1. CT MEASUREMENT OF THE FEMORAL VALGUS ANGLE IN THE INDIAN POPULATION
VAISHYA R
VIJAY V
NWAGBARA IC
AGARWAL AK
Department of Orthopaedics, Indraprastha Apollo Hospital, New Delhi, India

2. Vaishya R – There are no conflicts of interest to declare
Vijay V – There are no conflicts of interest to declare
Nwagbara IC – There are no conflicts of interest to declare
Agarwal AK – There are no conflicts of interest to declare

3. BACKGROUND
Importance of restoration of the mechanical alignment of the limb in TKA -
1. Reduce the incidence of loosening significantly
2. Improve the long-term survival of the prosthesis.
Alignment restored by appropriately placed bone cuts augmented by soft tissue release.
Distal femoral cut depends on femoral valgus angle (FVA)
Can be achieved through: computer navigation, patient specific instrumentation or a fixed valgus angle.

4. MATERIALS AND METHODS AIM – to assess
normal variability of the FVA in Indian population
whether it is justifiable to use a fixed FVA in all patients.
CT scans of patients undergoing pre-operative evaluation for patient specific instrumentation were used.
Study involved:
134 knees in 59 females and 19 males
Bilateral in 59 cases and unilateral in 16 cases
Male to female ratio of 1:3
Average age of the patients was years (range: years)
Values were subjected to Student’s t-test and Pearson correlation coefficient to evaluate the statistical correlation
between the genders, the ages, and the sides.

5. Centre of femoral head Centre of knee
The centre of the femoral head is determined using the centre of the geometrical sphere which replicates the femoral head.
Centre of knee
The centre of the knee corresponds to the trochlear notch which is 5-10 mm anterior to the roof of the intercondylar notch.

6. Anatomical axis Mechanical Axis FVA
The angle between the mechanical and anatomical axes measured.
The line joining the centre of the femoral head and the centre of the knee joint
The line joining the centre of the knee and the centre of the femoral shaft.

7. Distal femoral valgus angle (DFVA) data by gender and Side
Parameter n
KVA(°)
Average
Range
Total no. of knee
134
5.83 ± 0.64
Male 19
5.81 ± 0.59
Female 56
5.84 ± 0.67
Left 68
5.86 ± 0.68
Right 66
5.8 ± 0.61
Male-left
5.84 ± 0.65
Male-right 15
5.77 ± 0.53
5 - 7
Female-left 49
5.87 ± 0.7
Female-right 51
5.81 ± 0.64
* Average is expressed as mean±SD

8. Parameter t
P-Value
Left/right
0.512
0.609
Male/female
Right
0.287
0.775
Left
0.141
0.888
There was no statistically significant difference (p>0.05) between the DFVA on the left and right side or between the males and females on either side

11. Correlation of FVA with side

12. CONCLUSION
Although there are variations between FVA of individuals, the difference was not statistically significant.
A fixed valgus angle of 6 degrees can be safely used during TKA in the Indian population.

13. REFERENCES
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