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Related Concept Videos

Knee Joint01:23

Knee Joint

3.5K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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Related Experiment Video

Updated: Feb 28, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

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Optimising position and stability in total knee arthroplasty.

Jan Victor1

  • 1Ghent University, Department of Orthopaedics and Traumatology, Ghent, Belgium.

EFORT Open Reviews
|June 21, 2017
PubMed
Summary

This review clarifies techniques for total knee arthroplasty (TKA), focusing on measured resection and tensioned gaps. It aims to improve alignment and stability for better TKA outcomes.

Area of Science:

  • Orthopedic Surgery
  • Biomechanical Engineering

Background:

  • Total knee arthroplasty (TKA) success hinges on alignment and stability.
  • Measured resection and tensioned gaps are primary TKA techniques.
  • Ambiguity in current techniques hinders optimal TKA outcomes.

Purpose of the Study:

  • To clarify definitions and analyze pitfalls of TKA alignment techniques.
  • To provide suggestions for improving measured resection and tensioned gap methods.
  • To resolve the dualistic debate surrounding TKA surgical approaches.

Main Methods:

  • Literature review and critical analysis of existing TKA techniques.
  • Comparative assessment of measured resection versus tensioned gap methods.
  • Identification of flaws and potential improvements in surgical protocols.
Keywords:
alignmentstabilitytotal knee arthroplasty

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Main Results:

  • Existing dogma and unclear terminology obscure the comparison between measured resection and tensioned gaps.
  • Analysis reveals specific limitations and potential risks associated with each technique.
  • Proposed improvements aim to enhance clarity and reduce surgical variability.

Conclusions:

  • Clearer definitions and standardized approaches are needed for TKA alignment.
  • Addressing the pitfalls of current techniques can lead to improved patient outcomes.
  • Further research and consensus are required to optimize TKA surgical practices.