Meding J B, Anderson A R, Ritter M A, Faris P M, Keating E M
Center for Hip and Knee Surgery, St. Francis Hospital, Mooresville, Indiana 46158, USA.
J Arthroplasty. 2000 Aug;15(5):562-6. doi: 10.1054/arth.2000.6624.
Windswept deformity, when an individual has 1 knee in extreme varus alignment and the other in severe valgus alignment, is an unusual occurrence in patients presenting for bilateral total knee arthroplasty. This condition was evaluated in 22 patients to examine possible differences between knees in the same individual. Differences between the varus and valgus knees included alignment (P = .0001), as expected, and the position of the lateral joint line (P = .0161) preoperatively. No significant differences were observed between these 2 knee categories in any other comparison preoperatively or postoperatively. Total knee arthroplasty in patients with windswept deformity can be expected to be successful in both knees when attention is given to proper alignment and soft tissue balancing intraoperatively.
风吹畸形是指个体一侧膝关节严重内翻而另一侧膝关节严重外翻,这种情况在接受双侧全膝关节置换术的患者中并不常见。对22例患者的这种情况进行了评估,以检查同一患者双膝关节之间可能存在的差异。正如预期的那样,术前内翻膝和外翻膝之间的差异包括对线情况(P = 0.0001)以及外侧关节线的位置(P = 0.0161)。术前或术后的任何其他比较中,这两类膝关节之间均未观察到显著差异。当术中注意正确对线和软组织平衡时,风吹畸形患者的双侧全膝关节置换术有望成功。