Does kinematic alignment better restore gait in CPAK type 1 TKA?

Overall knee kinematics were similar between alignment strategies, but subgroup findings pointed to more physiologic gait with kinematic alignment.

Category	Detail
Condition	Total Knee Arthroplasty (TKA)
Key Mechanisms	Comparison of kinematic alignment (KA) and mechanical alignment (MA) in knee kinematics and patient-reported outcomes.
Target Population	Patients undergoing TKA with CPAK type 1 alignment.
Care Setting	Orthopaedic Surgery

No statistically significant differences in knee kinematics between KA and MA one year postoperatively.
Patients with CPAK type 1 alignment showed smaller kinematic deviations with KA compared to MA.
Mean Forgotten Joint Score (FJS) was higher in KA (65) than in MA (52) at one year.
Preoperative range of motion (ROM) positively correlated with postoperative FJS in KA patients.
Study limitations included a smaller sample size and treadmill walking conditions.

Assess preoperative characteristics to identify potential benefits of alignment strategies.

Consider kinematic alignment for patients with CPAK type 1 alignment and favorable preoperative ROM.

Patients with CPAK type 1 alignment undergoing TKA.

Preoperative ROM may help distinguish outcomes between KA and MA.

Clinical Scorecard: Does kinematic alignment better restore gait in CPAK type 1 TKA?