Excessive Sagittal Slope of the Tibia Component during Kinematic Alignment—Safety and Functionality at a Minimum 2-Year Follow-Up
The aim of this study was to assess the safety and functional outcomes of excessive sagittal alignment in the unrestricted kinematic alignment technique for total knee arthroplasty (TKA). A retrospective, single-center study was conducted between 2018 and 2020, including patients undergoing primary...
Ausführliche Beschreibung
Autor*in: |
Yaron Bar Ziv [verfasserIn] Gilad Livshits [verfasserIn] Konstantin Lamykin [verfasserIn] Salah Khatib [verfasserIn] Yuval Ben Sira [verfasserIn] Oded Rabau [verfasserIn] Noam Shohat [verfasserIn] Ahmad Essa [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2022 |
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Übergeordnetes Werk: |
In: Journal of Personalized Medicine - MDPI AG, 2012, 12(2022), 9, p 1407 |
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Übergeordnetes Werk: |
volume:12 ; year:2022 ; number:9, p 1407 |
Links: |
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DOI / URN: |
10.3390/jpm12091407 |
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Katalog-ID: |
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10.3390/jpm12091407 doi (DE-627)DOAJ02326425X (DE-599)DOAJc25570292728446f9d7f466b21e48433 DE-627 ger DE-627 rakwb eng Yaron Bar Ziv verfasserin aut Excessive Sagittal Slope of the Tibia Component during Kinematic Alignment—Safety and Functionality at a Minimum 2-Year Follow-Up 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of this study was to assess the safety and functional outcomes of excessive sagittal alignment in the unrestricted kinematic alignment technique for total knee arthroplasty (TKA). A retrospective, single-center study was conducted between 2018 and 2020, including patients undergoing primary TKA with a minimum 2-year follow-up. EOS imaging conducted before and after surgery was reviewed for overall alignment, and a number of measurements were taken, including sagittal tibial slope and other tibia and femur component positioning. Patients were interviewed and asked to fill out several questionnaires including a visual analog scale, the Oxford Knee Score, and the Knee Injury and Osteoarthritis Outcome Score. Overall, 225 patients (66.7%) had a sagittal tibial slope angle above 5° (excessive) and 112 (33.3%) patients had an angle under 5° (moderate). A significant improvement in pain and function scores was observed in both groups following the surgery (<i<p</i< < 0.001). There were no significant differences between the moderate and excessive groups in the average VAS, OKS or the various subtypes of the KOOS score. However, there was a slight but significant difference in the number of patients achieving MCID in KOOS symptoms. There were no cases of early failure or loosening. Unrestricted KA and the excessive sagittal alignment of the tibial component seem to be reliable and safe in terms of restoring daily function and alleviating pain after a minimum of 2 years following the surgery. posterior tibial slope arthroplasty kinematic alignment reported outcomes tibia angle Medicine R Gilad Livshits verfasserin aut Konstantin Lamykin verfasserin aut Salah Khatib verfasserin aut Yuval Ben Sira verfasserin aut Oded Rabau verfasserin aut Noam Shohat verfasserin aut Ahmad Essa verfasserin aut In Journal of Personalized Medicine MDPI AG, 2012 12(2022), 9, p 1407 (DE-627)71862713X (DE-600)2662248-8 20754426 nnns volume:12 year:2022 number:9, p 1407 https://doi.org/10.3390/jpm12091407 kostenfrei https://doaj.org/article/c25570292728446f9d7f466b21e48433 kostenfrei https://www.mdpi.com/2075-4426/12/9/1407 kostenfrei https://doaj.org/toc/2075-4426 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2022 9, p 1407 |
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10.3390/jpm12091407 doi (DE-627)DOAJ02326425X (DE-599)DOAJc25570292728446f9d7f466b21e48433 DE-627 ger DE-627 rakwb eng Yaron Bar Ziv verfasserin aut Excessive Sagittal Slope of the Tibia Component during Kinematic Alignment—Safety and Functionality at a Minimum 2-Year Follow-Up 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of this study was to assess the safety and functional outcomes of excessive sagittal alignment in the unrestricted kinematic alignment technique for total knee arthroplasty (TKA). A retrospective, single-center study was conducted between 2018 and 2020, including patients undergoing primary TKA with a minimum 2-year follow-up. EOS imaging conducted before and after surgery was reviewed for overall alignment, and a number of measurements were taken, including sagittal tibial slope and other tibia and femur component positioning. Patients were interviewed and asked to fill out several questionnaires including a visual analog scale, the Oxford Knee Score, and the Knee Injury and Osteoarthritis Outcome Score. Overall, 225 patients (66.7%) had a sagittal tibial slope angle above 5° (excessive) and 112 (33.3%) patients had an angle under 5° (moderate). A significant improvement in pain and function scores was observed in both groups following the surgery (<i<p</i< < 0.001). There were no significant differences between the moderate and excessive groups in the average VAS, OKS or the various subtypes of the KOOS score. However, there was a slight but significant difference in the number of patients achieving MCID in KOOS symptoms. There were no cases of early failure or loosening. Unrestricted KA and the excessive sagittal alignment of the tibial component seem to be reliable and safe in terms of restoring daily function and alleviating pain after a minimum of 2 years following the surgery. posterior tibial slope arthroplasty kinematic alignment reported outcomes tibia angle Medicine R Gilad Livshits verfasserin aut Konstantin Lamykin verfasserin aut Salah Khatib verfasserin aut Yuval Ben Sira verfasserin aut Oded Rabau verfasserin aut Noam Shohat verfasserin aut Ahmad Essa verfasserin aut In Journal of Personalized Medicine MDPI AG, 2012 12(2022), 9, p 1407 (DE-627)71862713X (DE-600)2662248-8 20754426 nnns volume:12 year:2022 number:9, p 1407 https://doi.org/10.3390/jpm12091407 kostenfrei https://doaj.org/article/c25570292728446f9d7f466b21e48433 kostenfrei https://www.mdpi.com/2075-4426/12/9/1407 kostenfrei https://doaj.org/toc/2075-4426 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2022 9, p 1407 |
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10.3390/jpm12091407 doi (DE-627)DOAJ02326425X (DE-599)DOAJc25570292728446f9d7f466b21e48433 DE-627 ger DE-627 rakwb eng Yaron Bar Ziv verfasserin aut Excessive Sagittal Slope of the Tibia Component during Kinematic Alignment—Safety and Functionality at a Minimum 2-Year Follow-Up 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of this study was to assess the safety and functional outcomes of excessive sagittal alignment in the unrestricted kinematic alignment technique for total knee arthroplasty (TKA). A retrospective, single-center study was conducted between 2018 and 2020, including patients undergoing primary TKA with a minimum 2-year follow-up. EOS imaging conducted before and after surgery was reviewed for overall alignment, and a number of measurements were taken, including sagittal tibial slope and other tibia and femur component positioning. Patients were interviewed and asked to fill out several questionnaires including a visual analog scale, the Oxford Knee Score, and the Knee Injury and Osteoarthritis Outcome Score. Overall, 225 patients (66.7%) had a sagittal tibial slope angle above 5° (excessive) and 112 (33.3%) patients had an angle under 5° (moderate). A significant improvement in pain and function scores was observed in both groups following the surgery (<i<p</i< < 0.001). There were no significant differences between the moderate and excessive groups in the average VAS, OKS or the various subtypes of the KOOS score. However, there was a slight but significant difference in the number of patients achieving MCID in KOOS symptoms. There were no cases of early failure or loosening. Unrestricted KA and the excessive sagittal alignment of the tibial component seem to be reliable and safe in terms of restoring daily function and alleviating pain after a minimum of 2 years following the surgery. posterior tibial slope arthroplasty kinematic alignment reported outcomes tibia angle Medicine R Gilad Livshits verfasserin aut Konstantin Lamykin verfasserin aut Salah Khatib verfasserin aut Yuval Ben Sira verfasserin aut Oded Rabau verfasserin aut Noam Shohat verfasserin aut Ahmad Essa verfasserin aut In Journal of Personalized Medicine MDPI AG, 2012 12(2022), 9, p 1407 (DE-627)71862713X (DE-600)2662248-8 20754426 nnns volume:12 year:2022 number:9, p 1407 https://doi.org/10.3390/jpm12091407 kostenfrei https://doaj.org/article/c25570292728446f9d7f466b21e48433 kostenfrei https://www.mdpi.com/2075-4426/12/9/1407 kostenfrei https://doaj.org/toc/2075-4426 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2022 9, p 1407 |
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10.3390/jpm12091407 doi (DE-627)DOAJ02326425X (DE-599)DOAJc25570292728446f9d7f466b21e48433 DE-627 ger DE-627 rakwb eng Yaron Bar Ziv verfasserin aut Excessive Sagittal Slope of the Tibia Component during Kinematic Alignment—Safety and Functionality at a Minimum 2-Year Follow-Up 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of this study was to assess the safety and functional outcomes of excessive sagittal alignment in the unrestricted kinematic alignment technique for total knee arthroplasty (TKA). A retrospective, single-center study was conducted between 2018 and 2020, including patients undergoing primary TKA with a minimum 2-year follow-up. EOS imaging conducted before and after surgery was reviewed for overall alignment, and a number of measurements were taken, including sagittal tibial slope and other tibia and femur component positioning. Patients were interviewed and asked to fill out several questionnaires including a visual analog scale, the Oxford Knee Score, and the Knee Injury and Osteoarthritis Outcome Score. Overall, 225 patients (66.7%) had a sagittal tibial slope angle above 5° (excessive) and 112 (33.3%) patients had an angle under 5° (moderate). A significant improvement in pain and function scores was observed in both groups following the surgery (<i<p</i< < 0.001). There were no significant differences between the moderate and excessive groups in the average VAS, OKS or the various subtypes of the KOOS score. However, there was a slight but significant difference in the number of patients achieving MCID in KOOS symptoms. There were no cases of early failure or loosening. Unrestricted KA and the excessive sagittal alignment of the tibial component seem to be reliable and safe in terms of restoring daily function and alleviating pain after a minimum of 2 years following the surgery. posterior tibial slope arthroplasty kinematic alignment reported outcomes tibia angle Medicine R Gilad Livshits verfasserin aut Konstantin Lamykin verfasserin aut Salah Khatib verfasserin aut Yuval Ben Sira verfasserin aut Oded Rabau verfasserin aut Noam Shohat verfasserin aut Ahmad Essa verfasserin aut In Journal of Personalized Medicine MDPI AG, 2012 12(2022), 9, p 1407 (DE-627)71862713X (DE-600)2662248-8 20754426 nnns volume:12 year:2022 number:9, p 1407 https://doi.org/10.3390/jpm12091407 kostenfrei https://doaj.org/article/c25570292728446f9d7f466b21e48433 kostenfrei https://www.mdpi.com/2075-4426/12/9/1407 kostenfrei https://doaj.org/toc/2075-4426 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2022 9, p 1407 |
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10.3390/jpm12091407 doi (DE-627)DOAJ02326425X (DE-599)DOAJc25570292728446f9d7f466b21e48433 DE-627 ger DE-627 rakwb eng Yaron Bar Ziv verfasserin aut Excessive Sagittal Slope of the Tibia Component during Kinematic Alignment—Safety and Functionality at a Minimum 2-Year Follow-Up 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of this study was to assess the safety and functional outcomes of excessive sagittal alignment in the unrestricted kinematic alignment technique for total knee arthroplasty (TKA). A retrospective, single-center study was conducted between 2018 and 2020, including patients undergoing primary TKA with a minimum 2-year follow-up. EOS imaging conducted before and after surgery was reviewed for overall alignment, and a number of measurements were taken, including sagittal tibial slope and other tibia and femur component positioning. Patients were interviewed and asked to fill out several questionnaires including a visual analog scale, the Oxford Knee Score, and the Knee Injury and Osteoarthritis Outcome Score. Overall, 225 patients (66.7%) had a sagittal tibial slope angle above 5° (excessive) and 112 (33.3%) patients had an angle under 5° (moderate). A significant improvement in pain and function scores was observed in both groups following the surgery (<i<p</i< < 0.001). There were no significant differences between the moderate and excessive groups in the average VAS, OKS or the various subtypes of the KOOS score. However, there was a slight but significant difference in the number of patients achieving MCID in KOOS symptoms. There were no cases of early failure or loosening. Unrestricted KA and the excessive sagittal alignment of the tibial component seem to be reliable and safe in terms of restoring daily function and alleviating pain after a minimum of 2 years following the surgery. posterior tibial slope arthroplasty kinematic alignment reported outcomes tibia angle Medicine R Gilad Livshits verfasserin aut Konstantin Lamykin verfasserin aut Salah Khatib verfasserin aut Yuval Ben Sira verfasserin aut Oded Rabau verfasserin aut Noam Shohat verfasserin aut Ahmad Essa verfasserin aut In Journal of Personalized Medicine MDPI AG, 2012 12(2022), 9, p 1407 (DE-627)71862713X (DE-600)2662248-8 20754426 nnns volume:12 year:2022 number:9, p 1407 https://doi.org/10.3390/jpm12091407 kostenfrei https://doaj.org/article/c25570292728446f9d7f466b21e48433 kostenfrei https://www.mdpi.com/2075-4426/12/9/1407 kostenfrei https://doaj.org/toc/2075-4426 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2022 9, p 1407 |
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Excessive Sagittal Slope of the Tibia Component during Kinematic Alignment—Safety and Functionality at a Minimum 2-Year Follow-Up posterior tibial slope arthroplasty kinematic alignment reported outcomes tibia angle |
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Excessive Sagittal Slope of the Tibia Component during Kinematic Alignment—Safety and Functionality at a Minimum 2-Year Follow-Up |
abstract |
The aim of this study was to assess the safety and functional outcomes of excessive sagittal alignment in the unrestricted kinematic alignment technique for total knee arthroplasty (TKA). A retrospective, single-center study was conducted between 2018 and 2020, including patients undergoing primary TKA with a minimum 2-year follow-up. EOS imaging conducted before and after surgery was reviewed for overall alignment, and a number of measurements were taken, including sagittal tibial slope and other tibia and femur component positioning. Patients were interviewed and asked to fill out several questionnaires including a visual analog scale, the Oxford Knee Score, and the Knee Injury and Osteoarthritis Outcome Score. Overall, 225 patients (66.7%) had a sagittal tibial slope angle above 5° (excessive) and 112 (33.3%) patients had an angle under 5° (moderate). A significant improvement in pain and function scores was observed in both groups following the surgery (<i<p</i< < 0.001). There were no significant differences between the moderate and excessive groups in the average VAS, OKS or the various subtypes of the KOOS score. However, there was a slight but significant difference in the number of patients achieving MCID in KOOS symptoms. There were no cases of early failure or loosening. Unrestricted KA and the excessive sagittal alignment of the tibial component seem to be reliable and safe in terms of restoring daily function and alleviating pain after a minimum of 2 years following the surgery. |
abstractGer |
The aim of this study was to assess the safety and functional outcomes of excessive sagittal alignment in the unrestricted kinematic alignment technique for total knee arthroplasty (TKA). A retrospective, single-center study was conducted between 2018 and 2020, including patients undergoing primary TKA with a minimum 2-year follow-up. EOS imaging conducted before and after surgery was reviewed for overall alignment, and a number of measurements were taken, including sagittal tibial slope and other tibia and femur component positioning. Patients were interviewed and asked to fill out several questionnaires including a visual analog scale, the Oxford Knee Score, and the Knee Injury and Osteoarthritis Outcome Score. Overall, 225 patients (66.7%) had a sagittal tibial slope angle above 5° (excessive) and 112 (33.3%) patients had an angle under 5° (moderate). A significant improvement in pain and function scores was observed in both groups following the surgery (<i<p</i< < 0.001). There were no significant differences between the moderate and excessive groups in the average VAS, OKS or the various subtypes of the KOOS score. However, there was a slight but significant difference in the number of patients achieving MCID in KOOS symptoms. There were no cases of early failure or loosening. Unrestricted KA and the excessive sagittal alignment of the tibial component seem to be reliable and safe in terms of restoring daily function and alleviating pain after a minimum of 2 years following the surgery. |
abstract_unstemmed |
The aim of this study was to assess the safety and functional outcomes of excessive sagittal alignment in the unrestricted kinematic alignment technique for total knee arthroplasty (TKA). A retrospective, single-center study was conducted between 2018 and 2020, including patients undergoing primary TKA with a minimum 2-year follow-up. EOS imaging conducted before and after surgery was reviewed for overall alignment, and a number of measurements were taken, including sagittal tibial slope and other tibia and femur component positioning. Patients were interviewed and asked to fill out several questionnaires including a visual analog scale, the Oxford Knee Score, and the Knee Injury and Osteoarthritis Outcome Score. Overall, 225 patients (66.7%) had a sagittal tibial slope angle above 5° (excessive) and 112 (33.3%) patients had an angle under 5° (moderate). A significant improvement in pain and function scores was observed in both groups following the surgery (<i<p</i< < 0.001). There were no significant differences between the moderate and excessive groups in the average VAS, OKS or the various subtypes of the KOOS score. However, there was a slight but significant difference in the number of patients achieving MCID in KOOS symptoms. There were no cases of early failure or loosening. Unrestricted KA and the excessive sagittal alignment of the tibial component seem to be reliable and safe in terms of restoring daily function and alleviating pain after a minimum of 2 years following the surgery. |
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