Definitions and consequences of current alignment techniques and phenotypes in total knee arthroplasty (TKA) – there is no winner yet - Université Claude Bernard Lyon 1 Accéder directement au contenu
Article Dans Une Revue Journal of Experimental Orthopaedics Année : 2023

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

Theofilos Karasavvidis
Cale A Pagan Moldenhauer
  • Fonction : Auteur
Jonathan M Vigdorchik
  • Fonction : Auteur
Michael T Hirschmann
  • Fonction : Auteur

Résumé

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 towards implant alignment and stability as potential causes and solutions to this issue. Surgeons are now exploring a more personalized approach to TKA, recognizing the importance of thoroughly understanding each individual patient's anatomy and functional morphology. A more comprehensive preoperative analysis of alignment and knee morphology is essential to address the unresolved questions in knee arthroplasty effectively. The crucial task of determining the most appropriate alignment strategy for each patient arises, given the substantial variability in bone resection resulting from the interplay of phenotype and the alignment strategy chosen. This review aims to comprehensively present the definitions of different alignment techniques in all planes and discuss the consequences dependent on knee phenotypes. Level of evidence V.
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hal-04475307 , version 1 (23-02-2024)

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Theofilos Karasavvidis, Cale A Pagan Moldenhauer, Sébastien Lustig, Jonathan M Vigdorchik, Michael T Hirschmann. Definitions and consequences of current alignment techniques and phenotypes in total knee arthroplasty (TKA) – there is no winner yet. Journal of Experimental Orthopaedics, 2023, 10 (1), pp.120. ⟨10.1186/s40634-023-00697-7⟩. ⟨hal-04475307⟩
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