title: Neutral mechanical alignment: Is it Necessary?
abstract: The cause of dissatisfaction following total knee arthroplasty (TKA) remains elusive. Much attention has been focused on static mechanical alignment as a basis for surgical success and optimising outcomes. More recently, research on both normal and osteoarthritic knees, as well as kinematically aligned TKAs, has suggested that other specific and dynamic factors may be more important than a generic target of 0 ± 3º of a neutral axis. Consideration of these other variables is necessary to understand ideal targets and move beyond generic results.
authors.affiliation: Mayo Clinic, 200 1st St SW, Rochester, Minnesota 55905, USA.
authors.forename: M M
authors.initials: MM
authors.lastname: Allen
authors.affiliation: Mayo Clinic, 200 1st St SW, Rochester, Minnesota 55905, USA.
authors.forename: M W
authors.initials: MW
authors.lastname: Pagnano
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001696:Biomechanical Phenomena; D006801:Humans
keywords: alignment; total knee arthroplasty