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Calipered Kinematically aligned Total Knee Arthroplasty

Theory, Surgical Techniques and Perspectives

  • 1st Edition - June 29, 2021
  • Latest edition
  • Authors: Stephen M. Howell, Stefano A. Bini, G. Daxton Steele
  • Language: English

Calipered kinematic alignment was proposed by Dr. Stephen M. Howell to enable the accurate and individualized placement of total knee components coincident within ± 0.5 mm of th… Read more

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Description

Calipered kinematic alignment was proposed by Dr. Stephen M. Howell to enable the accurate and individualized placement of total knee components coincident within ± 0.5 mm of the patient’s pre-arthritic alignment. The aim was to restore the patient's native joint kinematics and thereby address the well documented 20% dissatisfaction when total knee replacement is performed using traditional, or mechanical alignment techniques.

With Dr. Stefano A. Bini and Dr. G. Daxton Steele as co-editors, Dr. Howell has curated an　international team of expert surgeons and engineers　to discuss various aspects of the calipered knee alignment technique in short, concise, and well-illustrated chapters.　Each author provides clear, practical guidance　for adopting and implementing calipered kinematic alignment covering manual, patient-specific, navigated, and robotic techniques.　Chapters on component design tailored explicitly for kinematic alignment and showing the close relationship between knee biomechanics and the kinematically aligned TKA help the surgeon manage complex challenges associated with deformity and post-operative complications.

Following the introduction of the calipered kinematic alignment technique for total knee arthroplasty, many international studies have shown consistently better patient satisfaction than the traditional mechanical alignment technique. Better function and high long-term implant survival have catalyzed a paradigm shift in total knee replacement philosophy that is being embraced by orthopedic surgeons and innovative implant companies around the world with excellent results.

Key features

Calipered Kinematically Aligned Knee Arthroplasty is the definitive textbook on the subject and features:

  • Thorough explanations of how the calipered kinematic alignment technique for total knee arthroplasty accurately sets total knee components coincident with　the patient’s pre-arthritic alignment and coaligned with the three rotational axes of the native knee.

  • A personalized approach to total knee surgery designed to reconstitute the patient’s native biomechanics in contrast　with mechanical alignment that place all patients in the same standard alignment regardless of their constitutional anatomy.

  • Detailed and　well-illustrated descriptions　of manual, navigated, robotic and patient-specific guide techniques that confirm kinematic alignment with a caliper.

  • Clinical photos, radiographs, and line art

    •  throughout the book as well as helpful online technique videos.

  • Key focus topics

    • 　such as managing complex deformities, the expected post-operative recovery, and future trends in kinematic alignment.

  • The shared experience and knowledge of international pioneers in the field.

  • An emphasis on a personalized surgical philosophy which enables same-day discharge, reduces pain and opioid use, and promotes quicker recovery, better function, and a more natural feeling knee.

Readership

Orthopedic surgeons; adult reconstruction surgeons

Table of contents

1 Mechanical Alignment TKA--A Thoughtful Beginning With Unanticipated Limitations

2 Phenotypes of the Knee and Limb – Rationale for Transitioning Towards Personalized Alignment in TKA

3 It is Time to Consider a Philosophical Change from Mechanical to Kinematic Alignment

4 Pre-Operative Evaluation of the Patient for Treatment with a Calipered Kinematically Aligned TKA

5 Calipered Kinematically Aligned TKA Performed With Specific Manual Instrumentation, Verification Checks, and a Decision-Tree

6 Calipered Kinematic Alignment Using Patient Specific Instrumentation

7 Calipered Kinematic Alignment with Navigation Instrumentation

8 Kinematic Alignment with Image-Based Robotic Instrumentation

9 Strategies for Improving Implant Design Based on Differences in Tibiofemoral Kinematics of a Low-Conforming TKA Implanted with Calipered Kinematic Alignment and the Native Knee

10 Strategies for Improving the Prosthetic Trochlea Design Based on Differences in Trochlea Morphology Between Femoral Components Set in Kinematic and Mechanical Alignment and the Native Knee

11 Advantages of Kinematically Aligned Total Knee Arthroplasty: A Biomechanical Perspective

12 Calipered Kinematically Aligned TKA Closely Restores the Tibial Compartment Forces of the Native Knee

13 Clinical Outcome, Postoperative Alignment, and Implant Survivorship After Kinematically Aligned TKA

14 Managing Severe Deformities with Calipered KA

15 Unicompartmental Knee Arthroplasty Managed with Calipered KA: Bini

16 Post-operative Management

17 Reducing the Risk And Management of Stiffness After Calipered Kinematically Aligned Total Knee Arthroplasty

18 Reducing the Risk and Management of Early and Late Tibial Component Failure After Calipered Kinematically Aligned TKA

19 Reducing the Risk and Management of Patellofemoral Instability After Calipered Kinematically Aligned Total Knee Arthroplasty

20 Retaining the PCL and Restoring the Pre-Arthritic Tibial Joint Line Reduces The Risk of Early-Onset Tibiofemoral Instability After Calipered KA TKA

21 Revision TKA using Kinematic Alignment Principles: Steele

Product details

  • Edition: 1
  • Latest edition
  • Published: October 27, 2021
  • Language: English

About the authors

SH

Stephen M. Howell

Stephen M. Howell, MD is a board-certified orthopedic surgeon practicing in Sacramento and Lodi. He joined Adventist Health Lodi Memorial with more than three decades of experience as a clinician, researcher, and innovator in total knee replacement (TKR), anterior cruciate ligament (ACL) reconstruction, and meniscal surgery. Dr. Howell’s clinical practice focuses on the treatment of degenerative processes and sports-related injuries to the knee. He performs more than 500 TKRs and 100 ACL reconstructions per year. Dr. Howell also created the kinematic alignment method, which caused a paradigm shift in TKR. His published experience demonstrates that patients report less pain, a quicker recovery, better pain relief, better function, better flexion, and a more natural feeling knee when treated with this method. Dr. Howell is also an Adjunct Professor of Biomedical Engineering at the University of California, Davis. He has published more than 140 scientific articles in peer-reviewed journals.

SB

Stefano A. Bini

Stefano Bini, MD received his BA from Stanford University, his MD from Columbia University and completed Residency training at UCSF. He completed a Fellowship at the Rizzoli Orthopaedic Institute in Italy and obtained a second MD from the University of Florence. Prior to joining the faculty at UCSF, Dr. Bini worked at Kaiser Permanente as a joint replacement surgeon. Active in professional associations and academia, Stefano currently serves as the Chair of the International Committee for the AAHKS and sits on the Biomedical Engineering Committee for the AAOS. He is the Associate Editor of Arthroplasty Today and is a reviewer for 4 major orthopaedic journals. Over the past decade, Dr. Bini has organized over a dozen conferences and learning labs nationally and internationally, presented over 110 scientific papers and has authored 23 research papers, which focus on leveraging large databases to define best practice in adult reconstruction surgery.

GS

G. Daxton Steele

G. Daxton Steele, MD is a highly skilled orthopaedic surgeon specializing in total joint surgery with The Andrews Institute, an affiliate of Baptist Health Care. Dr. Steele is an industry consultant and helped develop the first FDA approved technique for kinematic alignment.

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