TKA: When ‘One Size Fits All’ Gets Shown the Door

If you’ve been in total knee replacement (TKR) long enough, you’ve seen the look: the patient walks in post-op, the X-rays look beautiful, alignment is textbook…and yet they’re still not happy. The dirty secret of traditional TKA is that up to 20% of patients remain dissatisfied — thanks to overhang, overstuffing, ligament imbalance, or the classic “my knee just doesn’t feel right.”