ArticleSICOT-J2020
Kinematic versus mechanical alignment for primary total knee arthroplasty with minimum 2 years follow-up: a systematic review.
Article in SICOT-J, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The evolution of robotic systems for total knee arthroplasty, each system must be assessed for its own value: a systematic review of clinical evidence and meta-analysis.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Clinical and radiological outcomes of robotic-assisted versus conventional total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials.Acta orthopaedica · 2023Pooled it
- The effectiveness of surgical management in knee flexion contracture in primary total knee arthroplasty.Pakistan journal of medical sciences · 2026Article
- A theoretical bayesian decision tree model for prioritizing RA-TKA under constrained resources robotic-assisted versus conventional total knee arthroplasty.Journal of robotic surgery · 2026Article
- Lateral deviation of the prosthetic trochlear angle relative to the quadriceps vector in mechanically aligned total knee arthroplasty: a radiological and clinical analysis.BMC musculoskeletal disorders · 2026Article
- Beyond Alignment: Static Coronal Alterations Do Not Predict Dynamic Foot Loading or Spatiotemporal Gait Patterns After Unilateral Total Knee Replacement-A Prospective Study.Bioengineering (Basel, Switzerland) · 2026Article
- Prospective observational study of coronal and sagittal alignment after primary total knee arthroplasty and their association with early (3-month) functional outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Observational
- INTRAOPERATIVE ASSESSMENT OF COMPONENTS IN NAVIGATED KNEE ARTHROPLASTY IN THE ELDERLY.Acta ortopedica brasileira · 2026Article
- Posterior condylar offset and clinical outcomes in medial pivot total knee arthroplasty: A comparison of mechanical and kinematic alignment.Journal of experimental orthopaedics · 2026Article
- Article
- Personalized Robotic-Assisted Total Knee Arthroplasty with Anatomo-Functional Implant Positioning for Varus Knees: A Minimum Follow-Up of 5 Years.Journal of personalized medicine · 2025Article
- Conventional mobile-bearing unicompartmental knee arthroplasty effectively achieves personalised alignment: A single surgeon series of 2472 knees.Journal of orthopaedics · 2025Article
- Kinematic versus mechanical alignment: A systematic review of systematic reviews and meta-analyses of randomised controlled trials.Journal of experimental orthopaedics · 2024Review
- Is 80% satisfaction still the expectation in modern TKA mechanically aligned with robot assist? We think not.Journal of robotic surgery · 2024Article
- The Trochlear Paradox in Native Knees and Its Potential Impact on Total Knee Arthroplasty: An MRI-Based Correlation Study Investigating the Effect of Varying Posterior Femoral Condyle Angles on the Patellofemoral Joint.Journal of clinical medicine · 2024Article
- Review
- Management of fixed flexion contracture in primary total knee arthroplasty: recent systematic review.SICOT-J · 2024Article
- A New Concept of Using Femoral Condyles Surface for Femoral Component Alignment During Total Knee Arthroplasty: A Technical Note.Indian journal of orthopaedics · 2023Article
- Unrestricted kinematic alignment corrects fixed flexion contracture in robotically aligned total knees without raising the joint line in extension.Journal of experimental orthopaedics · 2023Article
- Navigated functional alignment total knee arthroplasty achieves reliable, reproducible and accurate results with high patient satisfaction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to perform a systematic review of the literature to determine whether there are any clinical or radiological differences in mechanically aligned Total Knee Arthroplasty (TKA) compared with kinematically aligned TKA.
methodsThis study included retrospective cohort studies, prospective randomized controlled trials (PRCTs) and prospective cohort studies comparing clinical and radiological outcomes, and complications in TKA with kinematic alignment (KA) and mechanical alignment (MA). All studies had a minimum follow-up of 2 years.
resultsFive PRCTs published between 2014 and 2020 were included. These studies showed a low risk of bias and were of very high quality. We did not find a superiority of KA compared to MA technique for clinical and radiological outcomes, except in one study which showed a significant difference favoring KA between the two groups for all clinical scores.
conclusionWe found that KA in TKA achieved clinical and radiological results similar to those of MA. The complication rate was not increased for KA TKAs. Studies with longer follow-up and larger cohorts are required to prove any benefit of KA technique over MA technique.
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