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About

Andrea Tecame is a leading orthopaedic researcher whose work centers on refining surgical techniques and alignment strategies in total knee arthroplasty (TKA). Her major contributions address two critical, unresolved challenges in knee replacement: achieving optimal femoral and tibial component positioning. In her highly cited 2023 paper (6 citations), she investigates the ongoing debate between intramedullary and extramedullary alignment guides for the distal femur, highlighting the lack of consensus on which approach yields superior sagittal and coronal plane outcomes. More recently, her 2025 systematic review of RCTs (3 citations) provides a comprehensive, two-decade perspective on robotic versus conventional TKA, revealing that while robotic assistance has driven a shift toward personalized alignment, it has not yet demonstrated significant clinical superiority in patients with predominantly mild varus deformity. Tecame also played a pivotal role in establishing the European Knee Society’s Delphi consensus on tibial rotational alignment (2025), a landmark effort to standardize a notoriously variable aspect of TKA. Her work directly informs surgical decision-making, helping practitioners navigate the trade-offs between technological innovation and proven conventional methods.