ArticleArthroplasty today2026
Alignment Philosophies in Total Knee Arthroplasty: A Comprehensive Narrative Review.
Article in Arthroplasty today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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Who cites it
3 citing papers in PubMed.
- Medial expected gap (mEG): a quantitative, biology-guided predictor of coronal plane correction and knee balance in robotic functionally aligned total knee arthroplasty.Journal of robotic surgery · 2026Article
- Sagittal femoral morphology is not associated with coronal alignment phenotypes: A radiographic analysis from the Brescia Knee Research Group.Journal of experimental orthopaedics · 2026Article
- Deep Learning-Based Full-Process Automatic CPAK Classification System and Its Application in the Analysis of Alignment Outcomes Before and After Knee Arthroplasty.Diagnostics (Basel, Switzerland) · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
For many years, providing patients with a total knee arthroplasty (TKA) prosthesis which is stable with a neutrally aligned lower limb using a mechanical alignment philosophy has represented the primary technical goal of TKA. However, it has previously been reported that only 50% of patients have neutral mechanical axis. Furthermore, despite continuous engineering developments with respect to implants used in TKA, contemporary philosophies, computer-assisted navigation and robotic-assisted TKA, registry data suggest that 1 in 5 patients undergoing TKA report overall dissatisfaction with their procedure in the medium to long term. Therefore, the purpose of this review was to first describe and compare outcomes of current alignment philosophies in TKA. Additionally, the authors sought to review the outcomes of computer-assisted navigation and robotic-assisted TKA procedures, while also evaluating the role of sensors and tensioners with respect to TKA alignment. Finally, the authors aimed to review potential future developments within this ever-developing space in the literature.
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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.