ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2025
Excellent results of restricted kinematic alignment total knee arthroplasty at a minimum of 10 years of follow-up.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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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
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Alignment strategy does not confer clinically meaningful advantages in medial pivot total knee arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Unrestricted kinematic alignment for total knee arthroplasty : a mid- to long-term follow-up non-designer single surgeon study with survival analysis.Bone & joint open · 2026Article
- Restricted kinematic alignment in total knee arthroplasty achieves equivalent or superior functional outcomes to mechanical alignment without compromising implant survivorship: A systematic review.Journal of orthopaedics · 2026Review
- Restricted kinematic alignment total knee arthroplasty using augmented reality technology to maintain limb alignment within targeted boundaries.Arthroplasty (London, England) · 2026Article
- Unrestricted Kinematic Alignment Is a Feasible Strategy for Lateral Compartment Osteoarthritis: Short-Term Outcomes of a Contralateral Knee-Referenced Approach.Journal of clinical medicine · 2026Article
- Evolving Philosophies of Alignment in TKA: From Mechanical Uniformity to Personalised Harmony.Medicina (Kaunas, Lithuania) · 2026Review
- Valgus knee deserves personalized total knee arthroplasty.EFORT open reviews · 2026Review
- INTRAOPERATIVE ASSESSMENT OF COMPONENTS IN NAVIGATED KNEE ARTHROPLASTY IN THE ELDERLY.Acta ortopedica brasileira · 2026Article
- Functional alignment in total knee arthroplasty is an umbrella term-A call for better definition and reporting quality!Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Kinematic alignment without femoral cartilage-wear compensation for apex-distal joint line obliquity: Effects on component alignment.Journal of experimental orthopaedics · 2025Article
- Mid-to-long-term outcomes of posterior-stabilized type total knee arthroplasty in asian patients: A single-center retrospective cohort study.Journal of orthopaedics · 2025Article
- The use of navigation to achieve planned coronal alignment during cemented revision total knee arthroplasty: a technical note and case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- A medial pivot kinematic pattern could be achieved in a significant proportion of patients with varus knees after primary total knee arthroplasty using functional positioning.Journal of experimental orthopaedics · 2025Article
- Article
- Perioperative complications and mid-term outcomes in total hip and knee joint arthroplasty among solid organ transplant recipients: lowest reoperation-free survival and patient survivorship in lung transplant recipients.Archives of orthopaedic and trauma surgery · 2025Article
- Kinematic alignment in Japanese patients shows significant improvement 2 years after total knee replacement surgery.Journal of experimental orthopaedics · 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
- Cartilage thickness can be accurately measured intraoperatively in total knee arthroplasty: A step further in calipered kinematic alignment.Journal of experimental orthopaedics · 2025Article
- Geriatric Nutritional Risk Index is a risk factor for long-term decreases in patient-reported outcome measures following total knee arthroplasty.Journal of experimental orthopaedics · 2025Article
- The Effect of Tibial and Femoral Component Coronal Alignment on Survivorship After Total Knee Arthroplasty: A Systematic Scoping Review of the Literature.JB & JS open accessReview
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeWhile restricted kinematic alignment (rKA) total knee arthroplasty (TKA) with cemented implants has been shown to provide a similar survivorship rate to mechanical alignment (MA) in the short term, no studies have reported on the long-term survivorship and function.
methodsOne hundred four consecutive cemented cruciate retaining TKAs implanted using computer navigation and following the rKA principles proposed by Vendittoli were reviewed at a minimum of 10 years after surgery. Implant revisions, reoperations and clinical outcomes were assessed using knee injury and osteoarthritis outcome score (KOOS), forgotten joint score (FJS), patients' satisfaction and joint perception questionnaires. Radiographs were analyzed to identify signs of osteolysis and implant loosening.
resultsImplant survivorship was 99.0% at a mean follow-up of 11.3 years (range: 10.3-12.9) with one early revision for instability. Patients perceived their TKA as natural or artificial without limitation in 50.0% of cases, and 95.3% were satisfied or very satisfied with their TKA. The mean FJS was 67.6 (range: 0-100). The mean KOOS were as follows: pain 84.7 (range: 38-100), symptoms 85.5 (range: 46-100), function in daily activities 82.6 (range: 40-100), function in sport and recreation 35.2 (range: 0-100) and quality of life 79.1 (range: 0-100). No radiological evidence of implant aseptic loosening or osteolysis was identified.
conclusionCemented TKA implanted with the rKA alignment protocol demonstrated excellent long-term implant survivorship and is a safe alternative to MA to improve patient function and satisfaction. LEVEL OF EVIDENCE: Level IV, continuous case series with no comparison group.
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