Current evidence base for kinematic alignment.

Aktuelle Evidenzbasis für kinematisches Alignment.

Journal

Der Orthopade
ISSN: 1433-0431
Titre abrégé: Orthopade
Pays: Germany
ID NLM: 0331266

Informations de publication

Date de publication:
Jul 2020
Historique:
pubmed: 9 6 2020
medline: 14 7 2020
entrez: 9 6 2020
Statut: ppublish

Résumé

Kinematic alignment recently became an alternative alignment option for total knee arthroplasty (TKA). Beside previous studies assessing mechanical alignment in comparison to unintentional malalignment of TKA in terms of implant survival and clinical outcome, more and more studies have focused on the direct comparison of intentional kinematic alignment with mechanical alignment of the prosthesis. In the past 5 years the number of studies with respect to kinematic alignment has risen from 11 to 91 studies. The aim of this review article is to give a narrative overview of the current literature in the debate concerning kinematic and mechanical alignment in TKA. HINTERGRUND: Das kinematische Alignment hat sich in den letzten Jahren zu einer etablierten Methode in der Knieendoprothetik entwickelt. Neben früheren Studien, welche die mechanische Ausrichtung im Vergleich zur unbeabsichtigten Fehlpositionierung der Knieendoprothese (Varus- und Valgusfehlstellung) im Hinblick auf das Implantatüberleben und das klinische Ergebnis untersuchten, konzentrieren sich immer mehr Studien auf den direkten Vergleich der kinematischen und mechanischen Prothesenausrichtung. In den letzten 5 Jahren ist die Anzahl der Studien zum kinematischen Alignment von rund 11 auf 91 Studien gestiegen. ZIEL: Das Ziel dieses Beitrags ist es, einen Überblick über die aktuelle Literaturlage hinsichtlich des kinematischen im Vergleich zum mechanischen Alignment in der Knietotalendoprothetik zu geben.

Sections du résumé

BACKGROUND BACKGROUND
Kinematic alignment recently became an alternative alignment option for total knee arthroplasty (TKA). Beside previous studies assessing mechanical alignment in comparison to unintentional malalignment of TKA in terms of implant survival and clinical outcome, more and more studies have focused on the direct comparison of intentional kinematic alignment with mechanical alignment of the prosthesis. In the past 5 years the number of studies with respect to kinematic alignment has risen from 11 to 91 studies.
AIM OBJECTIVE
The aim of this review article is to give a narrative overview of the current literature in the debate concerning kinematic and mechanical alignment in TKA.
ZUSAMMENFASSUNG UNASSIGNED
HINTERGRUND: Das kinematische Alignment hat sich in den letzten Jahren zu einer etablierten Methode in der Knieendoprothetik entwickelt. Neben früheren Studien, welche die mechanische Ausrichtung im Vergleich zur unbeabsichtigten Fehlpositionierung der Knieendoprothese (Varus- und Valgusfehlstellung) im Hinblick auf das Implantatüberleben und das klinische Ergebnis untersuchten, konzentrieren sich immer mehr Studien auf den direkten Vergleich der kinematischen und mechanischen Prothesenausrichtung. In den letzten 5 Jahren ist die Anzahl der Studien zum kinematischen Alignment von rund 11 auf 91 Studien gestiegen. ZIEL: Das Ziel dieses Beitrags ist es, einen Überblick über die aktuelle Literaturlage hinsichtlich des kinematischen im Vergleich zum mechanischen Alignment in der Knietotalendoprothetik zu geben.

Autres résumés

Type: Publisher (ger)
HINTERGRUND: Das kinematische Alignment hat sich in den letzten Jahren zu einer etablierten Methode in der Knieendoprothetik entwickelt. Neben früheren Studien, welche die mechanische Ausrichtung im Vergleich zur unbeabsichtigten Fehlpositionierung der Knieendoprothese (Varus- und Valgusfehlstellung) im Hinblick auf das Implantatüberleben und das klinische Ergebnis untersuchten, konzentrieren sich immer mehr Studien auf den direkten Vergleich der kinematischen und mechanischen Prothesenausrichtung. In den letzten 5 Jahren ist die Anzahl der Studien zum kinematischen Alignment von rund 11 auf 91 Studien gestiegen. ZIEL: Das Ziel dieses Beitrags ist es, einen Überblick über die aktuelle Literaturlage hinsichtlich des kinematischen im Vergleich zum mechanischen Alignment in der Knietotalendoprothetik zu geben.

Identifiants

pubmed: 32507940
doi: 10.1007/s00132-020-03932-6
pii: 10.1007/s00132-020-03932-6
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

584-592

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Yeo J‑H, Seon J‑K, Lee D‑H, Song E‑K (2019) No difference in outcomes and gait analysis between mechanical and kinematic knee alignment methods using robotic total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 27:1142–1147. https://doi.org/10.1007/s00167-018-5133-x
doi: 10.1007/s00167-018-5133-x pubmed: 30220048
Young SW, Walker ML, Bayan A, Briant-Evans T, Pavlou P, Farrington B (2017) The Chitranjan S. Ranawat award: no difference in 2‑year functional outcomes using kinematic versus mechanical alignment in TKA: a randomized controlled clinical trial. Clin Orthop Relat Res 475:9–20. https://doi.org/10.1007/s11999-016-4844-x
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pubmed: 26361444 pmcid: 4492139

Auteurs

L-R Tuecking (LR)

Department für Endoprothetik, Diakovere Annastift, Orthopädische Klinik der Medizinischen Hochschule Hannover, Anna-von-Borries-Str. 1-6, 30625, Hannover, Germany. lars-rene.tuecking@diakovere.de.

P Savov (P)

Department für Endoprothetik, Diakovere Annastift, Orthopädische Klinik der Medizinischen Hochschule Hannover, Anna-von-Borries-Str. 1-6, 30625, Hannover, Germany.

H Windhagen (H)

Department für Endoprothetik, Diakovere Annastift, Orthopädische Klinik der Medizinischen Hochschule Hannover, Anna-von-Borries-Str. 1-6, 30625, Hannover, Germany.

M Ettinger (M)

Department für Endoprothetik, Diakovere Annastift, Orthopädische Klinik der Medizinischen Hochschule Hannover, Anna-von-Borries-Str. 1-6, 30625, Hannover, Germany.

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