The ART of Knee Replacement
Optimizing patient outcomes through state-of-the-art, personalized solutions
Kinematic Alignment (KA)
Kinematic Alignment (KA) is technique that resurfaces the knee to its pre-arthritic state, restoring the native joint line orientation and the pre-arthritic alignment. KA eliminates the need for ligament release, leading to quicker recovery1,2, improved functionality3,4,5, and patient satisfaction1,6,7.
GMK SpheriKA
The first and only KA-optimized implant, providing unparalleled stability8,9,10,11 through the medial Ball-in-Socket design, potentially reducing post-operative swelling12 and accelerating recovery. The KA-optimized anterior aspect accommodates patient-specific patella tracking and potentially further improves patient satisfaction when combined with KA.
Subvastus
A muscle-sparing approach that preserves the quadriceps13,14,15, facilitating faster functional recovery16 and pain reduction16 without compromising visibility and access to the joint.
MySolutions Personalized Ecosystem
MySolutions Personalized Ecosystem is Medacta’s end-to-end ecosystem of advanced digital solutions, connecting the entire patient care pathway. Within the MySolutions Personalized Ecosystem, MyKnee enables precise 3D planning and patient-matched 3D printed guides execution, while NextAR supports intraoperative augmented reality guidance and real-time soft-tissue insights.

The M.O.R.E. Institute, Medacta's top-notch education platform, is where ART becomes actionable. It makes muscle- and tissue-sparing approaches and techniques learnable, implant innovation and dedicated instruments adoptable, and personalized technologies reproducible across a broad range of surgical settings and experience levels. Training programs are comprehensive and surgeon-focused, covering every step of the journey: from first exposure to a new approach, through OR support and proctoring, to continuous skill refinement over time.
1 - Jeremić, Dragan V., et al. “Short-term follow-up of kinematically vs. mechanically aligned total knee arthroplasty with medial pivot components: a case-control study.” Orthopaedics & Traumatology: Surgery & Research 106.5 (2020): 921-927. I
2 - Sosio C., et al. “Clinical and Functional Outcomes of Kinematic Aligned Total Knee Arthroplasty with a Medial Pivot Design: Two-Year Follow-Up.” J. Clin. Med. (2023), 7258. I
3 - Suzuki L., Hellman J., et al. “Calipered kinematic alignment restored the arithmetic hip-knee-ankle angle, achieved high satisfaction and improved clinical outcomes.” Knee Surg Sports Traumatol Arthrosc. (2024):1228-1239. I
4 - Ettinger M., Windhagen H., et al. “Higher satisfaction and function scores in restricted kinematic alignment versus mechanical alignment with medial pivot design total knee arthroplasty: A prospective randomised controlled trial.” Knee Surg Sports Traumatol Arthrosc. (2024):1275-1286. I
5 - Calliess T, et al., “PSI kinematic versus non-PSImechanical alignment in total knee arthroplasty: a prospective, randomized study.” Knee Surg Sports Traumatol Arthrosc (2017):1743 - 8. I
6 - Howell S.M. et al., “The Forgotten Joint Score after total knee arthroplasty with a kinematic alignment-optimized femoral component matches total hip arthroplasty.” Knee Surg Sports Traumatol Arthrosc. (2025). I
7 - Ziv, Yaron Bar, et al. “Patients undergoing staged bilateral knee arthroplasty are less aware of their kinematic aligned knee compared to their mechanical knee.” Journal of Orthopaedics 23 (2021): 155-159. I
8 - Morra E.A., Greenwald A.S., “Simulated kinematic performance of The GMK-Sphere Total Knee Design During A Stand to Squat Activity” Study Report (2013). I
9 - Hossain F, et al., “Knee arthroplasty with a medially conforming ball-and-socket tibiofemoral articulation provides better function”, Clin Orthop Relat Res. (2011):55-63. I
10 - Banks S. et al, “In Vivo Kinematics of a Medially Conforming & Rotationally Unconstrained TKA Design”, Podium presentation at the 27th Annual Meeting of the International Society for Technology in Arthroplasty, Kyoto, Japan, September 25-27, (2014). I
11 - Schütz P., et al., “Kinematic Evaluation of the GMK Sphere Implant During Gait Activities: A Dynamic Videofluoroscopy Study.” J Orthop Res. (2019): 2337-2347. I
12 - Stambough J.B., et al., “Flexion Instability After Total Knee Arthroplasty.” J Am Acad Orthop Surg. (2019): 642-651. I
13 - Scuderi G.R., et al., “Surgical approaches in mini-incision total knee arthroplasty.” Clin Orthop Relat Res. (2004):61-67. I
14 - Schroer et al., “Mini-subvastus approach for total kneearthroplasty.” J of Arthroplasty. (2008): 19-25. I
15 - Boerger T.O., et al, “Mini-subvastus versus medial parapatellar approach in total knee arthroplasty.” Clin Orthop Relat Res. (2005):82-87. I
16 - McAllister et al., “The impact of minimally invasive surgical techniques on early range of motion after primary total knee arthroplasty.” J of Arthroplasty (2008): 10-18.

