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Promising results using the proximal stem centralizer regarding both prosthesis alignment and cement mantle thickness have been reported in retrospective studies (Goldberg et al. 1998, Jarrett and Lachiewicz 2005).
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Coronal and sagittal prosthesis alignment of the femoral and tibial components are calculated according to respectively the femoral and tibial mechanical axis.
Long-term survival of total knee arthroplasty (TKA) is mainly determined by optimal positioning of the components and prosthesis alignment.
A normal prosthesis alignment was determined for 77% after DAA and 71.5% after WJA.
Clinical Trials NCT01022099 Attaining proper prosthesis alignment during total knee replacement (TKR) is essential for stable TKR function and successful clinical outcomes [ 1- 5].
Mr. Steele has been trying the system, called Compas — short for Computerized Prosthesis Alignment System — not only on his patients, but also on himself.
The desired prosthesis alignment for each parameter was determined prior to the study as an fFC angle of 90°, fTC angle of 90°, HKA angle of 180°, femoral slope of 90°, and tibial slope of 87°.
Rotational prosthesis alignment will be evaluated using a CT-scan of the knee joint.
This procedure of using commercially available software to measure prosthesis alignment from CT images was selected because it has very good intraobserver accuracy (intraclass correlation coefficient > 0.8) and coefficient of variation of 11% to 17% [ 29, 30].
However, the relationships between prosthesis rotational alignment and mobile-bearing polyethylene insert motion are poorly understood.
Thirdly, different prosthesis alignments are feasible with the use of the same bone cuts, by modification of the articulating surface geometry only.
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