OBJECTIVE To determine the ideal angle for making the distal femoral cut in total knee arthroplasty in a Brazilian population. METHODS Panoramic radiographs of the lower limbs bearing weight from 79 patients (57 women and 22 men) were studied, totaling 107 knees with an indication for total knee arthroplasty. The femoral anatomical axis, femoral mechanical axis and cervical-diaphyseal angle w...

Background: Genu valgum usually originates from a deformity of distal femur that is often corrected by distal femoralvarus osteotomy. The osteotomy includes both components of angulationcorrection and translation because the siteof osteotomy is not commonly at the apex of deformity. Improvement of patellar tracking not only depends on valguscorrection, but also it may be partially due to centra...

The causes of malalignment in total knee arthroplasty can be categorized into three different groups; 1) Errors in bone cuts 2) Errors in implant fixations, and 3) The method of setting down the cutting guides (1). We would like to announce that more several distal femoral valgus cut errors may occur during total knee replacement.

Background: The valgus cut angle (VCA) of the distal femur in Total Knee Arthroplasty (TKA) is measured preoperativelyon three-joint alignment radiographs. The anatomical axis of the femur can be described as the anatomical axis of thefull length of the femur or as the anatomical axis of the distal half of the femur, which may result in different anglesin some cases. During TKA, the anatomical ...

INTRODUCTION: Proper bone cut and soft tissue balancing are the most critical procedures in total knee arthroplasty (TKA). A gap balancing technique is commonly used in TKA to create an equal extension and flexion gap. However, obtaining a flexion gap sufficiently large for the extension gap in cruciate retaining (CR) TKA is sometimes difficult and the flexion gap in CR TKA tends to be smaller ...

BACKGROUND When performing a total knee arthroplasty, most surgeons use the intramedullary alignment guide with a fixed distal femoral valgus resection angle. In this study, we assessed the variability of the distal femoral valgus resection angle in ethnic Asian patients by reviewing our arthroplasty database. METHODS Between January 2004 and December 2012, the patients with end-stage osteoar...

background:   to compare the results of two different ways of distal femoral osteotomy stabilization in patients suffering from genuvalgum: internal fixation with plate, and casting. methods:   in a non-randomized prospective study, after distal femoral osteotomy with the zigzag method, patients were divided into two groups: long leg casting, and internal fixation with blade plate. for all pati...

conclusions closed reduction and hybrid external fixation can be used as a definitive treatment for severe comminuted fractures of the distal femur and proximal tibia, when the concomitant contusion of the skin and soft tissue damage prohibits safe open reduction and internal fixation. patients and methods in a prospective study, 44 patients with comminuted fractures of the distal femur or prox...

Background Genu valgum usually originates from a deformity of distal femur that is often corrected by distal femoral varus osteotomy. The osteotomy includes both components of angulationcorrection and translation because the site of osteotomy is not commonly at the apex of deformity. Improvement of patellar tracking not only depends on valgus correction, but also it may be partially due to cent...

BACKGROUND To perform total knee arthroplasty, some surgeons prefer to use a fixed valgus angle, for example 5° or 6°, for the distal femoral cut with every patient. This angle may be appropriate for some patients, but may not be for all. OBJECTIVE To determine the proper angle of the distal femoral cut during total knee arthroplasty (TKA) in Thai patients with osteoarthritis of the knee. M...