The relationship between fibular head height and lower limb alignment deviation and severity after TKA for varus deformity knee osteoarthritis

This study found that in patients with varus deformity knee osteoarthritis, a greater degree of varus was associated with a lower fibular head height. Additionally, the fibular head in female patients was positioned closer to the lateral tibial plateau compared to male patients. In varus deformity knee osteoarthritis, fibular head height is a risk factor for postoperative lower limb varus alignment following total knee arthroplasty (TKA). Patients with a higher-positioned fibular head (lower fibular head height) are more likely to develop postoperative varus malalignment after TKA. Therefore, routine measurement of fibular head height is warranted in clinical practice for patients with varus deformity knee osteoarthritis.