ArticleJournal of personalized medicine2021
Restoring the Patient's Pre-Arthritic Posterior Slope Is the Correct Target for Maximizing Internal Tibial Rotation When Implanting a PCL Retaining TKA with Calipered Kinematic Alignment.
Article in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Unsupervised machine learning identifies two distinct posterior tibial slope clusters largely independent of Coronal Plane Alignment of the Knee in osteoarthritic knees.Journal of experimental orthopaedics · 2026Article
- Flexion-dependent differences in tibial rotation measured by navigation and robotic systems during bicruciate-stabilised total knee arthroplasty.Journal of experimental orthopaedics · 2026Article
- Kinematic alignment preserves the mid-flexion trochlear line orientation in total knee arthroplasty: A prospective analysis from the FP-UCBM Knee Study Group.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Switching From a 6° to a 20° Valgus Prosthetic Trochlear Groove Improved the Forgotten Joint and Oxford Knee Scores After Kinematically Aligned Total Knee Arthroplasty.Arthroplasty today · 2026Article
- Patient Perception of Lower-Limb Straightness at One Week After Unrestricted Kinematically Aligned Total Knee Arthroplasty: Exploring the Concept of "Inherent Straightness".Journal of personalized medicine · 2026Article
- Restoration of the trochlear peaks is unnecessary with a kinematic alignment-optimized femoral component as under-stuffing results in equivalent or better patient-reported outcome scores.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- The 'over-the-top' technique allows for accurate and reproducible restoration of the native tibial slope in kinematically aligned total knee arthroplasty: A retrospective comparative analysis from the FP-UCBM Knee Study Group.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Comparison of Mid-Term Clinical and Radiologic Outcomes Between Measured Resection Technique and Gap Balanced Technique After Total Knee Arthroplasty Using Medial Stabilizing Technique for Severe Varus Knee: A Propensity Score-Matched Analysis.Journal of clinical medicine · 2025Article
- High coronal alignment accuracy and satisfactory early outcomes using augmented reality assisted kinematic alignment in total knee arthroplasty.Journal of experimental orthopaedics · 2025Article
- The Forgotten Joint Score after total knee arthroplasty with a kinematic alignment-optimized femoral component matches total hip arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- An Insert Goniometer Can Help Select the Optimal Insert Thickness When Performing Kinematically Aligned Total Knee Arthroplasty with a Medial 1:1 Ball-in-Socket and Lateral Flat Surface Insert and Posterior Cruciate Ligament Retention.Bioengineering (Basel, Switzerland) · 2024Review
- Current concept: personalized alignment total knee arthroplasty as a contrast to classical mechanical alignment total knee arthroplasty.Arthroplasty (London, England) · 2024Article
- More passive internal tibial rotation with posterior cruciate ligament retention than with excision in a medial pivot TKA implanted with unrestricted caliper verified kinematic alignment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- No Significant Differences in Clinical and Radiographic Outcomes between PCL Retained or Sacrificed Kinematic Aligned Medial Pivot Total Knee Arthroplasty in Varus Knee.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
- Six Commonly Used Postoperative Radiographic Alignment Parameters Do Not Predict Clinical Outcome Scores after Unrestricted Caliper-Verified Kinematically Aligned TKA.Journal of personalized medicine · 2022Article
- Measurement of Tibial Orientation Helps Select the Optimal Insert Thickness to Personalize PCL Tension in a Medial Ball-in-Socket TKA.Journal of personalized medicine · 2022Article
- A Surgeon That Switched to Unrestricted Kinematic Alignment with Manual Instruments Has a Short Learning Curve and Comparable Resection Accuracy and Outcomes to Those of an Experienced Surgeon.Journal of personalized medicine · 2022Article
- Taking the Next Step in Personalised Orthopaedic Implantation.Journal of personalized medicine · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe calipered kinematically-aligned (KA) total knee arthroplasty (TKA) strives to restore the patient's individual pre-arthritic (i.e., native) posterior tibial slope when retaining the posterior cruciate ligament (PCL). Deviations from the patient's individual pre-arthritic posterior slope tighten and slacken the PCL in flexion that drives tibial rotation, and such a change might compromise passive internal tibial rotation and coupled patellofemoral kinematics.
methodsTwenty-one patients were treated with a calipered KA TKA and a PCL retaining implant with a medial ball-in-socket and a lateral flat articular insert conformity that mimics the native (i.e., healthy) knee. The slope of the tibial resection was set parallel to the medial joint line by adjusting the plane of an angel wing inserted in the tibial guide. Three trial inserts that matched and deviated 2°> and 2°< from the patient's pre-arthritic slope were 3D printed with goniometric markings. The goniometer measured the orientation of the tibia (i.e., trial insert) relative to the femoral component.
resultsThere was no difference between the radiographic preoperative and postoperative tibial slope (0.7 ± 3.2°, NS). From extension to 90° flexion, the mean passive internal tibial rotation with the pre-arthritic slope insert of 19° was greater than the 15° for the 2°> slope ( DISCUSSION: When performing a calipered KA TKA with PCL retention, the correct target for setting the tibial component is the patient's individual pre-arthritic slope within a tolerance of ±2°, as this target resulted in a 15-19° range of internal tibial rotation that is comparable to the 15-18° range reported for the native knee from extension to 90° flexion.
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