The 100 most cited publications on alignment in total knee arthroplasty: A bibliometric analysis revealing a paradigm shift toward personalized alignment strategies

Background

Alignment strategies in total knee arthroplasty (TKA) have undergone a major conceptual evolution over the past decades, shifting from mechanically driven paradigms toward more personalized approaches. Despite the growing volume of literature, there is currently no comprehensive overview identifying the publications that have most strongly influenced the development and dissemination of alignment concepts in TKA. The aim of this study was to identify and analyze the 100 most-cited publications related to total knee arthroplasty and alignment.