Not all knees are the same
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Authors
MacDessi, S. J.
van de Graaf, V. A.
Wood, J. A.
Griffiths-Jones, W.
Bellemans, J.
Chen, D. B.
Issue Date
2024-06-01
Type
Journal Article
Language
eng
Keywords
Humans , *Arthroplasty, Replacement, Knee/methods , *Knee Joint/surgery/diagnostic imaging , Biomechanical Phenomena , Bone Malalignment/diagnostic imaging
Alternative Title
The aim of mechanical alignment in total knee arthroplasty is to align all knees into a fixed neutral position, even though not all knees are the same. As a result, mechanical alignment often alters a patient's constitutional alignment and joint line obliquity, resulting in soft-tissue imbalance. This annotation provides an overview of how the Coronal Plane Alignment of the Knee (CPAK) classification can be used to predict imbalance with mechanical alignment, and then offers practical guidance for bone balancing, minimizing the need for soft-tissue releases.
Description
Citation
MacDessi SJ, van de Graaf VA, Wood JA, Griffiths-Jones W, Bellemans J, Chen DB. Not all knees are the same. The bone & joint journal. 2024;106-b(6):525-31.
Publisher
British Editorial Society of Bone and Joint Journal
License
© 2024 The British Editorial Society of Bone & Joint Surgery.
Journal
The bone & joint journal