ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Kinematic alignment in total knee arthroplasty leads to a better restoration of patellar kinematics compared to mechanic alignment.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mechanical versus kinematic alignment for total knee arthroplasty: a meta-analysis.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Comparison of custom cutting guides based on three-dimensional computerized CT-scan planning and a conventional ancillary system based on two-dimensional planning in total knee arthroplasty: a randomized controlled trial.International orthopaedics · 2019Trial
- Personalized alignment in total knee arthroplasty reduces patellar tilt: A retrospective study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Short-term Outcomes of Unrestricted Kinematic Alignment: Total Knee Arthroplasty With a Medial Pivot Implant: A Japanese Multicenter Study.Arthroplasty today · 2026Article
- Low bilateral consistency restricts the utility of the contralateral CPAK as a reliable reference for planning coronal alignment in total knee arthroplasty.BMC musculoskeletal disorders · 2025Article
- No difference in revision rate in patella-friendly total knee arthroplasty with or without patella resurfacing at 5 years' follow-up. A database analysis.Journal of experimental orthopaedics · 2025Article
- External femoral rotation of 2 degrees is associated with the lowest stuffing rates around the femur in functionally aligned TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Comparative outcomes of kinematically aligned TKA with medial stabilized design vs. mechanically aligned TKA with bi-cruciate stabilized design: A propensity score-matched analysis.Journal of orthopaedics · 2025Article
- The location of the centre of the proximal quadriceps tendon in kinematically aligned total knee arthroplasty is not associated with poor outcome scores or symptomatic patellar instability.Journal of experimental orthopaedics · 2024Article
- A robotic-assisted simulation of kinematic alignment in TKA leads to excessive valgus and internal rotation in valgus knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Coronal alignment in total knee arthroplasty: a review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023Review
- Femoral Component Rotation in Total Knee Arthroplasty Using a Tibia-First, Gap-Balancing, "Functional Alignment" Technique.Journal of clinical medicine · 2022Article
- The Trochlear Groove of a Femoral Component Designed for Kinematic Alignment Is Lateral to the Quadriceps Line of Force and Better Laterally Covers the Anterior Femoral Resection Than a Mechanical Alignment Design.Journal of personalized medicine · 2022Article
- Reoperations are few and confined to the most valgus phenotypes 4 years after unrestricted calipered kinematically aligned TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Slight femoral under-correction versus neutral alignment in total knee arthroplasty with preoperative varus knees: a comparative study.Arthroplasty (London, England) · 2022Article
- Medial Open Wedge High tibial Osteotomy (MOWHTO) does not relevantly alter patellar kinematics: a cadaveric study.Archives of orthopaedic and trauma surgery · 2022Article
- A randomized controlled trial comparing functional outcomes for navigated kinematically aligned total knee arthroplasty versus navigated mechanically aligned total knee arthroplasty : the MaKKRO trial.Bone & joint open · 2021Article
- Patellar management during total knee arthroplasty: a review.EFORT open reviews · 2021Review
- The accelerometer-based navigation system demonstrated superior radiological outcomes in restoring mechanical alignment and component sagittal positioning in total knee arthroplasty.BMC musculoskeletal disorders · 2021Article
- Kinematic aligned femoral rotation leads to greater patella tilt but similar clinical outcomes when compared to traditional femoral component rotation in total knee arthroplasty. A propensity score matched study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe influence of different implantation techniques in TKA on tibiofemoral kinematics was analysed in few investigations so far. However, the influence on patellar kinematics remain unclear. The aim of the present investigation was to compare patellar kinematics of the natural knee with those of knees after both kinematically and mechanically aligned TKAs.
methodsPatellar kinematics of ten cadaveric knees before and after TKAs implanted using both a kinematic and mechanic alignment technique were investigated and compared using a commercial optical computer navigation system.
resultsThere was a statistically significant difference between natural patellar kinematics and both implantation techniques analysing mediolateral shift. Patellar lateral tilt showed significant better results in the kinematically compared to the mechanically aligned TKAs. In terms of patella rotation, the patella of both mechanically and kinematically aligned TKAs showed significant higher values for external rotation compared to the natural knee. Regarding epicondylar distance again a significant better restoration of natural kinematics could be found in the kinematically aligned TKAs.
conclusionKinematically aligned TKAs showed a better overall restoration of patellar kinematics compared to a conventional mechanical alignment technique. In terms of clinical usefulness, the present study highlights the potential benefit for clinical outcome using a kinematically aligned implantation technique in TKA to achieve a better restoration of natural patellofemoral kinematics.
Indexed as
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.