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In patients with medial leg bowing deformity, undergoing total knee replacement surgery, placement of the leg component - are we over looking?

Tibial bowing and Tibial component placement in primary total knee arthroplasty in valgus knees - Are we overlooking?

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2018/03/012283
Enrollment
93
Registered
2018-03-01
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: null- Arthritis knee joint

Interventions

Intervention1: TIBIAL JIG PLACEMENT ACCORDING TO THE ZONES OF TIBIAL PLATEAU: Pre-operatively, the placement of tibial extramedullary jig in the proximal tibia was decided using the distal tibial axis

Sponsors

none
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: All patients undergoing primary total knee arthroplasty with a hip to ankle preoperative radiographs with HKA angle > 180° and those with informed consent signed were included in the study. The radiographs were taken without any rotation with patella centered over the femoral condyles.

Exclusion criteria

Exclusion criteria: Patients with pre operative and post operative radiographs not fulfilling the standardization criteria, those with post- traumatic pathology causing tibial bowing, congenital or dysplastic bowing, previous femoral or tibial osteotomy or previous fracture of the tibia with or without internal fixation were excluded from the study. Also patients requiring tibial stem extension or wedges for defect augmentation during surgery were excluded as this might bias the component placement.

Design outcomes

Primary

MeasureTime frame
To assess the incidence and severity of tibial bowing in patients with valgus knees, its implications on the tibial component placement in TKA, and to analyse the post-operative limb alignment in those knees in which tibial component placement have been adjusted according to the pre-operative planning. Postperatively hip knee ankle angle were measured with long leg standing radiograph.Timepoint: At 6 weeks postoperative follow up.

Secondary

MeasureTime frame
medial proximal tibial angle and medial distal femoral angle were also measured with long leg radiographs.Timepoint: At 6 weeks postoperative follow up.

Countries

India

Contacts

Public ContactMITHUN MANOHAR M

Ganga Medical Centre and Hospitals Pvt. Ltd

manoharmithun@gmail.com9952701527

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 20, 2026