Kinematic Alignment Technique for TKA on Degenerative Knees with Severe Bone Loss: A Report of 3 Cases

Charles Rivière1, 2, 3, *
, Jeremy Webb4, Pascal-André Vendittoli3, 5
1 The MSK Lab - Sir Michael Uren Hub Imperial College London White City Campus, 86 Wood Ln, London W12 0BZ, United Kingdom
2 Clinique du Sport - Centre de l’Arthrose, 04 Rue Nègrevergne, 33700 Mérignac, France
3 Personalized Arthroplasty Society, Montréal, Canada
4 Lister Hospital, Coreys Mill Lane, Stevenage, SG1 4AB, United Kingdom
5 Department of Surgery, Hôpital Maisonneuve-Rosemont, Montreal University, 5415 Boulevard de l’Assomption, Montréal, Québec, H1T 2M4, Canada

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Creative Commons License
© 2021 Rivière et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativeco This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the The MSK Lab - Sir Michael Uren Hub Imperial College London White City Campus, 86 Wood Ln, LondonW12 0BZ, United Kingdom; E-mail:


A severely degenerative knee joint with substantial bone attrition poses a significant challenge when performing Total Knee Arthroplasty (TKA) using the Kinematic Alignment (KA) technique. In order to restore the pre-arthritic knee anatomy, the surgeon has the task of estimating quantity and location of bone loss. We present three such cases and describe the key steps to safely perform KATKA in these complex situations.

Keywords: Total knee replacement, Kinematic alignment, Bone loss, Severe deformity, Condylar hypoplasia, Anatomy.