Observational studyScientific reports2021
Coronal and axial alignment relationship in Caucasian patients with osteoarthritis of the knee.
Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- High variability exists in 3D leg alignment analysis, but underlying principles that might lead to agreement on a universal framework could be identified: A systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- Ankle Alignment Changes After High Tibial Osteotomy due to Valgus-Shaped Distal Tibia.Cartilage · 2026Article
- Limited ability of coronal alignment parameters to assess rotational alignment in patients with varus knee osteoarthritis: a cross-sectional study.BMC musculoskeletal disorders · 2026Article
- Weight-bearing 3D morphology of valgus knees: A comparative study within a varus dominant cohort.Journal of experimental orthopaedics · 2026Article
- MRI-based assessment of posterior condylar cartilage defects and their impact on femoral component rotational alignment in osteoarthritic knees.Journal of orthopaedic surgery and research · 2026Article
- Relationship Between Coronal Plane Alignment of the Knee Phenotypes and Distal Femoral Rotation.Journal of clinical medicine · 2025Article
- Coronal alignment does not enable to predict the degree of femoral and tibial torsion.Journal of experimental orthopaedics · 2025Article
- Effects of Foot-Toe Orthoses on Moment and Range of Motion of Knee Joint in Individuals with Hallux Valgus.Life (Basel, Switzerland) · 2023Article
- Integration of Square Fiducial Markers in Patient-Specific Instrumentation and Their Applicability in Knee Surgery.Journal of personalized medicine · 2023Article
- Lower limb bone geometry in adult individuals with X-linked hypophosphatemia: an observational study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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