Management of advanced varus knee deformity in total knee arthroplasty: surgical strategies and radiographic outcomes

Year 2025, Volume: 4 Issue: 2, 88 - 89, 06.09.2025

Humam Baki

https://doi.org/10.61745/tss.1729742

Abstract

Total knee arthroplasty for advanced varus knee deformity poses significant technical challenges due to pronounced medial cartilage loss and soft-tissue contracture. Proper preoperative planning aims to restore the mechanical axis through precise bone cuts and sequential soft-tissue balancing. Recent evidence indicates that mild residual varus alignment yields comparable outcomes to neutral alignment, while excessive postoperative varus should be avoided. When appropriate implant selection and soft-tissue balance are achieved, postoperative radiographic alignment and clinical function demonstrate successful correction and durable results.

Keywords

Advanced varus deformity , Total knee arthroplasty , Surgical planning

İleri varus diz deformitesinin total diz artroplastisinde yönetimi: cerrahi stratejiler ve radyografik sonuçlar

Abstract

İleri varus deformitesine sahip dizlerde total diz artroplastisi, belirgin medial kıkırdak kaybı ve yumuşak doku kontraktürleri nedeniyle önemli teknik zorluklar içerir. Doğru preoperatif planlama, kemik kesileri ve yumuşak doku gevşetmeleri ile deformitenin mekanik aks üzerinde düzeltilmesi hedeflenir. Literatürde hafif rezidüel varus açısının nötr aksla benzer sonuçlar verdiği, aşırı varusun ise olumsuz etkileri olduğu gösterilmiştir. Uygun implant seçimi ve yumuşak doku dengesi sağlandığında, cerrahi sonrası radyografik hizalanma ve klinik sonuçlar başarılı olmaktadır.

Keywords

İleri varus deformitesi , Total diz artroplastisi , Cerrahi planlama

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