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Femoral Alignment and Femoral Rotation

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Revision Total Knee Arthroplasty

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Abstract

Although there have been many advancements that facilitate performing a successful total knee arthroplasty (TKA), failures that require revision surgery continue to arise. The numbers of such failures are predicted to increase dramatically in the future. It is important to appreciate that accurately establishing femoral coronal and axial component alignment is important for achieving a successful revision of TKA. Our chapter seeks to review techniques facilitating femoral resections that provide beneficial soft tissue tensions and bony relationships throughout the gait cycle. We will review the anatomy and axes pertinent to the distal femur, biomechanics and forces through the knee, and strategies commonly used to align the femur in the axial and coronal plane during revision surgery. Additionally, we have updated our chapter with a review of more contemporary techniques.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Stanford Medicine, Stanford University, 450 Broadway Street, Pavilion C, 4th Floor, Redwood City, CA, 94063-6342, USA

    Paul M. Lichstein M.D., M.S.

  2. Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA

    Amar S. Ranawat M.D.

  3. Department of Orthopaedic Surgery, Stanford University Medical Center, 450 Broadway Street, Redwood City, CA, 94063-6342, USA

    James I. Huddleston III M.D.

Authors
  1. Paul M. Lichstein M.D., M.S.
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  2. Amar S. Ranawat M.D.
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  3. James I. Huddleston III M.D.
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Corresponding author

Correspondence to James I. Huddleston III M.D. .

Editor information

Editors and Affiliations

  1. Clinical Professor of Orthopedic Surgery, Tufts University School of Medicine, Boston, Massachusetts, USA

    James V. Bono

  2. Professor of Orthopaedic Surgery, Emeritus, Harvard Medical School, Boston, Massachusetts, USA

    Richard D. Scott

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Lichstein, P.M., Ranawat, A.S., Huddleston, J.I. (2018). Femoral Alignment and Femoral Rotation. In: Bono, J., Scott, R. (eds) Revision Total Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-67344-8_11

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  • DOI: https://doi.org/10.1007/978-3-319-67344-8_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-67342-4

  • Online ISBN: 978-3-319-67344-8

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