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Femoral Component Varus Malposition is Associated with Tibial Aseptic Loosening After TKA.

Clin Orthop Relat Res

February 2018

B.-S. Lee, J.-M. Kim, S.-I. Bin Department of Orthopedic Surgery, Asan Medical Center, College of Medicine Ulsan University, Seoul, South Korea H.-I. Cho Department of Orthopedic Surgery, Haeundae Bumin Hospital, Busan, South Korea B.-K. Jo Department of Orthopedic Surgery, Uijeongbu Seoulchuk Hospital, Uijeongbu-si, Gyeonggi-do, South Korea.

Background: The notion that neutral alignment is mandatory to assure long-term durability after TKA has been based mostly on short-film studies. However, this is challenged by recent long-film studies.

Questions/purposes: We conducted this long-film study to know (1) whether the risk of aseptic revision for nontraumatic reasons was greater among knees with greater than 3° varus or valgus (defined as "outliers") than those that were aligned within 3° of neutral on long-standing mechanical axis (hip to knee) radiographs; and (2) what the failure mechanisms were and whether the malalignment was femoral or tibial in origin, or both, among those in the outlier group.

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