What is the optimal alignment in TKA ?
173
subjective outcome, and whether an evenly
durable implant survivorship can be obtained
as compared to the classical concept of
mechanical alignment restoration [16]. Further
clinical research in this domain will be
necessary to clarify this.
Literature
[1] Ritter Ma, Faris PM, Keating EM, Meding JB
(1994) Postoperative alignment of total knee replacement.
Its effect on survival.
Clin Orthop Relat Res 299: 153-6.
[2] Jeffery RS, Morris RW, Denham RA (1991)
Coronal alignment after total knee replacement.
J Bone Joint
Surg Br 73: 709-14.
[3] Lewallen DG, Bryan RS, Peterson LF (1984)
Polycentric total knee arthroplasty: a ten-year follow-up
study.
J Bone Joint Surg Am 66: 1211-18.
[4] Lotke PA, Ecker ML. Influence of positioning of
prosthesis in total knee replacement.
J Bone Joint Surg Am.
1977; 59: 77-9.
[5] Bargren JH, Blaha JD, Freeman MA.
Alignment in total knee arthroplasty. Correlated
biomechanical and clinical observations.
Clin Orthop Rel
Res. 1983; 173: 178-83.
[6] Aglietti P, Buzzi R. Posteriorly stabilized total-
condylar knee replacement. Three to eight years’ follow-up
of 85 knees.
J Bone Joint Surg Br. 1988: 70; 211-16.
[7] Tew M, Waugh W. Tibiofemoral alignment and the
results of knee replacement.
J Bone Joint Surg Br. 1985; 67:
551-6.
[8] Paratte S, Pagnano MW, Trousdale RT,
Berry DJ (2010) Effect of postoperative mechanical axis
alignment on the fifteen-year survival of modern, cemented
total knee replacements.
J Bone Joint Surg Am 2143-49.
[9] Matziolis G, Adam J, Perka C. (2010) Varus
alignment has no influence on clinical outcome in midterm
follow-up after total knee replacement.
Arch Orthop Trauma
Surg 1487-91.
[10] Bonner TJ, Eardley WGP, Patterson P,
Gregg PJ (2011) The effect op post-operative mechanical
axis alignment on the survival of primary total knee
replacements after a follow-up of 15 years.
[11] Magnussen RA, Weppe F, Demey G, Servien
E, Lustig S (2011) Residual varus alignment does not
compromise results of TKAs in patients with preoperative
varus.
Clin Orthop Relat Res 469: 3443-50.
[12] Vanlommel L, Vanlommel J, Claes S,
Bellemans J (2013)
Knee Surg Sports Traumatol
Arthrosc 2325-30.
[13] Howell SM, Howell SJ, Kuznik KT, Cohen J,
Hull ML (2013) Does a kinematically aligned total knee
arthroplasty restore function without failure regardless of
alignment category?
Clin Orthop Relat Res 471; 1000-7.
[14] Howell SM, Papadopoulos S, Kuznik KT,
Hull Ml (2013) Accurate alignment and high function after
kinematicallyalignedTKAperformedwithgenericinstruments.
Knee Surg Sports Traumatol Arthrosc 21; 2271-80.
[15] Bellemans J, Colyn W, Vandenneucker H,
Victor J (2012) Is neutral mechanical alignment normal
for all patients? The concept of constitutional varus.
Clin
Orthop Relat Res 470: 45-53.
[16] Ritter MA, Davis KE, Meding JB, Pierson JL,
Berend ME, Malinzak RA. The effect of alignment
and BMI on failure of total knee replacement.
J Bone Joint
Surg 2011; 93: 1588-96.