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Type: Artigo
Title: Keblish's Lateral Surgical Approach Enhances Patellar Tilt In Valgus Knee Arthroplasty
Title Alternative: Acesso Lateral De Keblish Melhora A Inclinação Da Patela Na Artroplastia Do Joelho Valgo
Author: Tonelli Filho
José Roberto; Passarelli
Marcus Ceregatti; Brito
João Alberto Salles; Campos
Gustavo Constantino; Zorzi
Alessandro Rozim; Miranda
João Batista de
Abstract: To compare the clinical and radiological outcomes of conventional medial and lateral approaches for total knee replacement in the valgus osteoarthritic knee. METHODS: In this randomized controlled trial, 21 patients with valgus knee osteoarthritis were randomized to total knee replacement through medial or lateral approach. The primary outcome was radiographic patellar tilt. Secondary outcomes were visual analog scale of pain, postoperative levels of hemoglobin, and clinical aspect of the operative wound. RESULTS: There were no differences between the groups regarding other clinical variables. Mean lateral tilt of the patella was 3.1 degrees (SD ± 5.3) in the lateral approach group and 18 degrees (SD ± 10.2) in the medial approach group (p = 0.02). There were no differences regarding the secondary outcomes. CONCLUSION: Lateral approach provided better patellar tilt following total knee replacement in valgus osteoarthritic knee.
Subject: Knee
Editor: Sociedade Brasileira de Ortopedia e Traumatologia
Rights: aberto
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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