male Professional Soccer Players].Revista brasileira de ortopedia · 2026Article
- The association between varus knee deformity and morphological changes in the foot and ankle in patients with end-stage varus knee osteoarthritis.Journal of orthopaedic surgery and research · 2025Article
- How Do the Morphological Abnormalities of Femoral Head and Neck, Femoral Shaft and Femoral Condyle Affect the Occurrence and Development of Medial Knee Osteoarthritis.Orthopaedic surgery · 2023Article
- Kinematically Aligned Oxford Unicompartmental Knee Arthroplasty Using the Microplasty Instrumentation System.Clinics in orthopedic surgery · 2023Article
- The impact of postoperative inclination of the joint line on clinical outcomes in total knee arthroplasty using a prosthesis with anatomical geometry.Scientific reports · 2023Article
- Effects of Severe Varus Deformity on Soft Tissue Balancing in Total Knee Arthroplasty.Journal of clinical medicine · 2022Article
- Coronal plane femoral bowing in Far East Asians: implications for the strategy of distal femoral resection in total knee arthroplasty.Journal of orthopaedic surgery and research · 2022Article
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5 authors.
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Abstract
purposeThere has been a general consensus regarding the varus phenotype of the proximal tibia in osteoarthritic patients with varus knee alignment of the whole limb. However, a valgus phenotype of the distal femur may occur in osteoarthritic patients with varus knee alignment. This study evaluated the distal femur phenotype in varus osteoarthritic knees.
methodsThis study included 128 patients who underwent primary total knee arthroplasty (TKA) by computer-assisted navigation for primary medial osteoarthrosis with varus knee alignment. The hip-knee-ankle (HKA) angle, medial proximal tibial angle (MPTA), lateral distal femoral angle (LDFA), and joint line convergence angle (JLCA) were measured on which radiographs preoperatively. The radiographic parameters were compared between groups with HKA angle varus ≥ 10° and < 10°.
resultsThe MPTA was significantly lower (4°) in the HKA angle varus ≥ 10° group than in the < 10° group (82.13° vs. 86.13° P = 0.001), but the LDFA did not differ significantly between the groups (89.81° vs. 89.19° P = 0.181). Regarding the JLCA, the varus ≥ 10° group showed a 1.3° greater lateral widening than the varus < 10° group (4.87 vs. 3.56, P = 0.002). The MPTA was the only independent predictor of the MA of the lower limb (β = - 0.353, P < 0.001).
conclusionOne-third of varus osteoarthritic knees had a distal femur valgus phenotype. Varus knee alignment was mainly affected by proximal tibia varus rather than by distal femur varus. LEVEL OF EVIDENCE: Level III, consecutive case series.
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