Yann Wiart1, Johannes Kuntz1, Christian Bergdolt1, Loïc Villet2, Charles Rivière3,4. 1. Endoprothetikzentrum, Theresienkrankenhaus, Mannheim, Deutschland. 2. Centre de l'arthrose, Clinique du Sport, Mérignac, Frankreich. 3. Centre de l'arthrose, Clinique du Sport, Mérignac, Frankreich. c.riviere@imperial.ac.uk. 4. South West London Elective Orthopaedic Centre, Epsom General Hospital, MSK Lab - Imperial College London, KT18 7EG, Epsom, Surrey, Großbritannien. c.riviere@imperial.ac.uk.
Abstract
BACKGROUND: This review introduces various techniques for implantation of a total knee endoprosthesis and scrutinizes the "mechanical alignment" of a total knee endoprosthesis, whereby the various alignment concepts are examined. In particular, kinematic alignment, in terms of its significance, the individual steps of the implantation technique and the data collected, will be examined in more detail. METHODS: Improvement in the clinical results after implantation of a total knee endoprosthesis can be achieved by a personalized, individualized, physiological implantation that respects the unique anatomical characteristics of each patient. In recent years, many alternative alignment techniques have been developed, some of them showing promising approaches. RESULTS: The kinematic implantation technique can be performed reliably and inexpensively, and shows good biomechanical results. Although the first clinical results are encouraging, further studies should be carried out to determine the limits of optimal alignment.
BACKGROUND: This review introduces various techniques for implantation of a total knee endoprosthesis and scrutinizes the "mechanical alignment" of a total knee endoprosthesis, whereby the various alignment concepts are examined. In particular, kinematic alignment, in terms of its significance, the individual steps of the implantation technique and the data collected, will be examined in more detail. METHODS: Improvement in the clinical results after implantation of a total knee endoprosthesis can be achieved by a personalized, individualized, physiological implantation that respects the unique anatomical characteristics of each patient. In recent years, many alternative alignment techniques have been developed, some of them showing promising approaches. RESULTS: The kinematic implantation technique can be performed reliably and inexpensively, and shows good biomechanical results. Although the first clinical results are encouraging, further studies should be carried out to determine the limits of optimal alignment.
Authors: Robert C Marchand; Nipun Sodhi; Hiba K Anis; Joseph Ehiorobo; Jared M Newman; Kelly Taylor; Caitlin Condrey; Matthew S Hepinstall; Michael A Mont Journal: J Knee Surg Date: 2019-04-08 Impact factor: 2.757
Authors: Abdulaziz M Almaawi; Jonathan R B Hutt; Vincent Masse; Martin Lavigne; Pascal-Andre Vendittoli Journal: J Arthroplasty Date: 2017-02-20 Impact factor: 4.757