Total knee arthroplasty in severe valgus knee deformity: comparison of a standard medial parapatellar approach combined with tibial tubercle osteotomy |
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| Authors: | D. D. Nikolopoulos I. Polyzois A. P. Apostolopoulos C. Rossas A. Moutsios-Rentzos I. V. Michos |
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| Affiliation: | (1) Fourth Department of Orthopaedic Surgery, Asclepeion Voulas General Hospital, V. Pavlou 1, 16673 Attiki, Greece;(2) Department of Pre-School Education and Educational Design, University of the Aegean, 25 Martiou, 85100 Rhodes, Greece;(3) Theotokopoulou 29, 14452 Athens, Greece |
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| Abstract: | Purpose Primary TKA in valgus knees with a deformity of more than ten degrees may prove challenging, since bone and soft tissue abnormalities make accurate axis restoration, component orientation and joint stability attainment a difficult task. The purpose of this study was to determine which approach is optimal in these patients, by comparing the standard medial parapatellar approach to a lateral parapatellar combined with a tibial tubercle osteotomy (TTO). |
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