Constitutional alignment predicts medial ligament balancing in mechanically aligned total knee arthroplasty for varus knees

Graichen H, Lekkreusuwan K, Eller K, Grau T, Hirschmann MT, Scior W (2022) A single type of varus knee does not exist: morphotyping and gap analysis in varus OA. Knee Surg Sports Traumatol Arthrosc 30:2600–2608

Article  PubMed  Google Scholar 

Hernandez-Vaquero D, Noriega-Fernandez A, Roncero-Gonzalez S, Ruete-Gil GL, Fernandez-Carreira JM (2022) Can the need for soft tissue release in total knee replacement be predicted pre-operatively? A study based on surgical navigation. Int Orthop 46:815–821

Article  PubMed  Google Scholar 

Hirschmann MT, Hess S, Behrend H, Amsler F, Leclercq V, Moser LB (2019) Phenotyping of hip-knee-ankle angle in young non-osteoarthritic knees provides better understanding of native alignment variability. Knee Surg Sports Traumatol Arthrosc 27:1378–1384

Article  PubMed  Google Scholar 

Hirschmann MT, Moser LB, Amsler F, Behrend H, Leclercq V, Hess S (2019) Phenotyping the knee in young non-osteoarthritic knees shows a wide distribution of femoral and tibial coronal alignment. Knee Surg Sports Traumatol Arthrosc 27:1385–1393

Article  PubMed  Google Scholar 

Hirschmann MT, Moser LB, Amsler F, Behrend H, Leclerq V, Hess S (2019) Functional knee phenotypes: a novel classification for phenotyping the coronal lower limb alignment based on the native alignment in young non-osteoarthritic patients. Knee Surg Sports Traumatol Arthrosc 27:1394–1402

Article  PubMed  Google Scholar 

Howell SM (2019) Calipered kinematically aligned total knee arthroplasty: an accurate technique that improves patient outcomes and implant survival. Orthopedics 42:126–135

Article  PubMed  Google Scholar 

Jenny JY, Baldairon F, Hirschmann MT (2022) Functional knee phenotypes of OA patients undergoing total knee arthroplasty are significantly more varus or valgus than in a non-OA control group. Knee Surg Sports Traumatol Arthrosc 30:2609–2616

Article  PubMed  Google Scholar 

Jhurani A, Agarwal P, Aswal M, Meena I, Srivastava M, Sheth NP (2020) Do spacer blocks accurately estimate deformity correction and gap balance in total knee arthroplasty? A prospective study with computer navigation. Knee 27:214–220

Article  PubMed  Google Scholar 

Kamei G, Ishibashi S, Yoshioka K, Sakurai S, Inoue H, Ishikawa M et al (2021) Accuracy of total knee arthroplasty using the modified gap technique based on the bone gap: an evaluation of the bone gap with a distal femoral trial component. Arthroplasty 3:17

Article  PubMed  PubMed Central  Google Scholar 

Kamei G, Ishibashi S, Yoshioka K, Sakurai S, Inoue H, Mochizuki Y et al (2022) Evaluation of the flexion gap with a distal femoral trial component in posterior-stabilized total knee arthroplasty. Knee Surg Related Res 34:10

Article  Google Scholar 

Kim MS, Koh IJ, Choi YJ, Kim YD, In Y (2017) Correcting severe varus deformity using trial components during total knee arthroplasty. J Arthroplasty 32:1488–1495

Article  PubMed  Google Scholar 

Kwak IH, Lee SS, Lee J, Lee DH (2022) Effects of severe varus deformity on soft tissue balancing in total knee arthroplasty. J Clin Med 12:263

Article  PubMed  PubMed Central  Google Scholar 

Lee OS, Elazab A, Lee YS (2019) Preoperative varus-valgus stress angle difference is valuable for predicting the extent of medial release in varus deformity during total knee arthroplasty. Knee Surg Relat Res 31:12–18

Article  PubMed  PubMed Central  Google Scholar 

Luderer V, Strauch M, Hirschmann MT, Graichen H (2023) Independent of the preoperative coronal deformity, adjusted mechanical alignment leads in a high percentage to non-anatomical tibial and femoral bone cuts. Knee Surg Sports Traumatol Arthrosc 31:3784–3791

Article  PubMed  Google Scholar 

MacDessi SJ, Griffiths-Jones W, Harris IA, Bellemans J, Chen DB (2021) Coronal plane alignment of the knee (CPAK) classification. Bone Joint J. 103-b:329–337

Article  PubMed  PubMed Central  Google Scholar 

Marcovigi A, Zambianchi F, Giorgini A, Digennaro V, Catani F (2016) The impact of bone deformity on osteoarthritic varus knee correctability. J Arthroplasty 31:2677–2684

Article  PubMed  Google Scholar 

Matsumoto T, Takayama K, Ishida K, Hayashi S, Hashimoto S, Kuroda R (2017) Radiological and clinical comparison of kinematically versus mechanically aligned total knee arthroplasty. Bone Joint J. 99-b:640–646

Article  CAS  PubMed  Google Scholar 

Oussedik S, Abdel MP, Victor J, Pagnano MW, Haddad FS (2020) Alignment in total knee arthroplasty. Bone Joint J. 102-b:276–279

Article  PubMed  Google Scholar 

Schelker BL, Moret CS, Sava MP, von Eisenhart-Rothe R, Graichen H, Arnold MP et al (2023) The impact of different alignment strategies on bone cuts in total knee arthroplasty for varus knee phenotypes. Knee Surg Sports Traumatol Arthrosc 31:1840–1850

Article  PubMed  PubMed Central  Google Scholar 

Schelker BL, Moret CS, von Eisenhart-Rothe R, Graichen H, Arnold MP, Leclercq V et al (2023) The impact of different alignment strategies on bone cuts for neutral knee phenotypes in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 31:1267–1275

Article  PubMed  Google Scholar 

Scott RD, Chmell MJ (2008) Balancing the posterior cruciate ligament during cruciate-retaining fixed and mobile-bearing total knee arthroplasty: description of the pull-out lift-off and slide-back tests. J Arthroplasty 23:605–608

Article  PubMed  Google Scholar 

Siong FT, Kim TW, Kim SC, Lee ES, Jaffar MSA, Lee YS (2020) Efficacy and safety of functional medial ligament balancing with stepwise multiple needle puncturing in varus total knee arthroplasty. J Arthroplasty 35:380–387

Article  PubMed  Google Scholar 

Yamada M, Nakajima A, Sonobe M, Akatsu Y, Yamamoto K, Saito J et al (2023) The impact of postoperative inclination of the joint line on clinical outcomes in total knee arthroplasty using a prosthesis with anatomical geometry. Sci Rep 13:979

Article  CAS  PubMed  PubMed Central  Google Scholar 

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