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- W188099254 abstract "Coronal alignment in TKA poses two main questions. First, whether the jointline has to be perpendicular to the tibial axis or it should follow the anatomy and consequently be 2–4° oblique in varus. Second, if the final mechanical axis has to be neutral (0°) or follow the anatomy and have a consequent ipocorrection in varus or in valgus, depending on morphotype.Some papers have recently highlighted the advantages derived from a kinematic-anatomic alignment with tibial cut 3° in varus. Other papers about survival-curves in knee prostheses show the same survivorship in cases with final neutral compared with a <5° varus.Respect of the anatomy is the basis of the pre-TKA uni-bicompartmental surgery: no release, morphotype respect, deformity ipocorrection and respect of the physiological obliquity of the AJL.A 90° tibial cut, in the case of constitutional varus and a mechanical neutral alignment, imposes more medial releases, modifying the obliquity of the jointline and causing an abnormal articular kinematic.In these cases an anatomical tibial cut at 87° and a resultant 3° varus alignment will drastically reduce release and avoid the use of a >12 mm thickness PE insert." @default.
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- W188099254 date "2013-11-28" @default.
- W188099254 modified "2023-10-16" @default.
- W188099254 title "L’allineamento coronale nelle protesi totali di ginocchio" @default.
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- W188099254 doi "https://doi.org/10.1007/s11639-013-0036-6" @default.
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