Abstract:

BACKGROUND: Choice of reference methods and techniques to determine the setting position or parameters of the tibial prosthesis in total knee arthroplasty is still rarely reported.
OBJECTIVE: To analyze the effect of setting position of tibial prosthesis on its stability and compatibility in total knee replacement.
METHODS: The articles that related to the tibial prosthesis or angle in the process of total knee replacement were selected through search. For the articles in the same field, those published recently or in the authorized journals were included.
RESULTS AND CONCLUSION: After preliminary retrieval, 132 articles were screened out and 27 of them were involved in the retrospective analysis according to inclusion criteria. Due to individual differences of the geometry of the proximal tibia and surgical operation, the prosthesis and the proximal tibia section sometimes cannot show a good match. During total knee arthroplasty, the tibial surface angles, alignment and apposition have an important impact on the stability, flexion and extension functions of knee joint and life of the prosthesis; tibial prosthesis placement is directly related to the prosthesis loosening, subsidence and postoperative joint flu after total knee replacement. Therefore, selecting a suitable type of prosthesis for the patients and make a good match between the prosthesis and the proximal tibia section, the prosthesis implantation techniques are also needed to be improved in order to enhance the stability of the prosthesis.