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A greater susceptibility of the medial side towards AC and Sb changes could be due to varus alignment following knee instability during the course of the disease.
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It mainly was due to varus deformity of the tibial shaft, and even with restoration of alignment between the femur and the tibial metaphysis the patient still had a bowed leg.
One patient was treated with an additional corrective osteotomy of the tibia due to varus angulation of the tibia.
The other revision occurred at 1.8 years' follow-up and was described as loosening of the tibial component that led to varus alignment.
The highest clinical scores were found in patients with post-traumatic deformities that according to aim had been corrected to normal varus alignment (Tables 2, 3).
Trigonometric analysis showed that a lateral displacement of 2 mm caused a varus cut of 0.88°, which meant that a lateral translation of 10 mm led to a varus alignment of tibial cut of 4.4°.
They concluded that the valgus alignment of the resurfacing arthroplasty is preferential to the varus alignment because the former induces a more physiological strain pattern and reduces the risk of femoral neck fracture.
Left inset: blurring of the map due to incorrect alignment.
The poor result was due to hallux varus development as HVA of (−5°) postoperatively.
This phenomenon might be a consequence of mechanical overloading due to the varus deformity of the hind limbs [ 17, 19].
On the other hand, among the 21 patients who were operated on due to adductus varus toe, 9 (42.9%) showed triphalangeal fifth toe and 12 (57.1%) showed biphalangeal fifth toe.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com