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About

Dr. Pieralberto Valpiana is a leading orthopaedic researcher whose work focuses on revolutionizing total knee arthroplasty (TKA) through a deeper understanding of knee kinematics and alignment. His primary research areas include dynamic alignment classification, asymmetric gap balancing, and the restoration of natural knee motion. Dr. Valpiana’s major contributions challenge conventional static alignment methods, demonstrating through robot-assisted intraoperative evaluations that the hip-knee-ankle axis varies significantly with knee motion—a finding that supports the use of dynamic, not static, alignment classifications (9 citations). His landmark 2024 study on asymmetric gap balancing (19 citations) provides compelling evidence that this technique yields closer-to-normal knee kinematics post-TKA, offering a practical pathway to improved patient outcomes. Additionally, his work on joint line restoration reveals that simply replicating pre-arthritic anatomy does not guarantee natural kinematics, as shown by gait analysis (4 citations). Dr. Valpiana has also published detailed surgical technique notes for robot-assisted kinematic alignment (4 citations), bridging biomechanical theory with clinical application. His research is shaping the next generation of personalized, motion-based TKA approaches.