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Table 3

The boundaries for tibia and femoral implant during total knee arthroplasty among included studies.

Study Tibia varus ref-TR Tibia slope Femoral valgus Femoral flexion Femoral int/rot ref-FR
0 to 6° Akagi’s line 0 to 3° 0° to LDFA° 0 to 10° 3° to 6° TEA
Andriollo et al. [12]* 0 to 6° Akagi’s line 0 to 3° 0° to LDFA° 0 to 10° 3° to 6° TEA
Andriollo et al. [13]* 0 to 6° Akagi’s line 0 to 3° 0° to LDFA° 0 to 10° 3° to 6° TEA
Andriollo et al. [14]* 0 to 6° MA: s/t balancing 0 to 7° ±3° NR NR MA: s/t balancing
FA: NR FA: TEA
Choi et al. [15]* 3° varus to 3° valgus Akagi line 0 to 7° −3° to 6° 0 to 7° −6° to 6° TEA
Clark et al. [7]* 0 to 6° NR 0 to 3° 0 to 6° 0 to 5° 3° to 6° TEA
Daffara et al. [16] 4° varus to 2° valgus Akagi’s line 0 to 3° 0 to 6° 0 to 10° 3° to 6° TEA
Diquattro et al. [17] 0 to 6° Akagi’s line 0 to 3° 0 to 6° 0 to 10° 3° to 6° TEA
Diquattro et al. [18] 0 to 6° Akagi’s line 0 to 3° 0° to LDFA° 0 to 10° 3° to 6° TEA
Koutserimpas et al. [19]* 0 to 6° Akagi’s line 0 to 3° −3° to 6° 0 to 10° 3° to 6° TEA
Koutserimpas et al. [20]# 0 to 6° Akagi’s line 0 to 3° −3° to 6° 0 to 10° 3° to 6° TEA
Koutserimpas et al. [21]# 0 to 6° Akagi’s line 0 to 3° −3° to 6° 0 to 10° 3° to 6° TEA
Koutserimpas et al. [22]# 0 to 6° Akagi’s line 0 to 3° −3° to 6° 0 to 10° 3° to 6° TEA
Koutserimpas et al. [23]# 0 to 6° Akagi’s line 0 to 3° −3° to 6° 0 to 10° 3° to 6° TEA
Koutserimpas et al. [24]# 0 to 6° Akagi’s line 0 to 3° −3° to 6° 0 to 10° 3° to 6° TEA
Koutserimpas et al. [25]# 0 to 6° NR 0 to 3° NR NR NR TEA
Koutserimpas et al.[26]# Groupe A: 0 to 3° NR 0 to 3° −3° to 6° 0 to 10° 3° to 6° NR
Groupe B: 0 to 6°
Manara et al. [27] 0 to 6° Akagi’s line 0 to 3° −3° to 6° 0 to 10° ±6° PCA
Nixon et al. [8]* 0 to 6° s/t balancing 0 to 3° −3° to 6° 0 to 10° 3° to 6° TEA
Yang et al. [28]* 5° varus to 5° valgus Akagi’s line 0 to 7° −3° to 6° 0 to 10° −6° to 3° TEA
Young et al. [29]* 0 to 6° s/t balancing 0 to 3° −3° to 6° 0 to 10° ±3° TEA
Yu et al. [30]* 0 to 6° Akagi’s line 0 to 3° −3° to 6° 0 to 10° 3° to 6° TEA

Data are expressed as mean* or median# (degrees of angle) ± SD.

Abbreviations: ref-TR, reference for tibial rotation; int/rot, internal rotation; ref-FR, reference for femoral rotation; NR, not reported; s/t balancing, soft-tissue balancing; LDFA, lateral distal femoral angle; MA, mechanical alignment; FA functional alignment; TEA, surgical trans-epicondylar axis; PCA, posterior condylar axis.

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