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Charles C.J Rivière

Charles C.J Rivière
Clinique du Sport Bordeaux-Mérignac · Joint Reconstruction

MD, PhD
Developpment and assessment of physiological (KA) Arthroplasty

About

99
Publications
40,396
Reads
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1,093
Citations
Introduction
Personalized physiological (# Kinematic Alignment) Techniques for Hip & Knee Joint Replacement - Anatomical approach - Clinique du Sport Bordeaux-Mérignac (France) - Bordeaux Arthroplasty Research Institute (BARI)
Skills and Expertise
Additional affiliations
June 2021 - November 2021
Bordeaux Arthroplasty Research Institute (BARI)
Position
  • Head of Department
Description
  • Assessment of the performance/reliability of physiological (kinematically aligned) hip and knee arhtroplasty
June 2020 - November 2021
Clinique du Sport
Position
  • Consultant
June 2017 - present
Imperial College London
Position
  • Lecturer
Education
May 2013 - May 2016
Aix-Marseille Université
Field of study
  • PhD on Kinematic Alignment Technique For Total Knee Replacement
September 1998 - September 2004
University of Bordeaux
Field of study
  • Medical School

Publications

Publications (99)
Chapter
The kinematic alignment (KA) technique for unicompartmental knee arthroplasty (UKA) has been successfully performed for decades and presents potential clinical benefits. The discussion and video links in this chapter assist the surgeon in understanding how to perform KA UKA with the calipered technique. The first section defines the KA UKA techniqu...
Article
Introduction. – Spine stiffness is known to increase the risk of total hip replacement (THR) instability. The sagittal posture and lumbo-pelvic kinematics have therefore become parameters of interest when planning THR. We conducted this study to investigate (1) the distribution and characteristics of the spino-pelvic standing alignment, (2) the rel...
Article
Introduction Spine stiffness is known to increase the risk of total hip replacement (THR) instability. The sagittal posture and lumbo-pelvic kinematics have therefore become parameters of interest when planning THR. We conducted this study to investigate (1) the distribution and characteristics of the spino-pelvic standing alignment, (2) the relati...
Article
Full-text available
- The Kinematic Alignment (KA) technique for total knee arthroplasty (TKA) is an alternative surgical technique aiming to resurface knee articular surfaces. - The restricted KA (rKA) technique for TKA applies boundaries to the KA technique in order to avoid reproducing extreme constitutional limb/knee anatomies. - The vast majority of TKA cases a...
Article
Full-text available
Purpose: Kinematic alignment (KA) aligns the femoral implant perpendicular to the cylindrical axis in the frontal and axial plane. Identification of the kinematic axes when using the mini-invasive sub-quadricipital approach is challenging in unicompartmental knee arthroplasty (UKA). This study aims to assess if the orientation of condylar walls ma...
Article
Full-text available
PurposeThis study aimed (1) to investigate the relationship between pelvic incidence (PI) and the anatomical acetabular anteversion (AA) relative to the spino-pelvic tilt (SPT) plane (anatomical AASPT), relative to the anterior pelvic plane (anatomical AAAPP), and functional standing AA; and (2) to compare AA and the sagittal spino-pelvic parameter...
Chapter
This chapter presents a case scenario of a 65‐year‐old man with end‐stage degenerative knee disease scheduled for total knee arthroplasty (TKA). A stable knee with a neutral mechanically aligned lower limb mechanical alignment (MA) has been one of the primary surgical aims of TKA, as it provides good long‐term implant survivorship. A case‐control s...
Article
Full-text available
A severely degenerative knee joint with substantial bone attrition poses a significant challenge when performing Total Knee Arthroplasty (TKA) using the Kinematic Alignment (KA) technique. In order to restore the pre-arthritic knee anatomy, the surgeon has the task of estimating quantity and location of bone loss. We present three such cases and de...
Research
Dear Chief Editor, You recently published an article by Nishida et al. [1] ‘Impact of joint line orientation on clinical outcomes in bilateral Oxford mobile-bearing unicompartmental knee arthroplasty’. In this report, the authors evaluate the relationship between the standing joint line obliquity (JLO) and the 2-year clinical outcomes on 53 consecu...
Article
Full-text available
Purpose: Owing to the improved understanding of knee kinematics and the successful introduction of the kinematic alignment (KA) technique for implanting total knee arthroplasty (TKA), it was recently understood that the "Cartier angle technique" corresponds to a kinematic implantation of the uni-compartmental knee arthroplasty (UKA) components. Wh...
Article
Full-text available
This note describes a surgical technique to kinematically align a medial Oxford® UKA. Applying kinematic alignment principles is an alternative, personalised, physiological, and potentially clinically advantageous method for implanting the medial Oxford® UKA. Further investigations are needed to better define the reproducibility and clinical impact...
Article
Full-text available
Background: Following a Unicompartmental knee arthroplasty (UKA) satisfaction is often conflated with functional outcome. Recent studies have shown that satisfaction is not linked to functional outcome. The research questions were: 1) what is the relationship between satisfaction and functional performance and quality of life (absolute and gain val...
Article
Hypothesis: TKR is associated with a significant improvement in function, satisfaction and quality of life and that there is a strong correlation between OKS, EQ-5d and 'outcome satisfaction'. Method: Five thousand eight hundred and ninety six patients underwent primary TKR between January 2010 and December 2017 and had complete pre-operative an...
Article
Introduction: Les réactions biologiques initiées par les débris d’usure de polyéthylène conventionnel autour d’une prothèse totale de hanche (PTH) sont source d’inquiétudes. L’utilisation d’un couple de frottement céramique sur céramique (CoC) est perçue comme une alternative attractive. Questions/objectifs: L’objectif de cette étude est de compar...
Article
Cette étude présente les diverses philosophies d'alignement des prothèses totales de genou (PTG). Néanmoins, il apparaît logique que l'amélioration espérée des résultats cliniques des PTG passe par une implantation plus personnalisée et physiologique qui res-pecte les caractéristiques de l'anatomie de chaque patient. Nous approfondirons donc partic...
Article
Background Neck sparing short femoral stems are supposed to ease restoration of the proximal femoral anatomy and physiological hip biomechanics. This stem design is of particular interest as they have the potential to generate prosthetic hips that have higher functional performance with an improved lifespan, and revise more easily. Unlike previousl...
Article
Full-text available
Background: Metal-on-conventional polyethylene (MoPc) bearing wear-related biological reactions in total hip arthroplasty (THA) continue to raise concerns among young, active patients. Ceramic-on-ceramic (CoC) bearings may offer improved outcomes in this patient population. Questions/purposes: The aim of this study was to determine if, more than 20...
Chapter
This lecture outlines the various alignment philosophies for total knee arthroplasty (TKA). It is logical that our desire to improve clinical outcomes for TKA involves a more personalized and physiological implantation process that preserves each patient’s anatomical features. We will take a deep dive into the kinematic alignment concept by describ...
Article
Full-text available
Introduction: The kinematic alignment (KA) technique for total knee arthroplasty (TKA) and the medialpivot (MP) component design are two options promoting a physiologic prosthetic knee kinematics whenused in combination that could improve TKA outcomes. Case-control study is initiated to compare the1-year radio-clinical outcomes between kinematic al...
Research
Full-text available
This editorial discusses the value of precision tool for performing TKA, notably when considering personalised implantation techniques.
Article
Introduction The kinematic alignment (KA) technique for total knee arthroplasty (TKA) and the medial pivot (MP) component design are two options promoting a physiologic prosthetic knee kinematics when used in combination that could improve TKA outcomes. Case-control study is initiated to compare the 1-year radio-clinical outcomes between kinematic...
Chapter
Full-text available
The kinematic alignment technique (KA) for total knee arthroplasty (TKA) is a surgical technique recently developed that aims to anatomically position and kinematically align total knee components [1]. The kinematic implantation aims to resurface the knee joint by removing a cartilage and bone thickness equivalent to the implant thickness and where...
Chapter
Full-text available
The concept was developed as a consequence of the increasing awareness that dynamic function is, in addition to improved arthroplasty materials and component positioning, a significant factor in total hip arthroplasty stability and lifespan [1–4].
Chapter
Full-text available
We aim to restore the kinematics of the knee in unicompartmental arthroplasty as it was being used by that individual before the arthrosis developed. The knee is used in compression when standing and squatting and in swing phase, where a competent anterior and posterior cruciate ligament complex allows efficient and congruent flexion after toe off,...
Chapter
Full-text available
There have been significant developments since the first attempts to treat degenerated hips with tissue interpositional arthroplasty (with materials such as fascia lata and pig’s bladder) or hemi-resurfacing using glass molds by Smith-Peterson in 1937 [1]. While the first total hip replacement has been attributed to Wiles in 1938, it was considered...
Chapter
Full-text available
Hip and knee arthroplasties are life-changing procedures, reducing pain and restoring function after end-stage arthrosis. Almost 90% of patients who have undergone hip arthroplasty, and 82% after knee arthroplasty, report improvement in quality of life after surgery [1]; this leaves a significant number of dissatisfied patients. The modern surgeon...
Article
Full-text available
1- Kinematic alignment (KA) is an alternative philosophy for aligning a total knee replacement (TKR) which aims to restore all three kinematic axes of the native knee. „„ 2- Many of the studies on KA have actually described non-KA techniques, which has led to much confusion about what actually fits the definition of KA. „„ 3- Alignment should onl...
Article
Background Neck sparing short femoral stems are supposed to ease restoration of the proximal femoral anatomy and physiological hip biomechanics. This stem design is of particular interest as they have the potential to generate prosthetic hips that have higher functional performance with an improved lifespan, and revise more easily. Unlike previousl...
Book
Full-text available
This book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, impr...
Research
Full-text available
There is no doubt that greater accuracy in TKA surgery is desirable (16). Perhaps the reason why this greater precision has not resulted in better TKA clinical outcomes is that we are aiming for the wrong target. We need to step up from the systematic goal of achieving a neutral HKA and use all the tools available to accurately reproduce patients’...
Article
Background: Bone stock conservation, hip anatomy preservation, and greater stability are among the promoted advantages of hip resurfacing (HR). However, the disappointing failure of some implants nearly led to its abandonment. The aim of this study was to compare clinical scores and revision and complication rates after HR with those after total...
Article
Background This review introduces various techniques for implantation of a total knee endoprosthesis and scrutinizes the “mechanical alignment” of a total knee endoprosthesis, whereby the various alignment concepts are examined. In particular, kinematic alignment, in terms of its significance, the individual steps of the implantation technique and...
Article
Introduction The kinematic alignment (KA) technique for total knee arthroplasty (TKA) and the medial pivot (MP) component design are two options promoting a physiologic prosthetic knee kinematics when used in combination that could improve TKA outcomes. Case-control study is initiated to compare the 1-year radio-clinical outcomes between kinematic...
Article
Full-text available
Purpose: Patient satisfaction regarding their hip replacement is often assumed to be directly linked to functional outcomes. We led this study to answer 2 questions: (1) what is the level of patient satisfaction, function, and quality of life after primary total hip replacement (THR); and (2) what is the relationship between patient satisfaction an...
Research
Full-text available
Oussedik S, Abdel MP, Victor J, Pagnano MW, Haddad FS. Alignment in total knee arthroplasty: what's in a name? Bone Joint J. 2020;102-B(3):276-279. We read the recent annotation on the alignment techniques for total knee arthroplasty (TKA) with interest. While it is a very instructive paper, we believe that a few clarifications are needed, which...
Article
Résumé Introduction La restauration anatomique de la hanche lors du remplacement prothétique vise à générer une cinématique articulaire physiologique, dans le but d’obtenir un résultat fonctionnel optimal. Par la conservation du col fémoral, la technique de resurfaçage de hanche (RH) altère probablement moins l’anatomie articulaire que le remplace...
Article
Full-text available
Introduction. – La restauration anatomique de la hanche lors du remplacement prothétique vise à géné-rer une cinématique articulaire physiologique, dans le but d’obtenir un résultat fonctionnel optimal. Parla conservation du col fémoral, la technique de resurfac¸ age de hanche (RH) altère probablement moinsl’anatomie articulaire que le remplacement...
Article
Background Restoration of the constitutional joint anatomy after hip replacement favours physiological peri-articular soft-tissue tension and kinematics, and is likely to be functionally beneficial. Hip resurfacing (HR) and conventional total hip replacement (THR) are two different options for replacing degenerated hips, and are likely to result in...
Patent
Full-text available
Modular femoral component aiming to optimise the patella biomechanics and improve clinical outcomes after TKA. The femoral component is divided in two pieces: condylar and trochlear. Suitable for either mechanical (MA) or kinematic (KA) alignment techniques for implanting TKA. The surgical technique for implanting this new component would almost no...
Chapter
Résumé Cette étude présente les diverses philosophies d'alignement des prothèses totales de genou (PTG). Néanmoins, il apparaît logique que l'amélioration espérée des résultats cliniques des PTG passe par une implantation plus personnalisée et physiologique qui respecte les caractéristiques de l'anatomie de chaque patient. Nous approfondirons donc...
Article
Full-text available
Background and purpose — Mechanical alignment techniques for total knee arthroplasty (TKA) introduce significant anatomic alteration and secondary ligament imbalances. We propose a restricted kinematic alignment (rKA) protocol to minimize these issues and improve TKA clinical outcomes. Patients and methods — rKA tibial and femoral bone resections w...
Research
Full-text available
Letter to the Chief Editor, David A. Parker [1] recently published a note “A Cautionary Note for Advocates of Constitutional or kinematic Alignment”. In this commentary, the author voices his concern over the Kinematic alignment (KA) technique for implanting total knee arthroplasty (TKA) components by referring to the article from Van Hamersveld...
Presentation
Full-text available
Presentation summarizing the rational, surgical steps, and evidence regarding the Kinematic Alignment Technique for Total Hip replacement.
Presentation
Full-text available
This presentation summarizes the rational, the surgical steps, and the available evidence regarding the KA technique for Total Knee Arthroplasty
Presentation
Full-text available
This presentation summuraizes the rational and the surgical steps of Kinematically Aligned UKA
Chapter
Full-text available
The spine-hip relationship (SHR) is a new parameter of interest in preoperative planning for kinematically aligned THA. Understanding a patient’s spinal deformity may help surgeons determine appropriate acetabular component positioning based on mobility. Knowledge of a patient’s SHR allows surgeons to differentiate healthy spine users from patholog...
Chapter
The spine-hip relationship (SHR) is a new parameter of interest in preoperative planning for kinematically aligned THA. Understanding a patient’s spinal deformity may help surgeons determine appropriate acetabular component positioning based on mobility. Knowledge of a patient’s SHR allows surgeons to differentiate healthy spine users from patholog...
Article
Background Residual complications of conventionally implanted hip components have only been partially reduced by improved implant design and higher surgical precision, and their occurrence is poorly predicted by the radiographic standing/supine cup orientation. This has raised awareness that conventional techniques may not aim for the correct compo...
Article
Full-text available
Introduction A systematic review was conducted to assess the clinical and radiological outcomes of the alternative surgical techniques that consider the dynamic aspect of the acetabular orientation when aligning a cup (pelvic tilt-, lumbo-pelvic kinematics-, and spine-hip relationship-adjusted cup alignment techniques). Method Eight eligible artic...
Article
Full-text available
Due to the significant deficiencies in both ourknowledge and technology in the past, we were far from replicatingnormal knee kinematics with MA-TKA. With MA, the orthopaediccommunity commonly accepted many dogmas such that subse-quent adoption of KA has been slow. Current limitations in TKAfunction and patient satisfaction should stimulate us to qu...
Article
Concept born from the observation that 1) systematic conventional techniques for implanting hip components are still affected by some complications that technological improvements have not entirely solved, and 2) the increasing awareness that abnormal lumbo-pelvic kinematics are responsible for clinically detrimental poor functional cup orientation...
Article
Introduction: A systematic review was conducted to assess the clinical and radiological outcomes of the alternative surgical techniques that consider the dynamic aspect of the acetabular orientation when aligning a cup (pelvic tilt-, lumbo-pelvic kinematics-, and spine-hip relationship-adjusted cup alignment techniques). Method: Eight eligible a...
Article
Résumé Introduction L’incidence pelvienne est un paramètre anatomique et biomécanique pelvien déterminant la morphologie sagittale du rachis et sa cinématique. La raideur du complexe lombo-pelvien affecte le positionnement fonctionnel de l’acetabulum, induisant un risque d’instabilité prothétique. L’utilisation d’un cotyle double-mobilité (DM) dev...
Article
Background: Residual complications of conventionally implanted hip components have only been partially reduced by improved implant design and higher surgical precision, and their occurrence is poorly predicted by the radiographic standing/supine cup orientation. This has raised awareness that conventional techniques may not aim for the correct comp...
Article
Background Mobile bearing unicompartmental knee arthroplasty (UKA) Oxford™ components are recommended to be systematically and mechanically aligned (MA) for restoring the constitutional lower-limb alignment. Good long-term clinical outcomes have been generated with the medially implanted MA Oxford™, but some sub-optimal biomechanical-related compli...
Article
Background: The kinematic alignment (KA) technique for total knee arthroplasty (TKA) is an emerging implant positioning philosophy that aims to restore constitutional knee anatomy to improve knee kinematics. At present, the KA technique aims to reconstruct native femorotibial (FT) joint alignment, however there is still insufficient consideration t...
Article
Introduction: The pelvic incidence is an anatomical and biomechanical pelvic parameter determining spine sagittal morphology and kinematics. Stiffening of the lumbo-pelvic complex, a result of degeneration, affects the functional cup positioning, putting prosthetic hip patients at risk of instability. The anti-dislocation dual mobility (DM) device...
Article
Background: Mobile bearing unicompartmental knee arthroplasty (UKA) Oxford™ components are recommended to be systematically and mechanically aligned (MA) for restoring the constitutional lower-limb alignment. Good long-term clinical outcomes have been generated with the medially implanted MA Oxford™, but some sub-optimal biomechanical-related compl...
Article
Résumé Introduction Restaurer l’anatomie native fémoropatellaire lors de la réalisation d’une prothèse totale de genou (PTG) alignée cinématiquement (AC) pourrait être cliniquement bénéfique. Cette étude visait à comparer les paramètres anatomiques de la trochlée native et prothétique AC lorsque celle-ci a été planifiée et implantée (objectif 1),...
Article
Full-text available
Purpose Kinematic alignment technique for TKA aims to restore the individual knee anatomy and ligament tension, to restore native knee kinematics. The aim of this study was to compare parameters of kinematics during gait (knee flexion–extension, adduction–abduction, internal–external tibial rotation and walking speed) of TKA patients operated by ei...
Article
Full-text available
Introduction: preserving constitutional patellofemoral anatomy, and thus producing physiological patellofemoral kinematics, could prevent patellofemoral complications and improve clinical outcomes after kinematically aligned TKA (KA TKA). Our study aims 1) to compare the native and prosthetic trochleae (planned or implanted), and 2) to estimate the...
Article
Full-text available
-„„ Multimodal protocols for pain control, blood loss management and thromboprophylaxis have been shown to benefit patients by being more effective and as safe (fewer iatrogenic complications) as conventional protocols. „„- Proper patient selection and education, multimodal protocols and a well-defined clinical pathway are all key for successful da...
Article
Résumé Introduction Le positionnement cinématique (KA) des implants actuels de prothèse totale de genou (PTG) génère une trochlée prothétique aux paramètres morphologiques différents de ceux qui seraient obtenus après un positionnement mécanique (MA). L’objectif de notre étude était de tester les hypothèses suivantes : (1) l’implantation mécanique...
Article
Full-text available
- Patients with hip osteoarthritis often have an abnormal spine-hip relation (SHR), meaning the presence of a clinically deleterious spine-hip and/or hip-spine syndrome. „„ - Definition of the individual SHR is ideally done using the EOS® imaging system or, if not available, with conventional lumbopelvic lateral radiographs. „„ - By pre-operatively...