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Table 1 Research on the relationship between coronal alignment and clinical outcomes in recent 10 years (Excluding navigation or robot-assisted technologies)

From: Degree of coronal alignment correction can’t predict knee function in total knee replacement

Study

Follow-up

Preoperative alignment

Grouping method based on postoperative alignment

Results or conclusion

Magnussen et al. [13]

5.8y

Varus

Neutral (0 ± 3°), n = 352

Varus (< − 3°), n = 181

No difference in IKS

Magnussen et al. [13]

5.8y

Severe varus (≤ − 10°)

Neutral (0 ± 3°), n = 131

Varus (< − 3°), n = 131

Varus was better in IKS

Vanlommel et al. [14]

7.2y

Varus

Neutral (0 ± 3°), n = 75

Mild varus (-3° to -6°), n = 46

Severe varus (< − 6°), n = 22

Mild varus was better in KSS and WOMAC

Manjunath et al. [15]

3y

All

Neutral (0 ± 3°), n = 96

Outlier (< − 3° or > 3°), n = 24

Neutral was better in KSKS, but but no difference in KSFS

Stucinskas et al. [16]

1y

All

Neutral (0 ± 3°), n = 62

Outlier (< − 3° or > 3°), n = 29

No difference in KSS

Hatayama et al. [17]

6.1y

Varus

Neutral (0 ± 3°), n = 70

Varus (≤ − 3°), n = 47

No difference in HSS

Nishida et al. [18]

3.6y

Varus

Neutral (0 ± 3°), n = 128

Mild varus (− 3° to − 6°), n = 61

Severe varus (< − 6°), n = 15

Valgus (> 3°), n = 16

Neutral and mild varus was better in KSFS, but no difference in KSKS

Rames et al. [19]

1.3y

Varus

Neutral (0 ± 3°), n = 149

Mild varus (-3° to -6°), n = 60

Severe varus (< -6°), n = 28

Valgus (> 3°), n = 19

No difference in OKS, FJS and SF-12

Dominique et al. [20]

8.5y

Severe varus (≤ − 10°)

Group 1 (< 0°), n = 88

Group 2 (≥ 0°), n = 62

No difference in IKS and OKS

Schiffner et al. [21]

3–5y

Varus

Neutral (0 ± 3°), n = 115

Varus (≤ -3°), n = 33

Varus was better in KOOS, but no difference in OKS

Abdel et al. [22]

20y

All

Neutral (0 ± 3°), n = 69

Outlier (< − 3° or > 3°), n = 12

No difference in KSS

Lee et al. [23]

5y

Valgus

Neutral (0 ± 3°), n = 69

Mild valgus (3° to 6°), n = 17

Severe valgus (> 6°), n = 7

No difference in KSS and WOMAC

Zhang et al. [24]

5.2y

Varus

Neutral (0° to − 3°), n = 86

Mild varus (− 3° to − 6°), n = 62

Severe varus (< − 6°), n = 27

Valgus (> 0°), n = 44

Neutral and mild varus were better in KSS and WOMAC compared with severe varus and valgus

Bilgin et al. [25]

7.08y

All

Neutral (0 ± 3°), n = 20

Outlier 1 (− 3° to − 6° or 3° to 6°), n = 24

Outlier 2 (< − 6° or > 6°), n = 26

Neutral and outlier 1 were better in OKS and SF-36 compared with outliers 2

  1. HSS Hospital for Special Surgery knee score, IKS International Knee Society score, OKS Oxford Knee Score, KSS Knee Society Score, KSKS Knee Society Knee Score, KSFS Knee Society Functional Score, WOMAC  Western Ontario and McMaster Universities Arthritis Index, FJS Forgotten Joint Score, KOOS Knee Injury Osteoarthritis Outcome Score
  2. All studies aimed to obtain a neutral postoperative mechanical axis and used conventional procedure to perform TKR. Patients in all of the above studies underwent full-length hip-knee-ankle radiographs to evaluate the pre and postoperative mechanical femoral-tibial angle