BACKGROUND Restoring function and alignment when treating knee arthritis with a total knee arthroplasty (TKA) in patients who have an extra-articular deformity (EAD) from a malunion or with retained femoral hardware is a challenge. The normal anatomical landmarks are hard to find and difficult to use to obtain correct alignment. The procedure will be further challenged by angular deformity of t...

Tibiofemoral alignment has a direct correlation with the survival of total knee arthroplasty. Traditionally, it has been measured using a goniometer on radiographs. We describe new software which measures this alignment on scanned radiographs by automatically detecting bones in the image. Two surgeons used conventional methods and two clerical officers used the computerised routine to assess 58...

background: modern knee designs have popularized its use in younger patients due to its better performance. there remains uncertainty whether higher demands of these patients can affect implant survivorship.    purpose: to assess whether modern knee designs have provided similar results in patients younger than 70 years versus older patients. methods: we included 203 consecutive patients (236 k...

Automatic image analysis of magnetic resonance (MR) images of the knee is simplified by bringing the knee into a reference position. While the knee is typically put into a reference position during image acquisition, this alignment will generally not be perfect. To correct for imperfections, we propose a two-step process of bone segmentation followed by elastic tissue deformation. The approach ...

BACKGROUND Knee malalignment is an important modifiable cause of osteoarthritis (OA). Surgical therapeutic procedures depend on proper knee alignment assessment. The purpose of this study was to compare knee alignment parameters between double and single leg weight-bearing radiographs and to evaluate the reproducibility of inter- and intra-observer measurements. METHODS One hundred eight pati...

Background There is an ongoing debate whether patients with constitutional varus should be restored to neutral mechanical alignment following total knee arthroplasty (TKA). Objective The aim of this retrospective cohort study is to determine whether mild unintentional postoperative varus alignment (3°-6°) influences TKA outcome in patients with and without preoperative varus alignment due to ...

[Purpose] This study attempted to identify how genu varum or valgum affects the electromyographic activities of the vastus medialis, vastus lateralis, and rectus femoris during knee isometric contraction. [Subjects] Fifty-two healthy young adults were enrolled in this study. They were enrolled and classified into three groups by knee alignment conditions: the genu varum, genu valgum, and contro...