2018
DOI: 10.1302/2058-5241.3.170022
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Kinematic alignment technique for total hip and knee arthroplasty

Abstract: Conventional techniques for hip and knee arthroplasty have led to good long-term clinical outcomes, but complications remain despite better surgical precision and improvements in implant design and quality.Technological improvements and a better understanding of joint kinematics have facilitated the progression to ‘personalized’ implant positioning (kinematic alignment) for total hip (THA) and knee (TKA) arthroplasty, the true value of which remains to be determined.By achieving a true knee resurfacing, the ki… Show more

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Cited by 30 publications
(32 citation statements)
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References 67 publications
(88 reference statements)
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“…This information allows the surgeon to realize the ‘Kinematic alignment technique’. As Rivière et al say 17-18 ‘this technique aims at restoring the native combined femoral acetabular anteversion and the hip’s centre rotation occasionally adjusting the cup position and design based on the assessment of the individual spine modification’. The transverse acetabular ligament (TAL) is the reference to adjust the cup position.…”
Section: Innovation In Tha Templatingmentioning
confidence: 99%
“…This information allows the surgeon to realize the ‘Kinematic alignment technique’. As Rivière et al say 17-18 ‘this technique aims at restoring the native combined femoral acetabular anteversion and the hip’s centre rotation occasionally adjusting the cup position and design based on the assessment of the individual spine modification’. The transverse acetabular ligament (TAL) is the reference to adjust the cup position.…”
Section: Innovation In Tha Templatingmentioning
confidence: 99%
“…However, the precise definition of an optimal ‘safe‐zone’ and the most reliable method for its determination continues to be debated. A mounting body of evidence suggesting there is not one generic ideal zone 6,8–10 . Furthermore, accuracy of traditional freehand acetabular positioning techniques is unreliable, 8 with suboptimal positioning as high as 53%, highlighting the inaccuracy of traditional techniques 11 .…”
Section: Introductionmentioning
confidence: 99%
“…A mounting body of evidence suggesting there is not one generic ideal zone. 6,[8][9][10] Furthermore, accuracy of traditional freehand acetabular positioning techniques is unreliable, 8 with suboptimal positioning as high as 53%, highlighting the inaccuracy of traditional techniques. 11 Comparatively, using a dynamic positioning protocol, only 9% of implants were outside their targeted zone.…”
Section: Introductionmentioning
confidence: 99%
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“…The orientation of the acetabular cup remains a major challenge in total hip arthroplasty (THA) (Lewinnek, et al 1978) . New tools are continuously developed to allow orthopaedic surgeons to measure clinical parameters and assist them in their task (Dardenne, et al 2009) (Rivière, et al 2018). The sterEOS planning software developed by EOS Imaging® allows, from EOS images, the three dimensional measurement of several pelvic parameters useful in total hip arthroplasty (THA): the acetabulum inclination and anteversion, the femoral head diameter, the offset, the femoral neck length, the CCD angle, the femur torsion, the pelvic incidence, the sacral slope, the pelvic version, the pelvic obliquity, the pelvis axial rotation and the anterior pelvic plane (APP) inclination.…”
Section: Introductionmentioning
confidence: 99%