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this is a medical minute brought to you by dr. Stephen Howell what is the kinematically alliance total knee replacement annie has ligaments on the sides and attended in the front and it moves this way around an axial so when we do a knee replacement what we want to do we want to make sure that this surface of the part on the femur and the tibia is restores the native joint surface when it does the ligaments that are on the side are on there in their natural position or natural length and that allows the need to move comfortably and for it to feel normal and to get better motion so with kinematic alignment our goal is to restore the native joint surfaces with the implant and we do that using caliper measurements just like you might measure the thickness of a quarter with a an instrument we measure the thickness of the pieces of the bone that we take off and adjust it to match the thickness of the implant so this gets us a very precise repeatable positioning of the implant which leads to