The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

Calipered kinematically aligned TKA restores the patient’s pre-arthritic joint lines without releasing healthy ligaments, which results in fast recovery, high outcome scores, long-term implant survival, and a low risk of complications.

 

The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty
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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

Unrestricted Caliper-Verified Kinematic Alignment Is the Evidenced Based Option for Balancing the TKA

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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

Overview: Definition of Calipered Kinematic Alignment and Why Follow Ten Commandments

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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

1. Thou Shalt Not Perform Kinematic Alignment without Recording Caliper Measurements of the Bone Resections, Filling out a Verification sheet, and Following a Decision-tree

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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

2. Thou Shalt Not Leave a Component Proud or Recessed from the Pre-arthritic Joint Surface as the Knee Will Feel Tight or Loose to the Patient

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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

3. Thou Shalt Not Make a Straight Leg Instead Straighten The Leg to the Patient’s Pre-arthritic Alignment

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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

4. Thou Shalt Not Worry About Varus Failure of the Tibial Component as this Is Caused by Mechanical Alignment and Alleviated by Kinematic Alignment

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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

5. Thou Shalt Not Profess Allegiance to The Center of the Femoral Head and Ankle

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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

6. Thou Shalt Not Deny Treatment to Knees With Severe Varus, Valgus, And Flexion Deformities

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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

7. Thou Shalt Not Commit to the First Tibial Cut Instead Use a Recut Guide to Optimize Varus-Valgus Stability in Extension and Restore Native Laxity in Flexion

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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

8. Thou Shalt Not Flex the Femoral Component more than a Few of Degrees of Risks or Patello-Femoral Instability

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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

9. Thou Shalt Not Deviate from the Patient’s Pre-arthritic Slope more than a Few Degrees or Risk Early-Onset Tibial Component Failure from Posterior Overload

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The TEN COMMANDMENTS of Calipered Kinematically Aligned Total Knee Arthroplasty

10. Thou Shalt Not Intentionally Remove the PCL, Though when Cut, Reduce the Posterior Tibial Slope to Compensate for the Increase in Laxity in the Flexion Space

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