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Intraoperative variability between the anteroposterior and posterior condylar axes in primary TKA supports a 20° proximal trochlear entrance design for unrestricted kinematic alignment

delete2026-08-11
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E
Edward J. McPherson *
J
Jennifer R. Kallini
D
Diego Dela Pena
M
Matthew V. Dipane
M
Madhav Chowdhry
DOI:10.1002/ksa.70481delete
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Abstract

Abstract

En 中文
Unrestricted kinematic alignment (uKA) in total knee arthroplasty (TKA) creates a challenge for trochlear design. Femoral implants designed for mechanical alignment (MA) use asymmetrical posterior bone cuts to adjust axial rotation and optimize patellofemoral tracking. In uKA, posterior bone cuts are calipered resections. There is no rotational adjustment. The prosthetic trochlea is therefore fixed relative to the posterior condylar axis (PCA). The rotational variability between the native anteroposterior axis (APA) and the PCA determines the proximal trochlear entrance width required to capture the patella. This study directly measured this rotational relationship intraoperatively and determined whether a dedicated trochlear design is required for the uKA technique.
Keywords:
anteroposterior axis line
femoral axial rotation
posterior condylar axis line
total knee arthroplasty
trochlear design
unrestricted kinematic alignment
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Journal

Knee Surgery Sports Traumatology Arthroscopy cover
Knee Surgery Sports Traumatology Arthroscopy
IF:
5
Papers:
9.0K
Citations:
2.5W

Organization

D
David Geffen School of Medicine at UCLA
Scholars:
8.4K
Papers: 6.7K
Citations: 13
U
university of oxford
Scholars:
9.6W
Papers: 8.5W
Citations: 137
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