{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:48:14Z","timestamp":1787024894993,"version":"build-2736575974"},"reference-count":13,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2016,9,26]],"date-time":"2016-09-26T00:00:00Z","timestamp":1474848000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["openorthopaedicsjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TOORTHJ"],"published-print":{"date-parts":[[2016,9,26]]},"abstract":"\n Background:<\/jats:title>\n Severe hip osteoarthritis is known to lead to secondary osteoarthritis of the knee joint. It is not clear whether contracture or a leg length discrepancy is more important in determining the knee alignment.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n In this study, 48 hips in 48 patients with a unilateral completely dislocated hip (Crowe IV) were recruited. The patients were divided into two groups (Crowe IVa and IVb). The Crowe IVa group had completely dislocation with psudo-articulation, and the Crowe IVb group had completely dislocation without psudo-articulation. The lower limb alignment was divided into three patterns according to the femorotibial angle; varus (\u2265176 degrees), neutral(170 to 175 degrees) and valgus(\u2264169 degrees).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The combination of valgus alignment on the affected side and varus alignment on the unaffected side, so-called \u201cwindswept deformity\u201d was observed in 12.5% of the patients; this included 18.2% and 7.7%, in the Crowe IVa and Crowe IVb groups, respectively. The valgus alignment on the unaffected side, namely \u201clong leg arthropathy,\u201d was found to have occurred in 6.3% of the patients, including 13.6% of the patients in the Crowe IVa group; there were no cases of long \u201cleg arthropathy\u201d in the Crowe IVb group.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The lower limb alignment on the unaffected side had a tendency to be varus in the Crowe IV patients. The \u201cwindswept deformity\u201d was observed in each of the groups; however, \u201clong leg arthropathy\u201d was only found in the Crowe IVa group.<\/jats:p>\n <\/jats:sec>","DOI":"10.2174\/1874325001610010448","type":"journal-article","created":{"date-parts":[[2016,9,27]],"date-time":"2016-09-27T00:15:27Z","timestamp":1474935327000},"page":"448-456","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Lower Limbs Alignment in Patients with a Unilateral Completely Dislocated Hip"],"prefix":"10.2174","volume":"10","author":[{"given":"Shinsuke","family":"Someya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoki","family":"Sonohata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuya","family":"Ide","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satomi","family":"Nagamine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomonori","family":"Tajima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaaki","family":"Mawatari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"965","reference":[{"key":"ref1","unstructured":"Smillie IS. \n Angular deformity Disease of the knee joint. 2nd ed. \n Edinburgh, London: Churchill Livingstone 1974."},{"key":"ref2","first-page":"125","volume":"12","author":"Brattstr\u00f6m H.","year":"1971","unstructured":"Brattstr\u00f6m H, Brattstr\u00f6m M. \n Long term results in knee arthrodesis in rheumatoid arthritis. \n Reconstr Surg Traumatol \n 1971; \n 12\n (0)\n : 125-37.","journal-title":"Reconstr. Surg. Traumatol."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"287","DOI":"10.7326\/0003-4819-152-5-201003020-00006","volume":"152","author":"Harvey W.F.","year":"2010","unstructured":"Harvey WF, Yang M, Cooke TD, et al. \n Association of leg-length inequality with knee osteoarthritis: a cohort study. \n Ann Intern Med \n 2010; \n 152\n (5)\n : 287-95.","journal-title":"Ann. Intern. Med."},{"key":"ref4","doi-asserted-by":"crossref","first-page":"15","DOI":"10.2106\/00004623-197961010-00004","volume":"61","author":"Crowe J.F.","year":"1979","unstructured":"Crowe JF, Mani VJ, Ranawat CS. \n Total hip replacement in congenital dislocation and dysplasia of the hip. \n J Bone Joint Surg Am \n 1979; \n 61\n (1)\n : 15-23.","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref5","doi-asserted-by":"crossref","first-page":"587","DOI":"10.2106\/00004623-199173040-00016","volume":"73","author":"Russotti G.M.","year":"1991","unstructured":"Russotti GM, Harris WH. \n Proximal placement of the acetabular component in total hip arthroplasty. A long-term follow-up study. \n J Bone Joint Surg Am \n 1991; \n 73\n (4)\n : 587-92.","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1730","DOI":"10.1002\/art.21100","volume":"52","author":"Kraus V.B.","year":"2005","unstructured":"Kraus VB, Vail TP, Worrell T, McDaniel G. \n A comparative assessment of alignment angle of the knee by radiographic and physical examination methods. \n Arthritis Rheum \n 2005; \n 52\n (6)\n : 1730-5.","journal-title":"Arthritis Rheum."},{"key":"ref7","first-page":"13","author":"Insall J.N.","year":"1989","unstructured":"Insall JN, Dorr LD, Scott RD, Scott WN. \n Rationale of the Knee Society clinical rating system. \n Clin Orthop Relat Res \n 1989; \n (248): \n 13-4.","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1136\/ard.16.4.494","volume":"16","author":"Kellgren J.H.","year":"1957","unstructured":"Kellgren JH, Lawrence JS. \n Radiological assessment of osteo-arthrosis. \n Ann Rheum Dis \n 1957; \n 16\n (4)\n : 494-502.","journal-title":"Ann. Rheum. Dis."},{"key":"ref9","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1302\/0301-620X.62B2.7364828","volume":"62-B","author":"Smyth E.H.","year":"1980","unstructured":"Smyth EH. \n Windswept deformity. \n J Bone Joint Surg Br \n 1980; \n 62-B\n (2)\n : 166-7.","journal-title":"J. Bone Joint Surg. Br."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1016\/j.joca.2005.01.009","volume":"13","author":"Weidow J.","year":"2005","unstructured":"Weidow J, Mars I, K\u00e4rrholm J. \n Medial and lateral osteoarthritis of the knee is related to variations of hip and pelvic anatomy. \n Osteoarthritis Cartilage \n 2005; \n 13\n (6)\n : 471-7.","journal-title":"Osteoarthritis Cartilage"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1007\/s00776-013-0457-3","volume":"18","author":"Fujimaki H.","year":"2013","unstructured":"Fujimaki H, Inaba Y, Kobayashi N, Tezuka T, Hirata Y, Saito T. \n Leg length discrepancy and lower limb alignment after total hip arthroplasty in unilateral hip osteoarthritis patients. \n J Orthop Sci \n 2013; \n 18\n (6)\n : 969-76.","journal-title":"J. Orthop. Sci."},{"key":"ref12","doi-asserted-by":"crossref","first-page":"2249","DOI":"10.2106\/00004623-200212000-00019","volume":"84-A","author":"Kandemir U.","year":"2002","unstructured":"Kandemir U, Yazici M, Alpaslan AM, Surat A. \n Morphology of the knee in adult patients with neglected developmental dysplasia of the hip. \n J Bone Joint Surg Am \n 2002; \n 84-A\n (12)\n : 2249-57.","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1007\/s00776-009-1414-z","volume":"15","author":"Ariumi A.","year":"2010","unstructured":"Ariumi A, Sato T, Kobayashi K, et al. \n Three-dimensional lower extremity alignment in the weight-bearing standing position in healthy elderly subjects. \n J Orthop Sci \n 2010; \n 15\n (1)\n : 64-70.","journal-title":"J. Orthop. 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