1. Decoupling the trochlea from the condyles in total knee arthroplasty: The end of a curse?
- Author
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Bonnin, Michel, Saffarini, Mo, Lustig, Sébastien, and Hirschmann, Michael T.
- Subjects
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TOTAL knee replacement , *JOINT infections , *KNEE surgery , *ARTHROPLASTY , *KNEE pain , *COMPARATIVE anatomy , *ORTHOPEDIC surgery - Abstract
The article discusses advancements in knee arthroplasty and the challenges associated with the patellofemoral joint. It highlights the fall of the dogma of mechanical alignment (MA) and the rise of kinematic alignment (KA) in total knee arthroplasty (TKA). The article explains that off-the-shelf TKA implants may not be compatible with KA, leading to patellofemoral complications. It also explores the evolutionary perspective of the femoral condyles and trochlea and the need for individualized TKA implants to optimize patellofemoral and tibiofemoral kinematics. The article concludes by suggesting that the decoupling of the trochlea from the condyles is a transformative approach in knee arthroplasty. [Extracted from the article]
- Published
- 2024
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