Imageless, Robotic Assisted “Easy” Restricted Kinematic Alignment: Alignment/Biomechanical Considerations and Surgical Technique

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Imageless, Robotic Assisted “Easy” Restricted Kinematic Alignment: Alignment/Biomechanical Considerations and Surgical Technique

By Pier Francesco Indelli 7 Videos FEATURING STEFANO GHIRARDELLI, Rosa Valtanen, Salvatore Risitano, Ferdinando Iannotti, Pier Francesco Indelli, pieralberto valpiana

1,743 views

June 10, 2023

This video presents a simplified restricted kinematic alignment surgical technique based on a longstanding experience ...
read more ↘ studying the gait of normal and pathologic human knees. An imageless robotic system has been used to reproduce a closer to normal knee kinematics. The highlights of this surgical techniques are the following: 1) The neutral alignment "dogma" in TKA has been recently challenged; 2) A slight, medic-lateral gap asymmetry reflects the natural knee kinematics; 3) The initial determination of the flexion gap is recommended in robot-assisted TKA; 4) TKA final alignment should be evaluated only after correct knee balancing, not as the initial goal.

Valpiana P, Ghirardelli S, Valtanen RS, Risitano S, Iannotti F, Schaller C, Zepeda K, Engl M, Indelli PF. Biomechanical considerations for an easily-restricted robot-assisted kinematic alignment: a surgical technique note. Arthroplasty. 2023 Jun 5;5(1):29. doi: 10.1186/s42836-023-00191-6. PMID: 37271826; PMCID: PMC10240684.
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