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instability. 24 , 25 Personalized techniques for total joint replacement: the kinematic revolution Kinematic alignment technique for TKA Following the results of a few studies suggesting that the standing post-operative limb alignment was of
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Nuffield Orthopaedic Centre, Headington, Oxford, UK
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Shamir Medical Center, Zriffin, Israel
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Département de Chirurgie, Université de Montréal, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada
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-disease position ( Fig. 1 , Supplementary Video). 1 , 2 Fig. 1 The kinematic alignment technique for total knee arthroplasty (TKA) has the aim of restoring the pre-arthritic tri-dimensional knee anatomy and to align components on the knee’s kinematic axes
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Clinique Orthopédique Duval, Laval, Quebec, Canada
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Department of Knee Surgery, Casa di Cura Solatrix, Rovereto, TN, Italy
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conjunction with joint resurfacing TKA represents the only true kinematic alignment technique, as it aims to reproduce the native knee laxity and overall lower limb axis. Resurfacing the joint This technique ( Fig. 2 ) aims to reproduce native
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Mechanical or anatomical alignment techniques create a supposedly ‘biomechanically friendly’ but often functionally limited prosthetic knee.
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Alternative techniques for alignment in total knee arthroplasty (TKA) aim at being more anatomical and patient-specific, aiming to improve functional outcomes after TKA.
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The kinematic alignment (KA) technique for TKA has shown good early clinical outcomes. Its role in extreme anatomical variation remains to be defined.
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The restricted KA technique for TKA might be a reasonable option for patients with extreme anatomical variation.
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While unicompartmental knee arthroplasty (UKA) has many advantages over TKA, the revision rate remains higher compared with TKA. One major explanation is the relative ease with which a UKA can be converted to a TKA, compared with revising a TKA. This can be considered as an additional advantage of UKA. Another reason is that surgeons favour revising a UKA to a TKA in cases of degeneration of the other femorotibial compartment rather than performing a relatively simple re-operation of the knee by doing an additional UKA (staged bi-UKA).
Cite this article: EFORT Open Rev 2018;3:1–6. DOI: 10.1302/2058-5241.3.170021
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® imaging system or with conventional lumbo-pelvic lateral radiographs. This information allows the surgeon to realize the ‘Kinematic alignment technique’. As Rivière et al say 17 - 18 ‘this technique aims at restoring the native combined femoral
Surgery Department, Hôpital Maisonneuve-Rosemont, Montreal University, Montreal, Québec, Canada
Clinique orthopédique Duval, 1487 Boul des Laurentides, Laval
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Bordeaux Arthroplasty Research Institute - Clinique du Sport Bordeaux-Mérignac 04-06 rue Georges Negrevergne, Mérignac, France
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Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland
Clinical Research Group Michael T. Hirschmann, Regenerative Medicine & Biomechanics, University of Basel, Basel, Switzerland
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Department of Surgery, University of California, San Francisco, California, USA
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" concept . Knee Surgery, Sports Traumatology, Arthroscopy 2022 30 365 – 367 . ( https://doi.org/10.1007/s00167-021-06844-w ) 18. Riviere C Maillot C Harman C & Cobb J . Kinematic alignment technique for total hip arthroplasty . Seminars in
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arthroplasty using hinge joints: indications and results . EFORT Open Reviews 2019 4 121 – 132 . ( https://doi.org/10.1302/2058-5241.4.180056 ) 45. Rivière C Webb J & Vendittoli PA . Kinematic alignment technique for TKA on degenerative knees with
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MSK Lab, Imperial College London, UK
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-term outcomes need to be studied before mainstream use of the kinematic alignment technique. Preventing wound ooze is important when sending patients home on the day of surgery, and although very little definitive evidence exists regarding different methods of
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size, bearings materials), and proper reconstruction of hip rotation centre are equally important. 63 – 67 All these issues can affect both clinical outcomes and complication rates in THA. The kinematic alignment technique for THA aims to restore
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-Dimensional Acetabular Cup Orientation in Total Hip Arthroplasty Dislocations . Journal of Arthroplasty 2021 36 2184 - 2188.e1 . ( https://doi.org/10.1016/j.arth.2020.12.055 ) 84. Riviere C Harmon C Boughton O & Cobb J. Kinematic Alignment Technique for
