What is the optimal alignment of the tibial and femoral components in knee arthroplasty? An overview of the literature

K Gromov, M Korchi, MG Thomsen, H Husted… - Acta …, 2014 - Taylor & Francis
Background—Surgeon-dependent factors such as optimal implant alignment are thought to
play a significant role in outcome following primary total knee arthroplasty (TKA). Exact …

Tibial internal rotation negatively affects clinical outcomes in total knee arthroplasty: a systematic review

AS Panni, F Ascione, M Rossini, A Braile… - Knee Surgery, Sports …, 2018 - Springer
Purpose The aim of this systematic review is to analyze the effect of tibial rotational
alignment after total knee arthroplasty (TKA) on clinical outcomes and assess the eventual …

The language of knee alignment: updated definitions and considerations for reporting outcomes in total knee arthroplasty

SJ MacDessi, S Oussedik, MP Abdel… - The bone & joint …, 2023 - boneandjoint.org.uk
Orthopaedic surgeons are currently faced with an overwhelming number of choices
surrounding total knee arthroplasty (TKA), not only with the latest technologies and …

Rotational position of femoral and tibial components in TKA using the femoral transepicondylar axis

P Aglietti, L Sensi, P Cuomo… - Clinical Orthopaedics and …, 2008 - journals.lww.com
Proper femoral and tibial component rotational positioning in TKA is critical for outcomes.
Several rotational landmarks are frequently used with different advantages and limitations …

Rotation in total knee arthroplasty: no difference between patient-specific and conventional instrumentation

S Parratte, G Blanc, T Boussemart, M Ollivier… - Knee surgery, sports …, 2013 - Springer
Purpose It was our hypothesis that patient-specific instrumentation (PSI) can improve the
accuracy of the rotational alignment in TKA based on the concept of the system and on the …

The original Akagi line is the most reliable: a systematic review of landmarks for rotational alignment of the tibial component in TKA

M Saffarini, L Nover, R Tandogan, R Becker… - Knee Surgery, Sports …, 2019 - Springer
Purpose There is no present consensus on the most reliable anatomical landmarks or axes
for tibial rotational alignment in total knee arthroplasty (TKA). The goal was therefore to …

Computer-assisted and conventional total knee replacement: a comparative, prospective, randomised study with radiological and CT evaluation

J Lützner, F Krummenauer, C Wolf… - The Journal of Bone …, 2008 - boneandjoint.org.uk
After obtaining informed consent, 80 patients were randomised to undergo a navigated or
conventional total knee replacement. All received a cemented, unconstrained, cruciate …

Biomechanical effects of total knee arthroplasty component malrotation: a computational simulation

JA Thompson, MW Hast, JF Granger… - Journal of …, 2011 - Wiley Online Library
Modern total knee arthroplasty (TKA) is an effective procedure to treat pain and disability
due to osteoarthritis, but some patients experience quadriceps weakness after surgery and …

Rotational alignment of the tibial component in total knee arthroplasty is better at the medial third of tibial tuberosity than at the medial border

J Lützner, F Krummenauer, KP Günther… - BMC musculoskeletal …, 2010 - Springer
Background Correct rotational alignment of the femoral and tibial component is an important
factor for successful TKA. The transepicondylar axis is widely accepted as a reference for the …

The high variability of tibial rotational alignment in total knee arthroplasty

RA Siston, SB Goodman, JJ Patel… - … and Related Research …, 2006 - journals.lww.com
Although various techniques are advocated to establish tibial rotational alignment during
total knee arthroplasty, it is unknown which is most repeatable. We evaluated the precision …