Download PDF
J Knee Surg 2024; 37(02): 86-91
DOI: 10.1055/a-2186-6013
Special Focus Section

Total Knee Arthroplasty in the Valgus Knee

Angelo Mannino
1   Department of Orthopedic Surgery, Lenox Hill Hospital, New York, New York
,
Maxwell E. Weinberg
2   Department of Orthopedic Surgery, Long Island Jewish Valley Stream, Valley Stream, New York
,
Giles R. Scuderi
1   Department of Orthopedic Surgery, Lenox Hill Hospital, New York, New York
› Author Affiliations
› Further Information
    Permissions and Reprints

Abstract

An estimated 10 to 15% of total knee arthroplasties (TKAs) are implanted for a diagnosis of arthritis when a valgus deformity is present. There are various techniques and considerations that must be considered for a successful TKA in a patient with a valgus deformity. This article provides a detailed summary of the anatomy, pathology, bone preparation, soft tissue management, implant selection, and complications when performing a TKA in a patient with valgus deformity.

Keywords

knee - arthroplasty - valgus


Publication History

Received: 05 July 2023

Accepted: 04 October 2023

Accepted Manuscript online:
05 October 2023

Article published online:
30 October 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Lange J, Haas SB. Correcting severe valgus deformity: taking out the knock. Bone Joint J 2017; 99-B (1, Supple A): 60-64
    CrossrefPubMedGoogle Scholar
  • 2 Clarke HD, Schwartz JB, Math KR, Scuderi GR. Anatomic risk of peroneal nerve injury with the “pie crust” technique for valgus release in total knee arthroplasty. J Arthroplasty 2004; 19 (01) 40-44
    CrossrefPubMedGoogle Scholar
  • 3 Rossi R, Rosso F, Cottino U, Dettoni F, Bonasia DE, Bruzzone M. Total knee arthroplasty in the valgus knee. Int Orthop 2014; 38 (02) 273-283
    CrossrefPubMedGoogle Scholar
  • 4 Krackow KA, Jones MM, Teeny SM, Hungerford DS. Primary total knee arthroplasty in patients with fixed valgus deformity. Clin Orthop Relat Res 1991; (273) 9-18
    PubMedGoogle Scholar
  • 5 Lombardi Jr AV, Dodds KL, Berend KR, Mallory TH, Adams JB. An algorithmic approach to total knee arthroplasty in the valgus knee. J Bone Joint Surg Am 2004; 86-A (Suppl. 02) 62-71
    CrossrefPubMedGoogle Scholar
  • 6 Lustig S, Sappey-Marinier E, Fary C, Servien E, Parratte S, Batailler C. Personalized alignment in total knee arthroplasty: current concepts. SICOT J 2021; 7: 19
    CrossrefPubMedGoogle Scholar
  • 7 Whiteside LA. Selective ligament release in total knee arthroplasty of the knee in valgus. Clin Orthop Relat Res 1999; (367) 130-140
    PubMedGoogle Scholar
  • 8 Whiteside LA. Soft tissue balancing: the knee. J Arthroplasty 2002; 17 (4, Suppl 1): 23-27
    CrossrefPubMedGoogle Scholar
  • 9 Conjeski JM, Scuderi GR. Lateral femoral epicondylar osteotomy for correction of fixed valgus deformity in total knee arthroplasty: a technical note. J Arthroplasty 2018; 33 (02) 386-390
    CrossrefPubMedGoogle Scholar
  • 10 Nikolopoulos D, Michos I, Safos G, Safos P. Current surgical strategies for total arthroplasty in valgus knee. World J Orthop 2015; 6 (06) 469-482
    CrossrefPubMedGoogle Scholar
  • 11 Morgan H, Battista V, Leopold SS. Constraint in primary total knee arthroplasty. J Am Acad Orthop Surg 2005; 13 (08) 515-524
    CrossrefPubMedGoogle Scholar
  • 12 Easley ME, Insall JN, Scuderi GR, Bullek DD. Primary constrained condylar knee arthroplasty for the arthritic valgus knee. Clin Orthop Relat Res 2000; 380 (380) 58-64
    CrossrefPubMedGoogle Scholar
  • 13 Clarke HD, Fuchs R, Scuderi GR, Scott WN, Insall JN. Clinical results in valgus total knee arthroplasty with the “pie crust” technique of lateral soft tissue releases. J Arthroplasty 2005; 20 (08) 1010-1014
    CrossrefPubMedGoogle Scholar
  • 14 Puijk R, Rassir R, Kok LM, Sierevelt IN, Nolte PA. Common peroneal nerve palsy after TKA in valgus deformities: a systematic review. J Exp Orthop 2022; 9 (01) DOI: 10.1186/S40634-021-00443-X.
    CrossrefPubMedGoogle Scholar
  • 15 Anderson JA, Baldini A, MacDonald JH, Pellicci PM, Sculco TP. Primary constrained condylar knee arthroplasty without stem extensions for the valgus knee. Clin Orthop Relat Res 2006; 442 (442) 199-203
    CrossrefPubMedGoogle Scholar
  • 16 Makhdom A, Hamilton AA, Rozbruch SR. The role of prophylactic peroneal nerve decompression in patients with severe valgus deformity at the time of primary total knee arthroplasty. Strateg Trauma Limb Reconstr 2022; 17 (01) 38-43
    CrossrefPubMedGoogle Scholar
  • 17 Favorito PJ, Mihalko WM, Krackow KA. Total knee arthroplasty in the valgus knee. J Am Acad Orthop Surg 2002; 10 (01) 16-24
    CrossrefPubMedGoogle Scholar