Is there anything like 'ideal' alignment (conventionally 0 degress HKA) for all TKR patients? Isn't lower extremity of every patient is used to a particular leg alignment since childhood, and all the other joints (hip and ankle) are used to that. By aiming to bring 'all' to 0 degree, will we be affecting the biomechanics of the other joints? I have had patients who developed ankle pain after a perfect TKR? Is it time for customised alignment to pre-disease level in all TKR's

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Alignment in TKR

By Maheshwari Knee Surgeon Delhi

Is there anything like 'ideal' alignment (conventionally 0 degress HKA) for all TKR patients? Isn't lower extremity of every patient is used to a particular leg alignment since childhood, and all the other joints (hip and ankle) are used to that. By aiming to bring 'all' to 0 degree, will we be affecting the biomechanics of the other joints? I have had patients who developed ankle pain after a perfect TKR? Is it time for customised alignment to pre-disease level in all TKR's

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