TABLE 1.
Reference points | Mean age (years) | Follow‐up Time | Total number of patients | Evaluation of alignment | |||
---|---|---|---|---|---|---|---|
Proximal | Distal | CTA a , mean ± standard deviation (range) | 87°<CTA<93° | ||||
Nishikawa et al. 30 | |||||||
Surgeon's subjective judgment using bony and soft tissue landmarks | 74.4 | Jan 2007 to Mar 2010 | 114 | 89.6° ± 1.8° (85.7° to 93.8°) | n = 102 (87.2%) | P < 0.05 b | |
Proximal one‐third of the anterior border of tibia | Distal one‐third of the anterior border of tibia | 76.8 | Oct 2010 to Sep 2013 | 74 | 89.3° ± 1.6° (84.5°–92.7°) | n = 71 (95.9%) | |
Sasanuma et al. 13 | |||||||
Center of the proximal tibia | Center of the ankle | 75 | Dec 2009 to Oct 2010 | 97 | 90.1° ± 2.2° | n = 85 (88%) | P = 0.97 |
Proximal one‐third of the anterior border | Distal one‐third of the anterior border of tibia | 72 | Oct 2010 to May 2012. | 76 | 90.1° ± 2.5° | n = 64 (84%) | |
Bilgen et al. 7 | 88°<CTA<92° | ||||||
Not mentioned |
Extensor hallucis longus tendon | 68.3 | 2004 to 2006 | 47 | 89.17 ± 1.74° (84°–93°) | n = 42 (89.4%) | P = 0.017 |
Second metatarsal | 70.2 | 2006 to 2008 | 53 | 88.57 ± 2.11° (84°–93°) | n = 37 (69.8%) |
The coronal tibial component angle (CTA) is the medial angle between the mechanical axis of the tibia and the horizontal axis of the tibial tray. CTA was measured from bipedal‐stance, weight‐bearing, full‐length standing radiographs of the operatively treated limb
P < 0.05: the proportion of cases achieving ideal alignment by the two methods was significantly different between the two groups.