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Recent studies have challenged the long-held notion that neutral mechanical alignment after total knee arthroplasty leads to optimal function and survivorship.
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The ideal alignment for function and survivorship may actually be different.
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Kinematic alignment, where components are implanted to re-create the natural flexion/extension axis of the knee, may lead to improved functional results.
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Residual varus alignment may not adversely impact survivorship provided the tibial component is implanted in neutral alignment.
Cite this article: Lording T, Lustig S, Neyret P. Coronal alignment after total knee arthroplasty. EFORT Open Rev 2016;1:12-17. doi: 10.1302/2058-5241.1.000002.