There is tremendous variability amongst surgeons' ability to reference anatomic landmarks. This may suggest the necessity of other objective methods in determining femoral alignment and rotation. Despite the durability of total knee arthroplasty, there is much room for improvement with regards to functional outcome and patient satisfaction. One important factor contributing to poor outcomes after TKA is malrotation of the femoral component. It has been postulated that this is due to failure of surgeons to correctly reference bony landmarks, principally the femoral epicondyles, however, this is unproven. The purpose of this study was to evaluate the accuracy of joint surgeons and trainees in identifying anatomic landmarks for positioning the femoral component and to determine the effect of prior training and experience.Summary
Introduction
