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Mark Anthony Roussot University College London Hospitals NHS Foundation Trust, London, UK
Department of Orthopaedic Surgery, University of Cape Town, SA

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Fares Sami Haddad University College London Hospitals NHS Foundation Trust, London, UK

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  • Total knee arthroplasty (TKA) has evolved into a successful, cost-effective treatment for end-stage knee arthrosis.

  • The patellofemoral articulation in TKA has largely been ignored during its development despite being an important determinant of outcome.

  • New technologies still need further development to incorporate the patella in TKA surgical planning and operative technique.

  • Alternative approaches to alignment in TKA will have a secondary impact on patellofemoral mechanics and possibly future implant designs.

  • Technologies that assist with precise implant positioning may alter our understanding and overall practice of TKA.

Cite this article: EFORT Open Rev 2019;4:503-512. DOI: 10.1302/2058-5241.4.180094

Open access