Planning a Total Knee Replacement in a Valgus Knee
Preoperative Planning
- Standing AP and lateral radiographs and tangential axial view of the patellofemoral joint are essential for initial evaluation, according to the American College of Radiology 1
- Full-length standing hip-to-ankle radiographs provide optimal assessment of alignment and mechanical axis, as recommended by the American College of Radiology 1
- CT scan may be used to determine axial rotation of the femoral component, as suggested by the American College of Radiology 2
Postoperative Management
- Radiographic follow-up should include standing AP and lateral views to assess alignment, as recommended by the American College of Radiology 3
- Early mobilization is recommended to reduce length of hospital stay, and supervised exercise program during the first 2 months improves physical function, according to the American Academy of Orthopaedic Surgeons 4
- Regular follow-up every 1-2 years is recommended for long-term monitoring, as suggested by the American College of Radiology 1