31.8% of TKAs performed using conventional instrumentation resulted in implant malalignment.⁶
 

9% of TKAs performed using large console computer-assisted surgery (CAS) resulted in implant malalignment.⁷
 

Implant malalignment accounted for approximately 16% of total knee revisions.⁸
 

> 3° of tibial component varus alignment increases the odds of implant failure by roughly 17x.⁹
 

Combination of tibial malalignment and obesity resulted in relative revision risk of 168.¹⁰