Functional Alignment Philosophy in Total Knee Arthroplasty – Rationale and technique for the varus morphotype using a CT based robotic platform and individualized planning
SICOT-J, 8 (2022) 11
Published online: 2022-04-01
Articles citing this article
The Citing articles tool gives a list of articles citing the current article.
The citing articles come from EDP Sciences database, as well as other publishers participating in CrossRef Cited-by Linking Program. You can set up your personal account to receive an email alert each time this article is cited by a new article (see the menu on the right-hand side of the abstract page).
Cited article:
This article has been cited by the following article(s):
Sagittal femoral morphology is not associated with robotic planning or soft‐tissue balance during robotic‐assisted total knee arthroplasty: An analysis from the Brescia Knee Research Group
Luca Andriollo, Roberta Lazzaro, Michele Alborghetti, Lorenzo Lucchetta, Donato Coppola, Daniele Grassa, Pietro Zampedri, Riccardo Bellosta, Francesco Benazzo and Rudy SangalettiKnee Surgery, Sports Traumatology, Arthroscopy (2026)
https://doi.org/10.1002/ksa.70504
Improved accuracy of functional alignment restoration with robotic-assisted total knee arthroplasty
Filippo Migliorini, Luise Schäfer, Jens Schneider, Andrea Maria Nobili, Daniel Kämmer and Andreas BellDie Orthopädie 55 (2) 132 (2026)
https://doi.org/10.1007/s00132-025-04711-x
Comparable outcomes and early revision rates between restricted and unrestricted functional knee positioning in robotic‐assisted total knee arthroplasty for varus deformities ≥10°
Christos Koutserimpas, Konstantinos Dretakis, Enejd Veizi, Nevzat Arıcan, Elvire Servien, Cécile Batailler and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy 34 (5) 1682 (2026)
https://doi.org/10.1002/ksa.70055
Integrating preoperative gait kinematics into total knee arthroplasty planning: Associations with intraoperative robotic laxities and prediction of postoperative function
Jean Baltzer, Alix Cagnin, Julien Erard, Clément Favroul, Laurence Chèze, Nicola Hagemeister, Alex Fuentes, Elvire Servien, Cécile Batailler and Sébastien LustigJournal of Experimental Orthopaedics 13 (3) (2026)
https://doi.org/10.1002/jeo2.70826
Coronal alignment behaviour across the knee range of motion is associated with constitutional alignment and soft‐tissue balance: The REAL HKA classification
Nikolaos Mylonakis, Eustathios Kenanidis, Alexander Maslaris, Peter Keyes Sculco and Eleftherios TsiridisKnee Surgery, Sports Traumatology, Arthroscopy (2026)
https://doi.org/10.1002/ksa.70506
Common adjustments made in robotic total knee arthroplasty to achieve functional alignment and minimize soft tissue releases
Dalton L. Braathen, Ian M. Clapp, Anish Singh, Brenna E. Blackburn, Christopher L. Peters and Michael J. ArchibeckJournal of Orthopaedics 71 237 (2026)
https://doi.org/10.1016/j.jor.2025.08.051
Functional alignment robotic-assisted total knee arthroplasty with tibial varus limited to 6° yields greater early postoperative pain improvement in patients with preoperative MPTA ≥84° compared with MPTA <84°
Bo Xiang Bryan Neo, Hong Yu Jared Chua, Hee-Nee Pang, Keng-Jin Darren Tay, Seng-Jin Yeo and Ming Han Lincoln LiowThe Knee 62 104567 (2026)
https://doi.org/10.1016/j.knee.2026.104567
Outcomes of cemented versus cementless robotic total knee arthroplasty – A propensity score-matched Asian population-based cohort study
Cheryl Gatot, Hui Wen Tay, Jerry Yongqiang Chen and Darren Keng Jin TayThe Knee 61 104433 (2026)
https://doi.org/10.1016/j.knee.2026.104433
Axial Plane Alignment of the Knee: A Bony-Based Framework for Describing Flexion-Plane Knee Phenotypes and Its Association With Intraoperative Flexion-Gap Patterns
Muyang Yu, Mingwei Hu, Te Liu, Hao Xu, Xisheng Weng and Bin FengThe Journal of Arthroplasty (2026)
https://doi.org/10.1016/j.arth.2026.06.035
Learning curve in image-based robotic assisted total knee arthroplasty: a MAKO-robot experience
Ferdinando Granata, Francesco Bosco, Claudio Domenico Cobisi, Federico Nasca, Riccardo Giai Via, Mariazzurra Carlino, Jonathan M. Vigdorchik and Carmelo BurgioEuropean Journal of Orthopaedic Surgery & Traumatology 36 (1) (2026)
https://doi.org/10.1007/s00590-026-04803-0
The pie‐crusting technique in knee surgery: Indications, technique, complications and outcomes
Yavuz Şahbat, Serhat Akçaalan, Aybars Güzel, Kaya Turan and Safa GürsoyJournal of Experimental Orthopaedics 13 (2) (2026)
https://doi.org/10.1002/jeo2.70783
Patellofemoral Joint Optimization in Functional Knee Positioning: A Key Factor in Total Knee Arthroplasty
Alberto Fogacci, Clément Favroul, Cécile Batailler, Elvire Servien and Sébastien LustigIndian Journal of Arthroplasty 3 (1) 23 (2026)
https://doi.org/10.5005/ijoa-11025-0046
Tibial joint line correction and bone resection thickness influence the extension soft tissue balance in functionally aligned robotic arm-assisted cruciate-retaining total knee arthroplasty
Kazunari Ishida, Nao Shibanuma, Akihiko Toda, Shinsuke Kihara, Kemmei Ikuta, Naoki Nakano, Shinya Hayashi, Yuichi Kuroda, Masanori Tsubosaka, Tomoyuki Kamenaga, Ryosuke Kuroda and Tomoyuki MatsumotoJournal of Joint Surgery and Research 4 (2) 115 (2026)
https://doi.org/10.1016/j.jjoisr.2026.02.001
(2026)
https://doi.org/10.21203/rs.3.rs-9801212/v1
Robotic‐assisted bone cuts guided by intraoperative load sensors for ligament balancing in restricted kinematic alignment total knee arthroplasty: A retrospective study with 2‐year follow‐up
Julien Bardou‐Jacquet, Sonja Cabarkapa and Jérôme MurgierJournal of Experimental Orthopaedics 13 (2) (2026)
https://doi.org/10.1002/jeo2.70780
Prior anterior cruciate ligament reconstruction: Comparable outcomes but reduced knee flexion after robotic functionally aligned total knee arthroplasty
Christos Koutserimpas, Andrea De Fazio, Luca Andriollo, Pietro Gregori, Elvire Servien, Cécile Batailler and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy (2026)
https://doi.org/10.1002/ksa.70463
Reverse coronal deformity does not adversely affect clinical outcomes or early survivorship following image‐based robotic total knee arthroplasty performed under functional alignment
Christos Koutserimpas, Enejd Veizi, Reha Tandogan, Sebastien Lustig and Konstantinos DretakisKnee Surgery, Sports Traumatology, Arthroscopy (2026)
https://doi.org/10.1002/ksa.70436
How do lower-limb landmarking errors impact morphometrics in total knee arthroplasty planning?
Ysé Roch, Dorian Lozano, Nolwenn Fougeron, Benoît Gaulin, Clément Horteur, Yohan Payan, Marek Bucki and Antoine PerrierEuropean Journal of Radiology 201 112894 (2026)
https://doi.org/10.1016/j.ejrad.2026.112894
Imageless kinematic versus CT-based functional alignment in robotic-assisted total knee arthroplasty: A propensity score–matched comparative study
Yong Ng, Jeremy Tze En Lim, Ren Yi Kow, Hee Nee Pang, Darren Keng Jin Tay, Seng Jin Yeo and Ming Han Lincoln LiowJournal of Orthopaedics 77 29 (2026)
https://doi.org/10.1016/j.jor.2026.04.015
Functional alignment: Defined personalized alignment strategy with promising outcomes and room for improvement
Luca Andriollo, Pietro Gregori, Christos Koutserimpas and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy (2026)
https://doi.org/10.1002/ksa.70384
Reconstruction of normal morphology for simulated femoral condyle lesions based on shape statistical constraints and differential coordinate transformation
Zupei Zhang, Xiaogang Zhang, Yali Zhang and Zhongmin JinMedical & Biological Engineering & Computing 64 (5) 1623 (2026)
https://doi.org/10.1007/s11517-026-03542-y
Alignment and/or ligament balancing? Towards truly personalized total knee arthroplasty—A narrative review
Grégoire Micicoi, Peter K. Sculco, Stefano Zaffagnini, Friedrich Boettner, Michael T. Hirschmann and Sébastien LustigJournal of Experimental Orthopaedics 13 (2) (2026)
https://doi.org/10.1002/jeo2.70713
Correlation between functional outcome and alterations of aHKA, PCOR, and Caton-Deschamps index following image-based robotic TKA in varus knees
Claudio Glowalla, Laura Fischer, Philipp Marius Stein, Sophia Hasenknopf, Heiko Graichen and Rüdiger von Eisenhart-RotheJournal of Orthopaedics 71 8 (2026)
https://doi.org/10.1016/j.jor.2025.08.037
Preoperative flexion contracture does not impair outcomes or early revision rates following robotic total knee arthroplasty with functional alignment
Christos Koutserimpas, Giovan Giuseppe Mazzella, Luca Andriollo, Emanuele Diquattro, Pietro Gregori, Elvire Servien, Cécile Batailler and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy 34 (1) 183 (2026)
https://doi.org/10.1002/ksa.12799
Functional knee positioning in total knee arthroplasty: Rationale and current evidence
Hannes Vermue, Luca Andriollo, Elvire Servien, Cécile Batailler and Sébastien LustigJournal of Joint Surgery and Research 4 (1) 26 (2026)
https://doi.org/10.1016/j.jjoisr.2025.06.005
Understanding the phenotype of the arthritic knee using the Coronal Plane Alignment of the Knee classification in the Indian population
Libin Thomas Manathara, L J Murukan Babu, K.V. Menon and Nithin ThomasJournal of Clinical Orthopaedics and Trauma 76 103421 (2026)
https://doi.org/10.1016/j.jcot.2026.103421
Use of the VELYS Robotic‐Assisted Solution in knee arthroplasty: A scoping review
Scott R. Morrison, Andrew J. Hall, Nick D. Clement, Phil J. Walmsley, Christopher Gee and Jon V. ClarkeJournal of Experimental Orthopaedics 13 (2) (2026)
https://doi.org/10.1002/jeo2.70726
Predictability of Polyethylene Insert Size Using an Imageless Robotic System in Total Knee Arthroplasty: A Single-Surgeon Experience
Carlos Salazar, Matthew Goldner, Sun Jin Kim, John Pope, Carlos Alvarado and Zachary BerlinerMontefiore Einstein Journal of Musculoskeletal Medicine and Surgery 5 (2026)
https://doi.org/10.1177/30498929261444632
Evaluation of the Coronal Plane Alignment of the Knee (CPAK) classification in arthritic knees following robotic total knee arthroplasty
Jai Thilak, Mohammad Salil, Gayathri Jyothish and Vivek JoyBMC Musculoskeletal Disorders 27 (1) (2026)
https://doi.org/10.1186/s12891-026-09673-5
Robotic Total Knee Replacement: Single-Centre, Prospective, Non-Randomised Comparative Study Comparing Restricted Kinematic Alignment Combined with a Load Sensor Versus Functional Alignment
César Tourtoulou, Julien Bardou-Jacquet, François Blaquière, Nicolas Pommier, Pierre Laumonerie, Jérôme Murgier and Yohan LegalloisJournal of Clinical Medicine 15 (4) 1396 (2026)
https://doi.org/10.3390/jcm15041396
Evolving Philosophies of Alignment in TKA: From Mechanical Uniformity to Personalised Harmony
Hong Yeol Yang, Jong-Keun Seon and Khairul Anwar AyobMedicina 62 (2) 307 (2026)
https://doi.org/10.3390/medicina62020307
Predicting patellar kinematics and contact forces after TKA: a simulation study on quadriceps malalignment
Florian Michaud, Ánxela Pérez Costa, Daniel Dopico and Simon TalbotArthroplasty 8 (1) (2026)
https://doi.org/10.1186/s42836-026-00407-5
Preoperative flexion contracture influences magnitude of planned resections in robotic-assisted total knee arthroplasty
Catherine Di Gangi, Saloni Haruray, David Novikov, Patrick Meere, Morteza Meftah and Matthew S. HepinstallArchives of Orthopaedic and Trauma Surgery 146 (1) (2026)
https://doi.org/10.1007/s00402-025-06184-1
A systematic review of radiological outcomes and implant positioning in robotic-assisted functionally aligned robotic total knee arthroplasty
Vasileios Giovanoulis, Angelo V. Vasiliadis, Eleftherios Tsiridis, Luca Andriollo, Pietro Gregori, Konstantinos Dretakis, Christos Koutserimpas and Sébastien LustigSICOT-J 12 4 (2026)
https://doi.org/10.1051/sicotj/2025068
Image-based robotic-assisted conversion from partial to total knee arthroplasty under functional alignment: Comparable outcomes to primary total knee arthroplasty
Christos Koutserimpas, Enejd Veizi, Charalampos Matzaroglou, Charalampos Kontos, Sébastien Lustig, Reha Tandogan and Konstantinos DretakisSICOT-J 12 1 (2026)
https://doi.org/10.1051/sicotj/2025056
Robotic total knee arthroplasty with functional positioning safely addresses major coronal deformities: Comparable complications and survivorship
Luca Andriollo, Emanuele Diquattro, Christos Koutserimpas, Giovan Giuseppe Mazzella, Giulio Bonat, Elvire Servien, Cécile Batailler and Sébastien LustigJournal of Experimental Orthopaedics 13 (1) (2026)
https://doi.org/10.1002/jeo2.70613
Unicompartmental knee arthroplasty and total knee arthroplasty in patients with 15 or more degrees of varus deformity: age- and gender-matched comparative study of radiographic and clinical outcomes
Arun Mullaji, Sitaram Chopperla, George K. George and Rufiat KaziArchives of Orthopaedic and Trauma Surgery 146 (1) (2026)
https://doi.org/10.1007/s00402-026-06403-3
Unrestricted kinematic alignment on the sagittal plane: Posterior tibial slope and combined flexion do not have boundaries to respect in terms of short‐term clinical outcomes and safety
Edoardo Franceschetti, Pietro Gregori, Stefano Campi, Marco Spatuzzi, Giancarlo Giurazza, Andrea Tanzilli, Biagio Zampogna, Matteo Formica, Umile Giuseppe Longo and Rocco PapaliaKnee Surgery, Sports Traumatology, Arthroscopy 34 (7) 2469 (2026)
https://doi.org/10.1002/ksa.70136
Functional alignment improves femoral joint line obliquity preservation in comparison with the classical measured resection technique
Oriol Pujol, Pedro Hinarejos, Albert Pons, Ernest Famada, Angela Zumel, Matías Novillo, Juan Erquicia and Joan Leal‐BlanquetKnee Surgery, Sports Traumatology, Arthroscopy 34 (6) 2121 (2026)
https://doi.org/10.1002/ksa.70092
Lateral prosthetic trochlear angle deviation is common and clinically safe after robotic functionally aligned total knee arthroplasty
Enejd Veizi, Clemente Caria, Christos Koutserimpas, Luca Andriollo, Pietro Gregori, Elvire Servien, Cécile Batailler and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy 34 (5) 1750 (2026)
https://doi.org/10.1002/ksa.70087
Dynamic Alignment of the Knee (DyAK) Classification: Advancing Knee Evaluation in Robotic Arthroplasty
Luca Andriollo, Christos Koutserimpas, Pietro Gregori, Hannes Vermue, Michael T. Hirschmann and Sébastien LustigThe Journal of Arthroplasty 41 (7) S147 (2026)
https://doi.org/10.1016/j.arth.2026.03.008
Impact of high body mass index on functionally aligned image-based robotic total knee arthroplasty: Comparable functional outcomes but higher mechanical failures
Christos Koutserimpas, Pietro Gregori, Luca Andriollo, Emanuele Diquattro, Elvire Servien, Cécile Batailler and Sébastien LustigJournal of ISAKOS 12 100861 (2025)
https://doi.org/10.1016/j.jisako.2025.100861
Robotic total knee arthroplasty for moderate to high-grade valgus knee deformity: technique and outcomes
Kanukuntla Kalyan, Ashish Singh, Purushotam Kumar, Akash Chandrashekar Gundalli, Sudhir Shankar Mane, Himanshu Swarnkar and Lavanya SinghSICOT-J 11 12 (2025)
https://doi.org/10.1051/sicotj/2025005
Transforming joint replacement with open robotics: A call for change!
Vaibhav Bagaria and Raju VaishyaSICOT-J 11 E3 (2025)
https://doi.org/10.1051/sicotj/2025059
Boundaries in Kinematic Alignment: Why, When, and How
Pier Francesco Indelli, Giuseppe Petralia, Stefano Ghirardelli, Pieralberto Valpiana, Giuseppe Aloisi, Andrea Giordano Salvi and Salvatore RisitanoThe Journal of Knee Surgery 38 (07) 324 (2025)
https://doi.org/10.1055/a-2395-6935
The third gap – The forgotten space in total knee arthroplasty
William Brown, Nicola Gallagher, Dai Roberts, Richard Napier, David Barrett and David BeverlandThe Knee 52 164 (2025)
https://doi.org/10.1016/j.knee.2024.10.011
Change of CPAK class does not affect functional outcomes in robotic arm‐assisted total knee arthroplasty performed with functional alignment
Enrico Bertugli, Francesco Zambianchi, Cécile Batailler, Gabriele Bazzan, Sébastien Lustig and Fabio CataniKnee Surgery, Sports Traumatology, Arthroscopy 33 (5) 1773 (2025)
https://doi.org/10.1002/ksa.12561
Preoperative quadriceps malalignment is associated with poor outcomes after knee replacement which are avoided by external rotation of the femoral component
Simon Talbot, Rachel Zordan, Francesca Sasanelli and Matthew SunKnee Surgery, Sports Traumatology, Arthroscopy 33 (4) 1418 (2025)
https://doi.org/10.1002/ksa.12544
Accuracy and learning curve of imageless robotic-assisted total knee arthroplasty
Francesco Bosco, Giuseppe Rovere, Carmelo Burgio, Giorgia Lo Bue, Claudio Domenico Cobisi, Riccardo Giai Via, Ludovico Lucenti and Lawrence CamardaJournal of Orthopaedics 66 77 (2025)
https://doi.org/10.1016/j.jor.2024.12.029
Functional alignment is a feasible alignment strategy in robotic assisted total knee arthroplasty for knee osteoarthritis with extra-articular deformity – A case series
Wei Cheong Eu, Jade Pei Yuik Ho and G. KunalanSICOT-J 11 2 (2025)
https://doi.org/10.1051/sicotj/2024059
Assessing Concordance in Post-operative Knee Implant Position Analysis Between Automated Image Analysis Algorithm and Human Radiologists
Arman Motesharei, Kevin de Souza, Benjamin Harder and Regis PailheJournal of Orthopaedic Experience & Innovation 6 (1) (2025)
https://doi.org/10.60118/001c.124659
Functional Alignment Achieved a More Balanced Knee After Robotic Arm-Assisted Total Knee Arthroplasty than Modified Kinematic Alignment
Hong-Yeol Yang, Jong-Keun Seon, Ji-Hyeon Yim, Dong-Hyun Lee and Eun-Kyoo SongJournal of Clinical Medicine 14 (3) 820 (2025)
https://doi.org/10.3390/jcm14030820
Redefining the concept of patellofemoral stuffing in total knee arthroplasty
Jobe Shatrov, Benoit Coulin, Cécile Batailler, Elvire Servien, Angela Brivio, David Barrett, Bill Walter and Sebastien LustigJournal of ISAKOS 10 100364 (2025)
https://doi.org/10.1016/j.jisako.2024.100364
A three‐dimensional scoring system for assessment of individual bony and laxity phenotype restoration (knee SIPR) in personalised TKA as a base for treatment guidance
Heiko Graichen, Thomas Grau, Rüdiger von Eisenhart‐Rothe, Sebastien Lustig, Tilman Calliess, Mark Clatworthy and Michael T. HirschmannKnee Surgery, Sports Traumatology, Arthroscopy 33 (6) 2204 (2025)
https://doi.org/10.1002/ksa.12601
Is the coronal plane alignment of the knee (CPAK) classification useful to plan individualized total knee arthroplasty surgery for the Spanish population? A critical analysis of the CPAK classification
O. Pujol, P. Hinarejos, A. Pons, E. Famada, A. Zumel, J. Erquicia and J. Leal-BlanquetRevista Española de Cirugía Ortopédica y Traumatología 69 (5) 477 (2025)
https://doi.org/10.1016/j.recot.2025.01.002
Comparison between ligament balancing and measured resection in robot-assisted total knee arthroplasty: a 2-year follow up cohort study
Muyang Yu, Xingdong Yang, Yiming Xu, Wei Zhu, Huiming Peng, Jin Lin, Xisheng Weng and Bin FengBMC Musculoskeletal Disorders 26 (1) (2025)
https://doi.org/10.1186/s12891-025-08388-3
Comparison of Outcomes Between Functionally and Mechanically Aligned Total Knee Arthroplasty: Analysis of Parallelism to the Ground and Weight-Bearing Position of the Knee Using Hip-to-Calcaneus Radiographs
Hongyeol Yang, Chanjin Park, Jaehyeok Cheon, Jaeyeon Hwang and Jongkeun SeonJournal of Personalized Medicine 15 (3) 91 (2025)
https://doi.org/10.3390/jpm15030091
Comparable outcomes between cruciate‐substituting and posterior‐stabilized inserts in robotic total knee arthroplasty under the functional alignment principles
Christos Koutserimpas, Pietro Gregori, Luca Andriollo, Elvire Servien, Cécile Batailler and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy 33 (7) 2605 (2025)
https://doi.org/10.1002/ksa.12654
A new parameter in the era of robotic total knee arthroplasty: Coronal alignment at 90° of flexion impacts clinical outcomes
Luca Andriollo, Christos Koutserimpas, Pietro Gregori, Elvire Servien, Cécile Batailler and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy 33 (7) 2581 (2025)
https://doi.org/10.1002/ksa.12648
Tibial implant varus >3° does not adversely affect outcomes or revision rates in functionally aligned image‐based robotic total knee arthroplasty in a minimum of 2‐year follow‐up
Christos Koutserimpas, Riccardo Garibaldi, Flora Olivier, Elvire Servien, Cécile Batailler and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy 33 (8) 2917 (2025)
https://doi.org/10.1002/ksa.12659
Beyond the coronal plane in robotic total knee arthroplasty—Part 2: Combined flexion does not affect outcomes
Luca Andriollo, Pietro Gregori, Christos Koutserimpas, Elvire Servien, Cécile Batailler and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy 33 (8) 2939 (2025)
https://doi.org/10.1002/ksa.12660
External femoral rotation of 2 degrees is associated with the lowest stuffing rates around the femur in functionally aligned TKA
Alexander Maslaris, Eustathios Kenanidis, Nikolaos Mylonakis, Zakareya Gamie, Abtin Alvand, William F. Jackson, Andrew J. Price and Eleftherios TsiridisKnee Surgery, Sports Traumatology, Arthroscopy 33 (8) 2957 (2025)
https://doi.org/10.1002/ksa.12662
Functional alignment restores native kinematics more consistently than mechanical axis alignment in total knee arthroplasty
Jonathan R. Manara, Rick Steer, Sarah L. Whitehouse, Dermot Collopy and Gavin W. ClarkThe Bone & Joint Journal 107-B (4) 423 (2025)
https://doi.org/10.1302/0301-620X.107B4.BJJ-2024-0956.R1
Revisiting terminology: The transition from ‘functional alignment’ to ‘functional knee positioning’
Christos Koutserimpas, Luca Andriollo, Pietro Gregori, Francesco Zambianchi, Eleftherios Tsiridis, Fabio Catani and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy 33 (6) 1948 (2025)
https://doi.org/10.1002/ksa.12667
Robotic-assisted Conversion of Arthrodesis to Primary Total Knee Arthroplasty
Ricarda Stauss, Peter Savov, Hendrik Pott and Max EttingerArthroplasty Today 32 101628 (2025)
https://doi.org/10.1016/j.artd.2025.101628
In functionally aligned total knee arthroplasty, femoral component rotation follows the transepicondylar axis to achieve flexion balance
Joss Moore, Victor A. Van de Graaf, Jil A. Wood, Darren B. Chen and Samuel J. MacDessiKnee Surgery, Sports Traumatology, Arthroscopy 33 (5) 1784 (2025)
https://doi.org/10.1002/ksa.12590
Total knee arthroplasty after anterior cruciate ligament reconstruction with the use of image-based robotic technology and functional alignment
Christos Koutserimpas, Luca Andriollo, Pietro Gregori, Enejd Veizi, Reha Tandogan, Sébastien Lustig and Konstantinos DretakisSICOT-J 11 30 (2025)
https://doi.org/10.1051/sicotj/2025025
Imageless robotic-assisted total knee arthroplasty allows intra-articular correction of severe extra-articular deformities using functional alignment and desired under-correction
Dhanasekaran Soundarrajan, Madhan Kumar K, Rithika Singh, Raja Bhaskara Rajasekaran, Dhanasekarararaja Palanisami, Rajkumar Natesan and Shanmuganathan RajasekaranInternational Orthopaedics 49 (8) 1869 (2025)
https://doi.org/10.1007/s00264-025-06563-8
Cementless versus cemented fixation in image-based robotic total knee arthroplasty guided by functional knee positioning principles
Christos Koutserimpas, Pietro Gregori, Enejd Veizi, Luca Andriollo, Elvire Servien, Cécile Batailler and Sébastien LustigSICOT-J 11 32 (2025)
https://doi.org/10.1051/sicotj/2025027
Failure to Restore Normal Trochlear Orientation Does Not Affect Postoperative Patella-Related Outcomes in Robotic-Assisted Functional Alignment Total Knee Arthroplasty
Muyang Yu, Yiming Xu, Yingjie Wang, Mingwei Hu, Xingdong Yang, Wei Zhu, Xisheng Weng and Bin FengThe Journal of Arthroplasty 40 (12) 3131 (2025)
https://doi.org/10.1016/j.arth.2025.05.101
Two-Year Outcome Comparison of a Matched Set of Total Knee Arthroplasties Performed With Robotic-Arm-Assisted Functional Alignment Balancing or Manual Instrument-Assisted Adjusted Mechanical Alignment
Kenneth A. Gustke and Peter SimonThe Journal of Arthroplasty 40 (7) S116 (2025)
https://doi.org/10.1016/j.arth.2025.02.051
Image‐based robotic total knee arthroplasty preserves the knee joint line level even in advanced fixed flexion deformities when combined with functional alignment principles: A retrospective comparative cohort study
Giacomo Pacchiarotti, Alessandro Todesca, George Mihai Avram, Giovanni Longo, Domenico Paolicelli and Stefano GuminaKnee Surgery, Sports Traumatology, Arthroscopy 33 (7) 2545 (2025)
https://doi.org/10.1002/ksa.12643
[Artículo traducido] ¿Es útil la clasificación CPAK (Coronal Plane Alignment of the Knee) para planificar la cirugía individualizada de artroplastia total de rodilla en la población española? Un análisis crítico de la clasificación CPAK
O. Pujol, P. Hinarejos, A. Pons, E. Famada, A. Zumel, J. Erquicia and J. Leal-BlanquetRevista Española de Cirugía Ortopédica y Traumatología 69 (5) T477 (2025)
https://doi.org/10.1016/j.recot.2025.06.003
Preservation of preoperative CPAK is not associated with improved clinical outcomes one-year after functionally aligned robot-assisted TKA
Oriol Pujol, Joan Minguell, Joan Pijoan, Miguel Nuño, Irene Portas-Torres, Marc Aguilar, Mercè Reverté, Martí Plomer, Enrique García-Albó and Nayana JoshiJournal of Orthopaedics 66 282 (2025)
https://doi.org/10.1016/j.jor.2025.06.030
Functional alignment in robotic total knee arthroplasty achieves comparable outcomes in varus and valgus knees despite distinct intraoperative strategies: Analysis of 355 consecutive cases
Christos Koutserimpas, Clemente Caria, Pietro Gregori, Luca Andriollo, Elvire Servien, Cécile Batailler and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy 33 (11) 3925 (2025)
https://doi.org/10.1002/ksa.12764
A medial pivot kinematic pattern could be achieved in a significant proportion of patients with varus knees after primary total knee arthroplasty using functional positioning
Fabio Mancino, Andreas Fontalis, Ricci Plastow and Fares S. HaddadJournal of Experimental Orthopaedics 12 (3) (2025)
https://doi.org/10.1002/jeo2.70343
Learning curve of robotic-assisted total knee arthroplasty: a literature review
Oriol Pujol, Joan Minguell, Joan Pijoan, Marc Aguilar, Mercè Reverté, Martí Plomer, Enrique García-Albó and Nayana JoshiJournal of Robotic Surgery 19 (1) (2025)
https://doi.org/10.1007/s11701-025-02597-7
Robotic total knee arthroplasty with functional alignment yields comparable outcomes across age and gender groups
Christos Koutserimpas, Luca Andriollo, Pietro Gregori, Elvire Servien, Cécile Batailler and Sébastien LustigJournal of ISAKOS 14 100930 (2025)
https://doi.org/10.1016/j.jisako.2025.100930
The HKA axis varies significantly with knee motion: A robot‐assisted intraoperative evaluation during total knee arthroplasty supports the use of dynamic, not static, alignment classifications
Fjorela Qordja, Pieralberto Valpiana, Luca Andriollo, Stefano Marco Paolo Rossi, Andrea Giordano Salvi, Guido Bocchino, Karlos Zepeda, Francesco Benazzo and Pier Francesco IndelliJournal of Experimental Orthopaedics 12 (3) (2025)
https://doi.org/10.1002/jeo2.70370
Balanced flexion gap is more strongly associated with postoperative outcomes than femoral component rotation in total knee arthroplasty
Yun Seong Choi, Jisu Park, Tae Woo Kim, Jae Hee Lee and Moon Jong ChangArchives of Orthopaedic and Trauma Surgery 145 (1) (2025)
https://doi.org/10.1007/s00402-025-06009-1
Accuracy evaluation of an automatic landmarking method based on 3D segmented CT scans of full lower limbs with knee osteoarthritis
Clément Horteur, Nolwenn Fougeron, Benoît Gaulin, Ysé Roch, Marek Bucki, Estelle Palluel, Yohan Payan and Antoine PerrierEuropean Journal of Radiology 191 112292 (2025)
https://doi.org/10.1016/j.ejrad.2025.112292
No Superiority of Total Knee Arthroplasty Alignment Philosophies
Charles Gusho, Wayne Hoskins and Elie GhanemJBJS Reviews 13 (8) (2025)
https://doi.org/10.2106/JBJS.RVW.25.00101
Does Alignment Technique in Medially Stabilized Total Knee Arthroplasty Affect the Patellofemoral Joint Biomechanics and Patient-reported Outcomes at 1 Year? A Prospective Registry-based Cohort Study
Samuel W. King, Nicolas Silvestrini, Anne Lübbeke, Hemant Pandit and Hermes H. MiozzariArthroplasty Today 34 101750 (2025)
https://doi.org/10.1016/j.artd.2025.101750
Beyond the CPAK dogma: robotic FA preserves CPAK better than MA but with equivalent proms at 5-year follow-up
Rudy Sangaletti, Alice Montagna, Marco Pungitore, Roberto Perulli, Luca Andriollo, Francesco Benazzo and Stefano Marco Paolo RossiArchives of Orthopaedic and Trauma Surgery 145 (1) (2025)
https://doi.org/10.1007/s00402-025-06044-y
The P Balasubramaniam Award-2024 Singapore Orthopaedic Association Annual Scientific Meeting Award: Novel artificial intelligence algorithm for soft tissue balancing and bone cuts in robotic total knee arthroplasty improves accuracy and surgical duration
Matthew Song Peng Ng, Ryan Wai Keong Loke, Melvin Kian Loong Tan, Yau Hong Ng and Zi Qiang Glen LiauArthroplasty 7 (1) (2025)
https://doi.org/10.1186/s42836-025-00322-1
Phenotyping the knee joint—A critical appraisal of CPAK for alignment classification
Randa Elsheikh, Yuma Onoi, George M. Avram, Heiko Graichen and Michael T. HirschmannJournal of Experimental Orthopaedics 12 (3) (2025)
https://doi.org/10.1002/jeo2.70409
The influence of native Coronal Plane Alignment Knee phenotype on two-year outcomes of functionally aligned robot-assisted total knee arthroplasty
Jonathan R. Manara, Sarah L. Whitehouse, Melanie Marley, Matthew Goonatillake, Dermot Collopy and Gavin W. ClarkThe Bone & Joint Journal 107-B (10) 1028 (2025)
https://doi.org/10.1302/0301-620X.107B10.BJJ-2023-1071.R3
Poor side‐to‐side symmetry limits the use of the contralateral limb as a reliable reference for guiding coronal positioning and alignment in total knee arthroplasty
Oriol Pujol, Pedro Hinarejos, Albert Pons, Ernest Famada, Angela Zumel, Juan Erquicia and Joan Leal‐BlanquetKnee Surgery, Sports Traumatology, Arthroscopy 33 (10) 3621 (2025)
https://doi.org/10.1002/ksa.12714
Beyond the coronal plane in robotic total knee arthroplasty—Part 1: Variations in tibial slope and distal femoral flexion do not affect outcomes
Luca Andriollo, Christos Koutserimpas, Pietro Gregori, Elvire Servien, Cécile Batailler and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy 33 (8) 2928 (2025)
https://doi.org/10.1002/ksa.12658
Flexion gap discrepancy drives femoral rotational adjustment in robot-assisted TKA: a CPAK-Based phenotypic analysis
Haoyang Liu, Hongxu Li, Mengran Shen, Debo Yue, Bailiang Wang and Jinhui MaBMC Musculoskeletal Disorders 26 (1) (2025)
https://doi.org/10.1186/s12891-025-09253-z
Bone-Preserving Robotic Conversion of Medial UKA to TKA: A Step-by-Step Technique
Jaad Mahlouly, Alexander Antoniadis, Thibaut Royon and Julien WegrzynJournal of Clinical Medicine 14 (21) 7887 (2025)
https://doi.org/10.3390/jcm14217887
An Asymmetric Medio-Lateral Flexion Laxity Target Yields Excellent Results in Robotic-Assisted Total Knee Arthroplasty With Functional Knee Positioning
Hannes Vermue, Francesco Zambianchi, Sebastiano Clemenza, Mattia Clò, Jan Victor and Fabio CataniThe Journal of Arthroplasty (2025)
https://doi.org/10.1016/j.arth.2025.11.030
Comparable outcomes between cruciate-retaining and posterior-stabilized implants following functionally aligned robotic-assisted total knee arthroplasty for varus knee osteoarthritis
Zhenchao Huang, Fan Chen, Wenzhe Wang, Feiyu Mu, Haining Zhang and Zian ZhangJournal of Robotic Surgery 20 (1) (2025)
https://doi.org/10.1007/s11701-025-03008-7
Functional alignment in robotic total knee arthroplasty provides favourable outcomes and minimal early revisions: A systematic review and meta‐analysis
Vasileios Giovanoulis, Angelo V. Vasiliadis, Luca Andriollo, Pietro Gregori, Konstantinos Dretakis, Christos Koutserimpas and Sébastien LustigKnee Surgery, Sports Traumatology, Arthroscopy (2025)
https://doi.org/10.1002/ksa.70226
A morphometric study of posterior tibial slope differences by sex and ethnicity in a South African population
Erik Hohmann, Adri Nel, Reinette van Zyl, Natalie Keough and Nkhensani MogaleSurgical and Radiologic Anatomy 47 (1) (2025)
https://doi.org/10.1007/s00276-024-03551-2
The impact of soft tissue release on radiological and clinical outcomes in functional alignment robot-assisted total knee arthroplasty
Mengran Shen, Hongxu Li, Haoyang Liu, Debo Yue, Bailiang Wang and Jinhui MaJournal of Orthopaedic Surgery and Research 20 (1) (2025)
https://doi.org/10.1186/s13018-025-06313-x
Modern lower extremity alignment philosophies in total knee arthroplasty
Georgii A. Airapetov, Nikolay V. Zagorodniy, Armen A. Daniliyants, Konstantin A. Dzampaev, Anjum H.A. Al Kafavin, Abdoulaye A. Akhmat and Dmitry A. SamkovichN.N. Priorov Journal of Traumatology and Orthopedics 33 (2) 416 (2025)
https://doi.org/10.17816/vto678181
Standardizing definitions of the total knee alignment techniques: recommendations by the Personalized Arthroplasty Society
R C Marinescu Tanasoca, L Angibaud, N Kort, F Billi, S Campi, J Eberhardt, E Franceschetti, D Jeremic, A Klasan, P A Vendittoli and G M AvramEFORT Open Reviews 10 (8) 623 (2025)
https://doi.org/10.1530/EOR-2024-0120
Coronal native limb alignment: establishing reporting standards and aligning measurements of key angles
R C Marinescu Tanasoca, L Angibaud, N Kort, F Billi, S Campi, J Eberhardt, E Franceschetti, D Jeremic, A Klasan, P A Vendittoli and G M AvramEFORT Open Reviews 10 (8) 611 (2025)
https://doi.org/10.1530/EOR-2024-0119
Outcomes of Image-Free Robotic Assisted Total Knee Arthroplasty in Patients Who Have Valgus Knee Deformities
Alaka Gorur, Natalia Czerwonka, Mouhanad M. El-Othmani, Michael B. Held, Alexander L. Neuwirth and Jeffrey A. GellerThe Journal of Arthroplasty 39 (9) S235 (2024)
https://doi.org/10.1016/j.arth.2024.03.032