Unrestricted kinematic alignment corrects fixed flexion contracture in robotically aligned total knees without raising the joint line in extension

Autor: Elliot Sappey‐Marinier, Stefano Bini
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Experimental Orthopaedics, Vol 10, Iss 1, Pp n/a-n/a (2023)
Druh dokumentu: article
ISSN: 2197-1153
DOI: 10.1186/s40634-023-00670-4
Popis: Abstract Purpose Mechanically Aligned Total Knee Arthroplasty (MA TKA) typically addresses fixed flexion contractures (FFC) by raising the joint line during extension. However, in unrestricted Kinematically Aligned TKA (KA TKA) utilizing a caliper‐based resection technique, the joint line is not raised. This study aims to determine the efficacy of KA TKA in restoring full extension in patients with FFC without increasing distal femoral resection, considering tibial bone resection and sagittal component positioning. Methods A retrospective study was conducted by a single surgeon, involving patients who underwent primary robotically assisted cruciate retaining unrestricted KA TKA between June 1, 2021, and December 1, 2022. Complete intraoperative resection and alignment data were recorded, including the thickness of distal femoral and proximal tibial bone cuts. Patients with a preoperative FFC ≥ 5° (study group) were compared to those with FFC
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