ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Restricted kinematic alignment leads to uncompromised osseointegration of cementless total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Early Results of Unrestricted Kinematic Alignment in Cementless Total Knee Arthroplasty.Arthroplasty today · 2026Article
- Robotic Total Knee Replacement: Single-Centre, Prospective, Non-Randomised Comparative Study Comparing Restricted Kinematic Alignment Combined with a Load Sensor Versus Functional Alignment.Journal of clinical medicine · 2026Article
- Feasibility of medial parapatellar approach in unicompartmental knee arthroplasty for moderate to severe varus deformity.Archives of orthopaedic and trauma surgery · 2026Article
- Standardizing definitions of the total knee alignment techniques: recommendations by the Personalized Arthroplasty Society.EFORT open reviews · 2025Review
- Knee Arthroplasty Types: An Educational Framework for Multidisciplinary Healthcare Teams.Cureus · 2025Review
- Comparison of Outcomes Between Functionally and Mechanically Aligned Total Knee Arthroplasty: Analysis of Parallelism to the Ground and Weight-Bearing Position of the Knee Using Hip-to-Calcaneus Radiographs.Journal of personalized medicine · 2025Article
- Excellent results of restricted kinematic alignment total knee arthroplasty at a minimum of 10 years of follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Functional Alignment Achieved a More Balanced Knee After Robotic Arm-Assisted Total Knee Arthroplasty than Modified Kinematic Alignment.Journal of clinical medicine · 2025Article
- Novel technique for achieving the under-correction of native tibial varus in calipered restricted kinematically aligned total knee arthroplasty - A validation study.Journal of clinical orthopaedics and trauma · 2024Article
- The Viability and Success of Noncemented Kinematic Total Knee Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Comparison of Outcomes in Obese Patients after Total Knee Arthroplasty with Neutral or Mild Varus: A Retrospective Study with 8-Year Follow-Up.Orthopaedic surgery · 2024Article
- Postoperative full leg radiographs exhibit less residual coronal varus deformity compared to intraoperative measurements in robotic arm-assisted total knee arthroplasty with the MAKO™ system.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
- Clinical and Radiographic Outcomes of Inversed Restricted Kinematic Alignment Total Knee Arthroplasty by Asia Specific (Huang's) Phenotypes, a Prospective Pilot Study.Journal of clinical medicine · 2023Article
- Computer Navigation Assisted Restricted Kinematic Alignment Improves Short-Term Outcomes in Total Knee Arthroplasty: An Ambispective Cohort Study.Orthopaedic surgery · 2023Article
- Excessive Sagittal Slope of the Tibia Component during Kinematic Alignment-Safety and Functionality at a Minimum 2-Year Follow-Up.Journal of personalized medicine · 2022Article
- Minimum 2-Year Radiographic and Clinical Outcomes of Unrestricted Kinematic Alignment Total Knee Arthroplasty in Patients with Excessive Varus of the Tibia Component.Journal of personalized medicine · 2022Article
- Current concept of kinematic alignment total knee arthroplasty and its derivatives.Bone & joint open · 2022Article
- Osteoarthritic and non-osteoarthritic patients show comparable coronal knee joint line orientations in a cross-sectional study based on 3D reconstructed CT images.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Specific case consideration for implanting TKA with the Kinematic Alignment technique.EFORT open reviews · 2021Review
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWhile kinematic alignment (KA) total knee arthroplasty (TKA) with cemented implants has been shown to provide equivalent or better results than mechanical alignment, its combination with cementless fixation has not yet been documented. The purpose of this study is to report (1) revision rate and causes, (2) clinical results based on patient report outcome measures (PROMs), and (3) radiological signs of implant dysfunction in patients with an uncemented TKA implanted with restricted KA (rKA), after a minimum follow-up of 2 years.
methodsThis study included the first 100 consecutive uncemented cruciate retaining TKAs implanted between November 2015 and February 2018 by a single surgeon following rKA principles. At last follow-up, all adverse events and PROMs assessed by WOMAC, KOOS, and FJS scores were documented. Radiographic evaluation was performed to identify signs of implant loosening.
resultsAfter a mean follow-up of 49 months (32, 60), no implant revision was performed for aseptic loosening. Three revisions were performed: one for malalignment, one for a deep infection, and one for instability. The mean WOMAC score was 20.1 (0-79, 21.3), the mean KOOS score was 71.5 (19.0-96.6, 19.8), and the mean FJS score was 65.9 (0-100, 29.6). No radiological evidence of implant aseptic loosening or osteolysis was identified.
conclusionThis study shows that in 99% of our cases, rKA combined with the tested cementless TKA implant allowed for adequate secondary fixation and good functional outcomes in the short term. Favourable mid- to long-term implant survivorship is anticipated. LEVEL OF EVIDENCE: III.
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