Conclusions

In this large, multicenter, multisurgeon study using a second-generation MS knee design, irrespective of surgeons’ prior experience of the concept or preferred planning and alignment strategies, patients consistently reported excellent PROMs outcomes and higher levels of satisfaction than is reported in the literature. We conclude that sound application of the MS knee concept represents a meaningful contribution to the advancement of state-of-the-art TKA and a step forward in our endeavors to meet contemporary patient expectations.