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DOI: 10.1055/s-0043-1777828
Alignment Strategies in Total Knee Prosthesis: The Robotic Era Changed the Game
Article in several languages: español | English![](https://www.thieme-connect.de/media/10.1055-s-00033425/202303/lookinside/thumbnails/10-1055-s-0043-1777828_2300020_en-1.jpg)
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 alignmentPublication 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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