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Tibia rotational alignment in total knee arthroplasty: Delphi consensus statements from European Knee Society (EKS)
Siegfried Hofmann1, Andrea Tecame2, Jan Victor3
1Orthopedic Department, LKH Murtal-Stolzalpe, Standort Stolzalpe, 8352, Stolzalpe, Stolzalpe 77, Austria.
Archives of Orthopaedic and Trauma Surgery
|April 2, 2025
Summary
Achieving optimal tibial component rotation in total knee arthroplasty (TKA) is crucial for joint function. Expert consensus highlights the need for individualized alignment strategies beyond traditional landmarks due to anatomical variability.
Area of Science:
- Orthopedic surgery
- Biomechanics
- Medical device technology
Background:
- Accurate rotational alignment of the tibial component in total knee arthroplasty (TKA) is essential for optimal joint function and preventing instability.
- Traditional reliance on the tibial tubercle axis (TTA) is challenged by significant variability in knee anatomy.
- Suboptimal alignment can lead to tibiofemoral mismatch, patellofemoral instability, and compromised joint kinematics.
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