The fact that many patients are unable to return to prior levels of function is likely attributable to differences in kinematics between the normal knee and a conventional TKA.7 Up to 50% report some degree of limitation to their functional activities.8
After total knee arthroplasty (TKA), patients may report their knee feeling ‘artificial’ with functional limitations.10 The abnormal kinematics associated with conventional TKA may be contributing to these poor outcomes. 11
This eLearning module will provide more insight from design concept to reality and what new evidence shows when normal knee is compared to conventional TKA or new design concept to reach normal outcomes.
Experts discusses the limitations of traditional total knee arthroplasty and conventional designs and the importance of matching anatomical contours to meet kinematics patterns and growing expectations of patient.
7. Snyder MA, Sympson A, Gregg J, Levit A. A comparison of patient reported outcomes between total knee arthroplasty patients receiving the Journey II bi-cruciate stabilizing knee system and total hip arthroplasty patients. Ortop Travmatol Protez. 2018;3:5-10.
8. Noble PC, Gordon MJ, Weiss JM, et al. Does Total Knee Replacement Restore Normal Knee Function? Clin Orthop Relat Res. 2005;431:157–165.
10. Collins M, Lavigne M, Girard J, Vendittoli PA. Joint perception after hip or knee replacement surgery. Orthop Traumatol Surg Res. 2012;98:275–280.
11. Parcells BW, Tria AJ Jr. The Cruciate Ligaments in Total Knee Arthroplasty. Am J Orthop. 2016;45:153–160
Pre-requisites
- Preliminary understanding of the knee physiology and anatomy recommended
What you will learn
- Identify the basis of kinematic principles and its application to biomechanics of the knee
- Define the kinematics patterns of the knee
- Recognize how implant design can impact the function of the operated knee
- Review and interpret the latest study and evidence evaluating of the limitations of traditional total knee arthroplasty and conventional designs
Contributors
- Professor Jan Victor, Belgium
- Dr Steven Haas, United States of America
- Dr David Mayman, United States of America

Accredited by the Royal College of Surgeons of England*
*This Smith+Nephew Medical Education eLearning content is accredited by the RCS (Royal College of Surgeons of England) as part of the centre accreditation. You will receive a certificate of attendance upon full completion of the module.
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Royal College of Surgeons of England (RCS Eng)
Royal College of Surgeons of England*
*This Smith+Nephew Medical Education eLearning content is accredited by the RCS (Royal College of Surgeons of England) as part of the centre accreditation. You will receive a certificate of attendance upon full completion of the module.
Learn more