Ten flaws of systematic mechanical alignment total knee arthroplasty

G Beckers, RM Meneghini, MT Hirschmann… - The Journal of …, 2024 - Elsevier
Mechanical alignment (MA) and its tenets have been considered essential for total knee
arthroplasty (TKA) success since they were introduced in 1973. However, over time, there …

Definitions and consequences of current alignment techniques and phenotypes in total knee arthroplasty (TKA)–there is no winner yet

T Karasavvidis, CA Pagan Moldenhauer… - Journal of Experimental …, 2023 - Springer
Dissatisfaction following total knee arthroplasty (TKA) has been extensively documented
and it was attributed to numerous factors. In recent years, significant focus has been directed …

Mechanically aligned total knee arthroplasty does not yield uniform outcomes across all coronal plane alignment of the knee (CPAK) phenotypes

E Franceschetti, S Campi, G Giurazza… - Knee Surgery …, 2024 - Wiley Online Library
Purpose Patient dissatisfaction rates following total knee arthroplasty (TKA) reported in the
literature reach 20%. The optimal coronal alignment is still under debate. The aim of this …

Definition of normal, neutral, deviant and aberrant coronal knee alignment for total knee arthroplasty

MT Hirschmann, ZA Khan, MP Sava… - Knee Surgery …, 2024 - Wiley Online Library
Purpose One of the most pertinent questions in total knee arthroplasty (TKA) is: what could
be considered normal coronal alignment? This study aims to define normal, neutral, deviant …

Independent of the preoperative coronal deformity, adjusted mechanical alignment leads in a high percentage to non-anatomical tibial and femoral bone cuts

V Luderer, M Strauch, MT Hirschmann… - Knee Surgery, Sports …, 2023 - Springer
Purpose The technique of adjusted mechanical alignment (AMA) in total knee arthroplasty
(TKA) has been described to achieve alignment and balancing goals in varus knees in a …

Functional alignment in total knee arthroplasty best achieves balanced gaps and minimal bone resections: an analysis comparing mechanical, kinematic and …

VA Van de Graaf, DB Chen, RJ Allom, JA Wood… - Knee Surgery, Sports …, 2023 - Springer
Purpose Key concepts in total knee arthroplasty include restoration of limb alignment and
soft-tissue balance. Although differences in balance have been reported amongst …

[HTML][HTML] Restoring the preoperative phenotype according to the coronal plane alignment of the knee classification after total knee arthroplasty leads to Better …

C Pangaud, R Siboni, JF Gonzalez, JN Argenson… - The Journal of …, 2024 - Elsevier
Background Mechanical alignment after total knee arthroplasty (TKA) is still widely used in
the surgical community, but the alignment finally obtained by conventional techniques …

Gender‐based differences exist in the functional knee phenotypes classification of the osteoarthritic knee

S Chelli, T Rudyy, GM Avram… - Knee Surgery …, 2024 - Wiley Online Library
Purpose To identify gender differences in (1) the coronal alignment of functional knee
phenotypes and (2) the JLCA (joint line convergence angle) in relation to the phenotype …

Kinematical alignment better restores native patellar tracking pattern than mechanical alignment

YD Kim, D Lim, DS Kwak, N Cho… - Knee Surgery, Sports …, 2024 - Wiley Online Library
Purpose The purpose of this study was to assess whether kinematic alignment (KA)
outperforms mechanical alignment (MA) in restoring patellar tracking to native patterns by …

Change of CPAK class does not affect functional outcomes in robotic arm‐assisted total knee arthroplasty performed with functional alignment

E Bertugli, F Zambianchi, C Batailler… - Knee Surgery …, 2024 - Wiley Online Library
Purpose The purpose of this study was to assess the impact of post‐operative coronal plane
alignment of the knee (CPAK) class change on functional outcomes and determine the rate …