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Total knee replacement in severe genu varum deformity

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Osteoarthritis of the knee

Abstract

In patients with osteoarthritis and severe osseous varus deformity of the knee, total knee replacement (TKR) is a major challenge. If the preoperative varus deformity exceeds 15°, restoration of the correct mechanical alignment will be difficult to achieve. Ideally, the mechanical tibiofemoral axis should be 180°, with the femoral mechanical axis, and above all the tibial mechanical axis, perpendicular to the transverse axis of the knee, and with well-balanced and stable ligaments (1–3). This will ensure a uniform stress pattern, and thus minimize polyethylene (PE) wear.

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© 2008 Springer-Verlag France, Paris

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Neyret, P., Guyen, O., Aït Si Selmi, T. (2008). Total knee replacement in severe genu varum deformity. In: Osteoarthritis of the knee. Springer, Paris. https://doi.org/10.1007/978-2-287-74175-3_16

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  • DOI: https://doi.org/10.1007/978-2-287-74175-3_16

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-74174-6

  • Online ISBN: 978-2-287-74175-3

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