Total knee arthroplasty in patients with marked coronal femoral bowing deformities: A systematic review
Hsiang-An Lee, Shang-Wen Tsai, Hsuan-Hsiao Ma, Tsan-Wen Huang · 2026
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Description
Hsiang-An Lee and three colleagues review surgery tactics for knee replacement in patients whose thigh bone bows sideways, in a 2026 systematic review. This bowing is common in Asian patients and can throw off the alignment of an artificial knee. The review gathered studies from four databases up to August 2025 on techniques and their X-ray outcomes.
Thirteen studies made the final set. Setting the cutting angle for each patient beat using one fixed angle for restoring leg alignment. Shifting the rod entry point sideways let the guide rod sit straighter and improved component placement. Cutting inside the joint worked as a fallback, limited by deformity severity and technical difficulty. Computer guidance improved accuracy and cut outliers, while custom-made guides showed no clear edge. The authors stress a full-length standing leg scan before planning.
Catalog record
| CREATOR | Hsiang-An Lee, Shang-Wen Tsai, Hsuan-Hsiao Ma, Tsan-Wen Huang |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 31518 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |