Abstract
BackgroundLittle has been published about TKA in windswept deformities of the knees where combined varus and valgus deformities present in the same patient. Windswept deformities present with unique problems and must be addressed as two halves of a complex entity. Through this review we aim to understand the interrelation between the deformities, examine outcomes following simultaneous bilateral total knee arthroplasty in windswept deformities, and develop an algorithm for the management of windswept deformities by total knee arthroplasty.MethodsAn extensive online literature search for the keywords yielded 31 articles on which we based our review. Articles were analyzed in context to our research questions and are presented in a tabular format for quick reference and a better perspective.ResultsThe abnormal biomechanics and force moment of the knee cause progressive arthritis of the knee. The valgus deformity usually precedes a varus deformity on the contralateral knee in windswept deformities. Correct restoration of mechanical tibiofemoral angles by individualizing valgus correction angles have better outcomes after TKA.ConclusionA well-planned and judiciously executed simultaneous bilateral total knee replacement can offer distinct advantages to the patient and surgeon and provides optimum utilization of time and resources in the management of windswept knees.
Highlights
Windswept deformities (WSD) of the knee are not common presentations and pose unique challenges during total knee arthroplasty (TKA)
Amin et al [8], in their study of knee adduction moment (KAM) and development of chronic knee pain in 132 elders found that a greater adduction moment at the knee during activities contributes to the development of Clinical significance of windswept deformities Sugioka et al [13], in a retrospective study, reviewed five adult patients who had a WSD
Windswept deformities (WSD) of the knee are so named as to describe varus deformity on one side with valgus on the contralateral side [17]; for example, if the wind blew across the knees from left to right, a valgus deformity would be produced on the left and a varus on the right (Fig. 2, Fig. 3)
Summary
Windswept deformities (WSD) of the knee are not common presentations and pose unique challenges during total knee arthroplasty (TKA). We reviewed the literature to identify the challenges to TKA in WSD and to contribute to an understanding of the following: 1. 2. The outcomes with simultaneous bilateral total knee arthroplasty (SBTKA). Little has been published about TKA in windswept deformities of the knees where combined varus and valgus deformities present in the same patient. Windswept deformities present with unique problems and must be addressed as two halves of a complex entity. Through this review we aim to understand the interrelation between the deformities, examine outcomes following simultaneous bilateral total knee arthroplasty in windswept deformities, and develop an algorithm for the management of windswept deformities by total knee arthroplasty
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
