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4 There Is an Optimal Rotational Alignment in Total Knee Replacement: Tibial Rotation Does Matter!

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Book cover The Unhappy Total Knee Replacement

Abstract

The rotational profile of the lower limb, in particular tibial torsion and knee rotation, should be carefully assessed to achieve a successful total knee replacement (TKR) and to prevent rotational malalignment of the tibial component. Various surgical techniques have been described to determine the rotational alignment of the tibial baseplate during TKR. The self-positioning method aligns the tibial implant according to the rotational alignment of the femoral component which is used as a reference after performing repeated knee flexion/extension cycles. Preoperative CT scan may provide more useful insight into the exact and precise rotational orientation of the tibial component. The purpose of this chapter was to review the rotational differences among knees, the surgical and radiological landmarks commonly used, and the methods to allow an optimal placement of the tibial component.

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Authors and Affiliations

  1. Orthopedic Department, Centre Hospitalier de Versailles, Versailles-Saint Quentin University, 177, rue de Versailles, Le Chesnay, 78157, France

    Nicolas Pujol MD, Julien Berhouet MD & Philippe Beaufils MD

  2. Department of Orthopaedic Surgery, Versailles Hospital, 177 rue de Versailles, Le Chesnay, 78150, France

    Philippe Boisrenoult MD

Authors
  1. Nicolas Pujol MD
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  2. Julien Berhouet MD
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  3. Philippe Boisrenoult MD
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  4. Philippe Beaufils MD
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Corresponding author

Correspondence to Nicolas Pujol MD .

Editor information

Editors and Affiliations

  1. Dept. Orthopaedic Surgery & Traumatology, Knee Surgery Unit, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Switzerland

    Michael T. Hirschmann

  2. Dept. Orthopaedics & Traumatology, Hospital Brandenburg, Brandenburg/Havel, Germany

    Roland Becker

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© 2015 Springer International Publishing Switzerland

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Pujol, N., Berhouet, J., Boisrenoult, P., Beaufils, P. (2015). 4 There Is an Optimal Rotational Alignment in Total Knee Replacement: Tibial Rotation Does Matter!. In: Hirschmann, M., Becker, R. (eds) The Unhappy Total Knee Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-08099-4_4

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  • DOI: https://doi.org/10.1007/978-3-319-08099-4_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08098-7

  • Online ISBN: 978-3-319-08099-4

  • eBook Packages: MedicineMedicine (R0)

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