Extramedullary femoral alignment system in total knee arthroplasty: Accuracy in relation of severity and different types of varus.

Aquili, Alberto; Canè, Pier Paolo; Fravisini, Marco; Farinelli, Luca; Procaccini, Roberto; Gigante, Antonio Pompilio · J Orthop · 2021

retrospective_cohort · Level III

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Abstract

We assessed the accuracy of an extramedullary guide system for femoral component alignment in TKA. We retrospectively analysed 87 total knee arthroplasties using a newly developed extramedullary guide system. Correct postoperative coronal plane femoral component, with deviation from neutral alignment by 3° or less, was found in 87% of the study population. The percentages were 100%, 91% and 79% for HKA of 0-3°, 3-10° and >10°respectively. The correct use of the extramedullary guide system allows the restoration of the neutral mechanical axes of the lower limb, especially in cases of limited varus deformity.

Anatomy