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Inaccuracy of the intramedullary femoral guide: traditional instrumentation lacks precision and accuracy
PurposeThe purpose of the study was to utilize a large-scale biomorphometric computer tomography (CT) database to determine the desirable starting...
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Age-related dynamic deformation of the femoral shaft and associated osteoporotic factors: a retrospective study in Chinese adults
SummaryDynamic skeletal deformation with ageing showed important signs of degenerative and osteoporotic diseases. We found that both femoral bowing...
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Influence of preoperative coronal and sagittal tibiofemoral subluxation in knee osteoarthritis on the outcome of primary total knee arthroplasty
BackgroundThe effect of osteoarthritis (OA) with tibiofemoral (TF) subluxation on patients undergoing total knee arthroplasty (TKA) has been less...
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Mal-angulation of femoral rotational osteotomies causes more postoperative sagittal mechanical leg axis deviation in supracondylar than in subtrochanteric procedures
PurposeAlteration of the postoperative frontal mechanical leg axis is a known problem in femoral rotational osteotomies. However, the maintenance of...
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Variation of three-dimensional femoral bowing and its relation to physical status and bone mineral density: a study with CT
PurposeAnatomically, the femoral bone shows sagittal and coronal bowing. Pronounced bowing would affect femoral implant surgery accuracy, but factors...
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The significance of the pelvic incidence measurement as a possible predictor of TKA outcome
PurposeTo evaluate the association between the sagittal alignment of the pelvis and residual knee flexion contracture after total knee arthroplasty...
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Effect of age and sex on femoral curvature in the Japanese population: three-dimensional computed tomography findings
Age- or sex-related differences in femoral curvature affect the onset of trauma or degenerative diseases of the hip joints. This study aimed to...
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Femoral Shaft Fracture in Post-polio Syndrome Patients: Case Series from a Level-I Trauma Center and Review of Literature
BackgroundFemoral shaft fracture in patients of post-polio syndrome (PPS) represents an uncommon yet complex injury pattern. Poorly developed...
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Learning curve of robot-assisted total knee arthroplasty and its effects on implant position in asian patients: a prospective study
BackgroundRobot-assisted total knee arthroplasty (r-TKA) can reportedly achieve more accurate implant positioning than conventional total knee...
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Coronal shaft bowing of the femur affects varus inclination of the surgical transepicondylar axis in varus knee osteoarthritis
PurposeThis study investigated the relationship between femoral shaft bowing and the orientation of the surgical transepicondylar axis (TEA) in the...
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Lower limb bone geometry in adult individuals with X-linked hypophosphatemia: an observational study
SummaryWe assessed lower-limb geometry in adults with X-linked hypophosphatemia (XLH) and controls. We found large differences in multiple measures...
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Improved surgical procedure of primary constrained total knee arthroplasty which enables use of the femoral diaphyseal straight extension stem
BackgroundIn performing primary constrained total knee arthroplasties (TKA) to imbalanced knees, the offset stem is sometimes compelled to use,...
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The accelerometer-based navigation system demonstrated superior radiological outcomes in restoring mechanical alignment and component sagittal positioning in total knee arthroplasty
BackgroundThis study aimed to determine whether the accelerometer-based navigation (ABN) could improve the accuracy of restoring mechanical axis...
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Varus morphology and its surgical implication in osteoarthritic knee and total knee arthroplasty
BackgroundKnee varus alignment represents a notorious cause of knee osteoarthritis. It can be caused by tibial deformity, combined tibial–femoral...
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Valgus arthritic knees can be classified into nine phenotypes
PurposeIt is not shown whether anatomical variations exist in valgus arthritic limbs as to support individualized component and limb alignment. The...
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Short knee radiographs can be inadequate for estimating TKA alignment in knees with bowing
PurposeThe aim of this study was to compare the discrepancy of alignment categorization in total knee arthroplasty (TKA) between the anatomical...
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Does patient-specific instrumentation increase the risk of notching in the anterior femoral cortex in total knee arthroplasty? A comparative prospective trial
PurposePatient-specific instrumentation (PSI) was usually applied in total knee arthroplasty (TKA) to acquire a favourable alignment. We hypothesized...
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Promising short-term outcomes of free-hand burring technique to implant second-generation metaphyseal cone in Asian knees – a case series
BackgroundThe second-generation metaphyseal cone was useful in managing bone defects in revision knee arthroplasty. However, due to the anatomical...
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Alignment accuracy and functional outcomes between hand-held navigation and conventional instruments in TKA: a randomized controlled trial
BackgroundThis study assessed surgical accuracy and functional outcomes using hand-held accelerometer-based navigation following total knee...
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Deformity progression in congenital posteromedial bowing of the tibia: a report of 44 cases
Backgroundcongenital posteromedial bowing of tibia (CPMBT) is a very rare birth defect, characterized by shortened bowed leg and ankle deformity. We...