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may have little effect on the outcome of knee arthroplasty performed with modern prostheses. The aim of this review is to assess the historical and contemporary evidence regarding the impact of coronal plane alignment in TKA on function and
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Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science (LIROMS), Luxembourg, Luxembourg
Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg-Clinique d’Eich, Luxembourg, Luxembourg
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Orthopaedic Surgery Service, University Hospital of Geneva, Geneva, Switzerland
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requiring correction. Usually, the assessment of coronal plane alignment is performed using long-leg radiography (LLR). Several methods have been proposed to measure the mechanical axis in standard anteroposterior weight-bearing knee radiographs to avoid
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). 15 Fig. 1 Whole lower limb radiograph encompassing the hip, knee and heel: a) radiographic method; b) radiographic appearance. Re-alignment surgery principally addresses the asymmetrical ankle in the coronal plane, which makes the
Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium
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Department of Electromechanics, InViLab research group, University of Antwerp, Antwerp, Belgium
Department of Trauma and Orthopedics, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
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Radiographical outcome Ariywatkul et al. ( 28 ) N/R N/R The TT changed from 2.09° to 1.62° ( P > 0.05). FTA correction of over 14.5° gives a 50% chance of altering ankle alignment in the coronal plane. Altering the anatomical femorotibial
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more physiological and thus more accurate manner. 46 , 47 The following studies used weight-bearing CT scans to assess hindfoot alignment in the coronal plane: Hirschmann et al 47 found significant changes in weight-bearing or non
Department of Orthopaedic Surgery, University of Cape Town, South Africa
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intercompartmental pressure difference in KA knees, but this did not translate into improvements in PROMs at 1 year follow up. 48 Studies reporting the outcomes in TKA tend to focus on static coronal alignment, but one should also appreciate the importance of
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, Leeds, UK
Leeds Teaching Hospitals Trust, UK
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The Lister Hospital, Chelsea Bridge, London, UK
Centre de l’Arthrose - Clinique du Sport, Bordeaux-Mérignac, France
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Leeds Teaching Hospitals Trust, UK
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following the failures of AA, MA in TKR has been the gold standard for decades. 11 This technique places the femoral component perpendicular to the coronal mechanical axis of the femur. 12 The aim is to create a neutral lower limb alignment to
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Nuffield Orthopaedic Centre, Headington, Oxford, UK
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
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South-West London Elective Orthopaedic Centre, Epsom, 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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when performed with calipered kinematically aligned TKA . Knee Surg Sports Traumatol Arthrosc 2021 ; 29 : 437 – 445 . 5. Lin Y-H Chang F-S Chen K-H Huang K-C Su K-C . Mismatch between femur and tibia coronal alignment in the
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the distal femur, the cut is usually made close to perpendicular to the mechanical axis. As the joint line orientation (not to be confused with the overall limb alignment in the coronal plane) in the normal knee is in slight varus, the distal cutting
Orthopaedic Department, University General Hospital of Larissa, Greece
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perhaps depends on the choice of the different existing alignment techniques and the kinematic design principle of the implant used. 10 , 11 , 19 , 20 Knee alignment Alignment is critical for the long-term survival of TKA and is relevant to the
