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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2023; 64(03): e131-e135
DOI: 10.1055/s-0043-1777828
Artículo Original | Original Article

Alignment Strategies in Total Knee Prosthesis: The Robotic Era Changed the Game

Article in several languages: español | English
Sebastián Monge
1   Departamento de Traumatología, Unidad de Rodilla y Artroscopía, Clínica Alemana, Universidad del Desarrollo, Santiago Chile.
,
David Figueroa
1   Departamento de Traumatología, Unidad de Rodilla y Artroscopía, Clínica Alemana, Universidad del Desarrollo, Santiago Chile.
,
Jorge Isla 
2   Fellow Cirugía de Rodilla, Clínica Alemana, Universidad del Desarrollo, Santiago Chile.
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Abstract

Total knee arthroplasty is a widely used surgery to treat moderate to severe knee osteoarthritis, usually with favorable outcomes but a controversial patient dissatisfaction rate. Potential multiple causes of this dissatisfaction have been extensively studied, with a recent growing debate surrounding the type of alignment for knee arthroplasty, especially considering the advent and advantages brought by robotic surgery.

Over the years, mechanical alignment has been the gold standard in knee arthroplasty. However, in the 21st century, new rationales have emerged, many resulting from robotic surgery. In this study, we categorized alignments into three major groups, discussing the general characteristics of each one and the current approach used in our institution, believing robotic surgery is a game changer.

Keywords

alignment - knee prosthesis - robotic surgery - knee osteoarthritis - dissatisfaction with knee prosthesis - functional alignment


Publication History

Received: 19 October 2023

Accepted: 30 November 2023

Article published online:
26 December 2023

© 2023. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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