Comparative Analysis of Tibial Extender Usage in Total Knee Replacement for Mild Varus Deformities
Vol 05 Issue 1 | January 2024 | page: 09-11 | Akshaya Kumar Sahoo
DOI: https://doi.org/10.13107/ojot.2024.v05i01.049
Received 13/05/2023; Reviewed 09/06/2023; Accepted 02/11/2023; Published 10/01/2024
Authors: Akshaya Kumar Sahoo [1]
[1] Department of Orthopaedics, Apollo Hospitals, Bhubaneswar, Odisha, India.
Address of Correspondence
Dr. Akshaya Kumar Sahoo,
Senior Consultant, Department of Orthopaedics, Apollo Hospitals, Bhubaneswar, Odisha, India.
E-mail: drakskp@gmail.com
Abstract
Background: This study evaluates the effectiveness of using tibial extenders in total knee replacement (TKR) for patients with mild varus deformities.
Methods: A retrospective analysis of 48 TKR cases performed between January 2015 and December 2021 was conducted. Patients were divided into two groups: 24 received tibial extenders (Group A) and 24 did not (Group B). Data included demographic information, clinical assessments, and radiographic evaluations. Primary outcomes measured were knee alignment, range of motion, pain relief, and functional improvement. Secondary outcomes included complication rates and the need for revision surgery.
Results: Group A showed better postoperative knee alignment (mean deviation of 2.5 degrees vs. 4.1 degrees in Group B, p < 0.05), greater range of motion (120 degrees vs. 115 degrees, p < 0.05), and more pain relief (VAS scores decreased from 8.2 to 2.1 vs. 8.0 to 2.5, p < 0.05). Functional improvement was higher in Group A (KSS improvement from 45 to 85 vs. 43 to 80, p < 0.05). Complication rates and revision surgery needs were comparable between groups.
Conclusion: Tibial extenders in TKR for mild varus deformities result in better postoperative outcomes without increasing complication rates. Further research is needed to validate these findings and explore long-term benefits.
Keywords: Total Knee Replacement (TKR), Tibial Extenders, Varus Deformities, Postoperative Outcomes
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| How to Cite this Article: Sahoo AK Comparative Analysis of Tibial Extender | Usage in Total Knee Replacement for Mild Varus Deformities | The Odisha Journal of Orthopaedics and Trauma| January 2024; 05;01: 09-11 | https://doi.org/10.13107/ojot.2024.v05i01.049 |
