Open AccessAlignment and fixation in total knee arthroplasty
Author(s) -
Sam Oussedik,
Matthew P. Abdel,
Michael B. Cross,
Fares S. Haddad
Publication year - 2015
Publication title -
the bone and joint journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.587
H-Index - 181
eISSN - 2049-4408
pISSN - 2049-4394
DOI - 10.1302/0301-620x.97b10.36499
Subject(s) - arthroplasty , fixation (population genetics) , total knee arthroplasty , orthodontics , physical medicine and rehabilitation , medicine , computer science , surgery , population , environmental health
Many aspects of total knee arthroplasty have changed since its inception. Modern prosthetic design, better fixation techniques, improved polyethylene wear characteristics and rehabilitation, have all contributed to a large change in revision rates. Arthroplasty patients now expect longevity of their prostheses and demand functional improvement to match. This has led to a re-examination of the long-held belief that mechanical alignment is instrumental to a successful outcome and a focus on restoring healthy joint kinematics. A combination of kinematic restoration and uncemented, adaptable fixation may hold the key to future advances. Cite this article: Bone Joint J 2015;97-B(10 Suppl A):16–19.