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Functional alignment better replicates native knee kinematics than mechanical axis alignment in TKA
August 2025
Functional alignment better replicates native knee kinematics than mechanical axis alignment in TKA
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Functional alignment restores native kinematics more consistently than mechanical axis alignment in total knee arthroplasty.
Bone Joint J . 2025 Apr 1;107-B(4):423-431.Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
Sixty patients with knee osteoarthritis were randomized to receive either functional alignment (FA) (n=29) or adjusted mechanical alignment (aMA) (n=31) using a robotically assisted cruciate-retaining total knee arthroplasty. The primary outcome was the intraoperative kinematic pattern (medial pivot, symmetrical rollback, or lateral pivot) assessed with a pressure sensor after definitive implantat...
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