Alignment and Balance Methods in Total Knee Arthroplasty.

Total knee arthroplasty is one of the most commonly performed orthopaedic surgical procedures in the United States. Primary concepts in the surgical technique include restoring limb alignment and soft-tissue balance about the knee. Currently, traditional mechanical alignment concepts that focus on restoring neutral limb alignment have been challenged by the principle of kinematic alignment. In addition to these recent philosophical challenges, new technologies have been introduced to help the surgeon more accurately achieve optimal limb alignment and soft-tissue balance.

[1]  P. Pavlou,et al.  The Chitranjan S. Ranawat Award , 2017, Clinical orthopaedics and related research.

[2]  Sujit Kumar Tripathy,et al.  Does Patient-Specific Instrumentations Improve Short-Term Functional Outcomes After Total Knee Arthroplasty? A Systematic Review and Meta-Analysis. , 2016, The Journal of arthroplasty.

[3]  D. Fick,et al.  Component alignment and clinical outcome following total knee arthroplasty: a randomised controlled trial comparing an intramedullary alignment system with patient-specific instrumentation. , 2016, The bone & joint journal.

[4]  Denis Nam,et al.  Systematic Review of Patient-specific Instrumentation in Total Knee Arthroplasty: New but Not Improved , 2015, Clinical orthopaedics and related research.

[5]  S. Descamps,et al.  A comparison of patient-specific and conventional instrumentation for total knee arthroplasty: a multicentre randomised controlled trial. , 2015, The bone & joint journal.

[6]  Mel S. Lee,et al.  The benefits of computer-assisted total knee arthroplasty on coronal alignment with marked femoral bowing in Asian patients , 2014, Journal of Orthopaedic Surgery and Research.

[7]  Gwo-Chin Lee,et al.  Current data do not support routine use of patient-specific instrumentation in total knee arthroplasty. , 2014, The Journal of arthroplasty.

[8]  M. Hull,et al.  How Frequently Do Four Methods for Mechanically Aligning a Total Knee Arthroplasty Cause Collateral Ligament Imbalance and Change Alignment from Normal in White Patients? AAOS Exhibit Selection. , 2014, The Journal of bone and joint surgery. American volume.

[9]  M. Roche,et al.  A new method for defining balance: promising short-term clinical outcomes of sensor-guided TKA. , 2014, The Journal of arthroplasty.

[10]  Vincent Masse,et al.  Total knee arthroplasty with a novel navigation system within the surgical field. , 2014, The Orthopedic clinics of North America.

[11]  M. Kurosaka,et al.  Soft tissue balance changes depending on joint distraction force in total knee arthroplasty. , 2014, The Journal of arthroplasty.

[12]  M. Abdel.  Measured Resection Versus Gap Balancing for Total Knee Arthroplasty , 2014, Clinical orthopaedics and related research.

[13]  D. Mayman,et al.  Extramedullary guides versus portable, accelerometer-based navigation for tibial alignment in total knee arthroplasty: a randomized, controlled trial: winner of the 2013 HAP PAUL award. , 2014, The Journal of arthroplasty.

[14]  Maury L. Hull,et al.  Accurate alignment and high function after kinematically aligned TKA performed with generic instruments , 2013, Knee Surgery, Sports Traumatology, Arthroscopy.

[15]  M. Hull,et al.  Does A Kinematically Aligned Total Knee Arthroplasty Restore Function Without Failure Regardless of Alignment Category? , 2013, Clinical orthopaedics and related research.

[16]  Denis Nam,et al.  Accelerometer-based, portable navigation vs imageless, large-console computer-assisted navigation in total knee arthroplasty: a comparison of radiographic results. , 2013, The Journal of arthroplasty.

[17]  R. Barrack,et al.  Patient specific cutting blocks are currently of no proven value. , 2012, The Journal of bone and joint surgery. British volume.

[18]  N. Simunovic,et al.  Meta-analysis of navigation vs conventional total knee arthroplasty. , 2012, The Journal of arthroplasty.

[19]  K. Sloan,et al.  Computer navigation vs conventional total knee arthroplasty: five-year functional results of a prospective randomized trial. , 2012, The Journal of arthroplasty.

[20]  J. Bellemans,et al.  The Chitranjan Ranawat Award: Is Neutral Mechanical Alignment Normal for All Patients?: The Concept of Constitutional Varus , 2012, Clinical orthopaedics and related research.

[21]  M. Ritter,et al.  The effect of alignment and BMI on failure of total knee replacement. , 2011, The Journal of bone and joint surgery. American volume.

[22]  P J Gregg,et al.  The effect of post-operative mechanical axis alignment on the survival of primary total knee replacements after a follow-up of 15 years. , 2011, The Journal of bone and joint surgery. British volume.

[23]  Daniel J Berry,et al.  Effect of postoperative mechanical axis alignment on the fifteen-year survival of modern, cemented total knee replacements. , 2010, The Journal of bone and joint surgery. American volume.

[24]  P. Boisrenoult,et al.  Pin track induced fractures around computer-assisted TKA. , 2010, Orthopaedics & traumatology, surgery & research : OTSR.

[25]  D. Dennis,et al.  Gap Balancing versus Measured Resection Technique for Total Knee Arthroplasty , 2010, Clinical orthopaedics and related research.

[26]  A. Davis,et al.  Patient Satisfaction after Total Knee Arthroplasty: Who is Satisfied and Who is Not? , 2010, Clinical orthopaedics and related research.

[27]  Karen Sloan,et al.  Good alignment after total knee arthroplasty leads to faster rehabilitation and better function. , 2009, The Journal of arthroplasty.

[28]  D. König,et al.  Is referencing the posterior condyles sufficient to achieve a rectangular flexion gap in total knee arthroplasty? , 2009, International Orthopaedics.

[29]  A. Tosteson,et al.  Impact of hospital volume on the economic value of computer navigation for total knee replacement. , 2008, The Journal of bone and joint surgery. American volume.

[30]  W. Yau,et al.  How precise is the determination of rotational alignment of the femoral prosthesis in total knee arthroplasty: an in vivo study. , 2007, The Journal of arthroplasty.

[31]  B. Hanson,et al.  Navigated total knee replacement. A meta-analysis. , 2007, The Journal of bone and joint surgery. American volume.

[32]  M. Ritter,et al.  Tibial Component Failure Mechanisms in Total Knee Arthroplasty , 2004, Clinical orthopaedics and related research.

[33]  Bruce D Beynnon,et al.  Tibial axis and patellar position relative to the femoral epicondylar axis during squatting. , 2003, The Journal of arthroplasty.

[34]  J B Stiehl,et al.  Femoral condylar lift-off in vivo in total knee arthroplasty. , 2001, The Journal of bone and joint surgery. British volume.

[35]  V. Pinskerova,et al.  Tibiofemoral movement 1: the shapes and relative movements of the femur and tibia in the unloaded cadaver knee , 2000 .

[36]  G. Scuderi**,et al.  Rotational Landmarks and Sizing of the Distal Femur in Total Knee Arthroplasty , 1996, Clinical orthopaedics and related research.

[37]  L. Whiteside,et al.  Femoral rotational alignment, based on the anteroposterior axis, in total knee arthroplasty in a valgus knee. A technical note. , 1995, The Journal of bone and joint surgery. American volume.

[38]  R. Morris,et al.  Coronal alignment after total knee replacement. , 1991, The Journal of bone and joint surgery. British volume.

[39]  J. Siliski,et al.  Blood-gas and circulatory changes during total knee replacement. Role of the intramedullary alignment rod. , 1990, The Journal of bone and joint surgery. American volume.