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Factors influencing knee valgus alignment in Crowe type IV hip dysplasia after total hip arthroplasty
BACKGROUND: Valgus deformity of the knee remains a complaint after total hip arthroplasty (THA) among some patients with Crowe type IV hip dysplasia. We aimed to identify the knee alignment in these patients before and after surgery, and to explore the factors contributing to postoperative knee valg...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8520551/ https://www.ncbi.nlm.nih.gov/pubmed/34655357 http://dx.doi.org/10.1186/s10195-021-00601-y |
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author | Sun, Jing-yang Ma, Hai-yang Shen, Jun-min Du, Yin-qiao Dong, Yu Zhang, Yan-chao Zhou, Yong-gang Wang, Yan |
author_facet | Sun, Jing-yang Ma, Hai-yang Shen, Jun-min Du, Yin-qiao Dong, Yu Zhang, Yan-chao Zhou, Yong-gang Wang, Yan |
author_sort | Sun, Jing-yang |
collection | PubMed |
description | BACKGROUND: Valgus deformity of the knee remains a complaint after total hip arthroplasty (THA) among some patients with Crowe type IV hip dysplasia. We aimed to identify the knee alignment in these patients before and after surgery, and to explore the factors contributing to postoperative knee valgus alignment. MATERIALS AND METHODS: We retrospectively reviewed a series of Crowe type IV patients who received THA between February 2010 and May 2019 in our hospital. The patients’ medical data were collected from the hospital information system. On both preoperative and postoperative full limb length standing radiographs, the following parameters were measured: hip–knee–ankle angle (HKA), mechanical lateral distal femoral angle (mLDFA), medial proximal tibial angle, anatomical tibiofemoral angle, anatomical lateral distal femoral angle, femoral neck-shaft angle, pelvic obliquity, limb length, height and lateral distance of hip center, and femoral offset. Univariate and multivariate binary logistic regression were used to identify the factors influencing postoperative knee valgus alignment. RESULTS: A total of 64 Crowe type IV patients (87 hips) were included in the study. Overall, HKA improved from 176.54 ± 3.52° preoperatively to 179.45 ± 4.31° at the last follow-up. Those hips were subdivided into non-valgus group (≥ 177.0°, n = 65) and valgus group (< 177.0°, n = 22) according to postoperative HKA. Only postoperative mLDFA was a significant factor in the multivariate regression model. CONCLUSIONS: The postoperative mLDFA is a major factor related to knee valgus alignment after THA, which combines the preoperative anatomy and surgical reconstruction. Other factors previously published were found to have no significance. LEVEL OF EVIDENCE: III. |
format | Online Article Text |
id | pubmed-8520551 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-85205512021-10-22 Factors influencing knee valgus alignment in Crowe type IV hip dysplasia after total hip arthroplasty Sun, Jing-yang Ma, Hai-yang Shen, Jun-min Du, Yin-qiao Dong, Yu Zhang, Yan-chao Zhou, Yong-gang Wang, Yan J Orthop Traumatol Original Article BACKGROUND: Valgus deformity of the knee remains a complaint after total hip arthroplasty (THA) among some patients with Crowe type IV hip dysplasia. We aimed to identify the knee alignment in these patients before and after surgery, and to explore the factors contributing to postoperative knee valgus alignment. MATERIALS AND METHODS: We retrospectively reviewed a series of Crowe type IV patients who received THA between February 2010 and May 2019 in our hospital. The patients’ medical data were collected from the hospital information system. On both preoperative and postoperative full limb length standing radiographs, the following parameters were measured: hip–knee–ankle angle (HKA), mechanical lateral distal femoral angle (mLDFA), medial proximal tibial angle, anatomical tibiofemoral angle, anatomical lateral distal femoral angle, femoral neck-shaft angle, pelvic obliquity, limb length, height and lateral distance of hip center, and femoral offset. Univariate and multivariate binary logistic regression were used to identify the factors influencing postoperative knee valgus alignment. RESULTS: A total of 64 Crowe type IV patients (87 hips) were included in the study. Overall, HKA improved from 176.54 ± 3.52° preoperatively to 179.45 ± 4.31° at the last follow-up. Those hips were subdivided into non-valgus group (≥ 177.0°, n = 65) and valgus group (< 177.0°, n = 22) according to postoperative HKA. Only postoperative mLDFA was a significant factor in the multivariate regression model. CONCLUSIONS: The postoperative mLDFA is a major factor related to knee valgus alignment after THA, which combines the preoperative anatomy and surgical reconstruction. Other factors previously published were found to have no significance. LEVEL OF EVIDENCE: III. Springer International Publishing 2021-10-16 2021-12 /pmc/articles/PMC8520551/ /pubmed/34655357 http://dx.doi.org/10.1186/s10195-021-00601-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Sun, Jing-yang Ma, Hai-yang Shen, Jun-min Du, Yin-qiao Dong, Yu Zhang, Yan-chao Zhou, Yong-gang Wang, Yan Factors influencing knee valgus alignment in Crowe type IV hip dysplasia after total hip arthroplasty |
title | Factors influencing knee valgus alignment in Crowe type IV hip dysplasia after total hip arthroplasty |
title_full | Factors influencing knee valgus alignment in Crowe type IV hip dysplasia after total hip arthroplasty |
title_fullStr | Factors influencing knee valgus alignment in Crowe type IV hip dysplasia after total hip arthroplasty |
title_full_unstemmed | Factors influencing knee valgus alignment in Crowe type IV hip dysplasia after total hip arthroplasty |
title_short | Factors influencing knee valgus alignment in Crowe type IV hip dysplasia after total hip arthroplasty |
title_sort | factors influencing knee valgus alignment in crowe type iv hip dysplasia after total hip arthroplasty |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8520551/ https://www.ncbi.nlm.nih.gov/pubmed/34655357 http://dx.doi.org/10.1186/s10195-021-00601-y |
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