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J Am Acad Orthop Surg, Vol 10, No 1, January/February 2002, 16-24.
© 2002 the American Academy of Orthopaedic Surgeons
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Total Knee Arthroplasty in the Valgus Knee

Paul J. Favorito, MD, William M. Mihalko, MD, PhD and Kenneth A. Krackow, MD

Dr. Favorito is Orthopaedic Surgeon, Wellington Orthopaedics and Sports Medicine, Cincinnati, Oh. Dr. Mihalko is Associate Professor, Department of Orthopaedic Surgery, State University of New York at Buffalo, Buffalo, NY. Dr. Krackow is Chief of Orthopaedics, Kaleida Health System, The Buffalo General Hospital, and Professor of Orthopaedics, State University of New York at Buffalo, Buffalo.

Reprint requests: Dr. Krackow, The Buffalo General Hospital, 100 High Street, Suite B2, Buffalo, NY 14203.

The valgus knee presents a unique set of problems that must be addressed during total knee arthroplasty. Both bone and soft-tissue deformities complicate restoration of proper alignment, positioning of components, and attainment of joint stability. The variables that may need to be addressed include lateral femoral condyle or tibial plateau deficiencies secondary to developmental abnormalities, and/or wear; primary or acquired contracture of the lateral capsular and ligamentous structures; and, occasionally, laxity of the medial collateral ligament. Understanding the specific pathologic anatomy associated with the valgus knee is a prerequisite to selecting the proper surgical method to optimize component position and restore soft-tissue balance.




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