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Operative Techniques: Kinematic Alignment

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Abstract

Over the last years, the dogma of mechanical alignment (MA) was fading. With aligning the femoral and tibial component perpendicular to the mechanical axis in the coronal plane, long-term survivorship and the restoration of the patient’s function was supposed to be superior compared to outliers beyond ±3° to the mechanical axis. Correcting the natural anatomy to neutral means to adapt the soft tissue envelop with the risk of instability and paradoxical kinematics, is referred to be a major reason for revision surgery. This might be a major reason why up to 25% of patients are dissatisfied with their TKA and 10% need revision within the first 10 years [1, 2]. Further, the natural constitution of the general population is not neutral [3], thus the correction of the limb to the mechanical axis requires several balancing steps [4].

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Hannover Medical School, Hanover, Germany

    Max Ettinger

  2. Articon Bern, Bern, Switzerland

    Tilman Calliess

Authors
  1. Max Ettinger
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  2. Tilman Calliess
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Correspondence to Max Ettinger .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Basel Land, Switzerland

    Michael Tobias Hirschmann

  2. Center of Functional and Biological Reconstruction of the Knee, Humanitas University, Humanitas Research Hospital, Milan, Italy

    Elizaveta Kon

  3. Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden

    Kristian Samuelsson

  4. Istituto Ortopedico Galeazzi, Milano, Italy

    Matteo Denti

  5. Department of Orthopaedics, Lyon Ortho Clinic, LYON, France

    David Dejour

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Ettinger, M., Calliess, T. (2020). Operative Techniques: Kinematic Alignment. In: Hirschmann, M., Kon, E., Samuelsson, K., Denti, M., Dejour, D. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61264-4_3

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  • DOI: https://doi.org/10.1007/978-3-662-61264-4_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61263-7

  • Online ISBN: 978-3-662-61264-4

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