Description
The presentation by Dr. Pascale-Andre Vendittoli addresses the complexities surrounding Total Knee Arthroplasty (TKA), particularly focusing on the limitations of the current Mechanical Alignment (MA) technique. Dr. Vendittoli outlines the need for improvement in patient outcomes, noting that a significant percentage of patients report residual symptoms or lack a natural joint perception post-surgery. He emphasizes that restoring normal knee kinematics, which depend on the geometry of the knee's articular surfaces and soft tissue tensions, is essential for TKA success.
With a detailed breakdown of knee anatomy, Dr. Vendittoli explains the significant variability of ligament tensions among individuals and how these factors impact surgical outcomes. He discusses scientific studies revealing that the MA technique, which traditionally applies a one-size-fits-all approach, may not adequately replicate the complex anatomical variations seen in human knees. This misalignment can contribute to complications such as instability and inadequate patellar function post-surgery.
Further, Dr. Vendittoli highlights the need for a shift away from the MA technique towards a more personalized approach, specifically the Kinematic Alignment technique, which seeks to reproduce physiological knee articular anatomy and function. He advocates for a paradigm shift in TKA practices as they strive toward better patient satisfaction and outcomes. The presentation concludes by promoting further exploration of personalized arthroplasty techniques and invites the audience to access additional resources for continued learning.