Abstract
To understand deformities of the lower extremity, it is important to first understand and establish the parame-ters and limits of normal alignment. The exact anatomy of the femur, tibia, hip, knee, and ankle is of great impor-tance to the clinician when examining the lower limb and to the surgeon when operating on the bones and joints. To better understand alignment and joint orientation, the complex three-dimensional shapes of bones and joints can be simplified to basic line drawings, similar to the stick figures a child uses to represent a person (►Fig.1-1).
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Chao EY, Neluheni EV, Hsu RW, Paley D (1994) Biomechanics of malalignment. Orthop Clin North Am 25:379–386
Chiu KY, Zhang SD, Zhang GH (2) Posterior slope of tibial plateau in Chinese. J Arthroplasty 15:224–227
Cooke TD, Li J, Scudamore RA (1994) Radiographic assessment of bony contributions to knee deformity. Orthop Clin North Am 25:387–393
Cooke TD, Siu D, Fisher B (1987)The use of standardized radio-graphs to identify the deformities associated with osteoar-thritis. In: Noble J, Galasko CSB (eds) Recent developments in orthopaedic surgery. Manchester University Press, Manchester
Glimet T, Masse JP, Ryckewaert A (1979) Radiologic study of painless knees in 50 women more than 65 years old: I.Fron-tal teleradiography in an upright position [in French].Rev Rhum Mai Osteoartic 46:589–59
Hsu RW, Himeno S, Coventry MB, Chao EY (1990) Normal axial alignment of the lower extremity and load-bearing distribution at the knee.Clin Orthop 255:215–227
Inman VT (1976) The joints of the ankle. Williams & Wilkins, Baltimore
Krackow KA (1983)Approaches to planning lower extremity alignment for total knee arthroplasty and osteotomy about the knee.Adv Orthop Surg 7:69–88
Matsuda S, Miura H, Nagamine R, Urabe K, Ikenoue T, Okazaki K, Iwamoto Y (1999) Posterior tibial slope in the normal and varus knee. Am J Knee Surg 12:165–168
Meister K, Talley MC, Horodyski MB, Indelicato PA, Hartzel JS, Batts J (1998) Caudal slope of the tibia and its relationship to noncontact injuries to the ACL. Am J Knee Surg 11:217–219
Moreland JR, Bassett LW, Hanker GJ (1987) Radiographic anal-ysis of the axial alignment of the lower extremity. J Bone Joint Surg Am 69:745–749
Paley D, Tetsworth K (1992)Mechanical axis deviation of the lower limbs: Preoperative planning of uniapical angular de-formities of the tibia or femur. Clin Orthop 280:48–64
Paley D, Chaudray M, Pirone AM, Lentz P, Kautz D (1990) Treat-ment of malunions and mal-nonunions of the femur and tibia by detailed preoperative planning and the Ilizarov techniques. Orthop Clin North Am 21:667–69
Paley D, Herzenberg JE, Tetsworth K, McKie J, Bhave A (1994) Deformity planning for frontal and sagittal plane corrective osteotomies. Orthop Clin North Am 25:425–465
Yoshioka Y, Siu D, Cooke TD (1987) The anatomy and function-al axes of the femur. J Bone Joint Surg Am 69:873–880
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© 2002 Springer-Verlag Berlin Heidelberg
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Paley, D. (2002). Normal Lower Limb Alignment and Joint Orientation. In: Principles of Deformity Correction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59373-4_1
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DOI: https://doi.org/10.1007/978-3-642-59373-4_1
Publisher Name: Springer, Berlin, Heidelberg
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