{"id":"https://openalex.org/W2002240250","doi":"https://doi.org/10.1002/jor.21060","title":"The influence of sequential debridement in total knee arthroplasty on the flexion axis of the knee using computer\u2010aided navigation","display_name":"The influence of sequential debridement in total knee arthroplasty on the flexion axis of the knee using computer\u2010aided navigation","publication_year":2010,"publication_date":"2010-01-07","ids":{"openalex":"https://openalex.org/W2002240250","doi":"https://doi.org/10.1002/jor.21060","mag":"2002240250","pmid":"https://pubmed.ncbi.nlm.nih.gov/20058272"},"language":"en","primary_location":{"id":"doi:10.1002/jor.21060","doi":"https://doi.org/10.1002/jor.21060","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jor.21060","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jor.21060","source":{"id":"https://openalex.org/S12558119","display_name":"Journal of Orthopaedic Research\u00ae","issn_l":"0736-0266","issn":["0736-0266","1554-527X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jor.21060","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5053658031","display_name":"Mark Morishige","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146416000","display_name":"University of Kansas","ror":"https://ror.org/001tmjg57","country_code":"US","type":"education","lineage":["https://openalex.org/I146416000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mark Morishige","raw_affiliation_strings":["Department of Surgery, The University of Kansas School of Medicine-Wichita, Wichita, Kansas 67214, USA","Department of Surgery, Section of Orthopaedics, The University of Kansas School of Medicine- Wichita, 929 N. St. Francis, Wichita, Kansas 67214"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, The University of Kansas School of Medicine-Wichita, Wichita, Kansas 67214, USA","institution_ids":["https://openalex.org/I146416000"]},{"raw_affiliation_string":"Department of Surgery, Section of Orthopaedics, The University of Kansas School of Medicine- Wichita, 929 N. St. Francis, Wichita, Kansas 67214","institution_ids":["https://openalex.org/I146416000"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080978351","display_name":"David A. McQueen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146416000","display_name":"University of Kansas","ror":"https://ror.org/001tmjg57","country_code":"US","type":"education","lineage":["https://openalex.org/I146416000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David A. McQueen","raw_affiliation_strings":["Department of Surgery, Section of Orthopaedics, The University of Kansas School of Medicine- Wichita, 929 N. St. Francis, Wichita, Kansas 67214","Orthopaedic Research Institute, 929 N. St. Francis, Wichita, Kansas 67214"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Section of Orthopaedics, The University of Kansas School of Medicine- Wichita, 929 N. St. Francis, Wichita, Kansas 67214","institution_ids":["https://openalex.org/I146416000"]},{"raw_affiliation_string":"Orthopaedic Research Institute, 929 N. St. Francis, Wichita, Kansas 67214","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044971130","display_name":"Alexander C.M. Chong","orcid":"https://orcid.org/0000-0002-4552-8314","observed_orcids":["https://orcid.org/0000-0002-4552-8314"]},"institutions":[{"id":"https://openalex.org/I146416000","display_name":"University of Kansas","ror":"https://ror.org/001tmjg57","country_code":"US","type":"education","lineage":["https://openalex.org/I146416000"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Alexander Chong","raw_affiliation_strings":["Department of Surgery, Section of Orthopaedics, The University of Kansas School of Medicine- Wichita, 929 N. St. Francis, Wichita, Kansas 67214","Orthopaedic Research Institute, 929 N. St. Francis, Wichita, Kansas 67214"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Section of Orthopaedics, The University of Kansas School of Medicine- Wichita, 929 N. St. Francis, Wichita, Kansas 67214","institution_ids":["https://openalex.org/I146416000"]},{"raw_affiliation_string":"Orthopaedic Research Institute, 929 N. St. Francis, Wichita, Kansas 67214","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059139025","display_name":"Gregory P. Ballard","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146416000","display_name":"University of Kansas","ror":"https://ror.org/001tmjg57","country_code":"US","type":"education","lineage":["https://openalex.org/I146416000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gregory P. Ballard","raw_affiliation_strings":["Department of Surgery, Section of Orthopaedics, The University of Kansas School of Medicine- Wichita, 929 N. St. Francis, Wichita, Kansas 67214"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Section of Orthopaedics, The University of Kansas School of Medicine- Wichita, 929 N. St. Francis, Wichita, Kansas 67214","institution_ids":["https://openalex.org/I146416000"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5108290945","display_name":"Francis W. Cooke","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Francis W. Cooke","raw_affiliation_strings":["Orthopaedic Research Institute, 929 N. St. Francis, Wichita, Kansas 67214"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedic Research Institute, 929 N. St. Francis, Wichita, Kansas 67214","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5044971130"],"corresponding_institution_ids":["https://openalex.org/I146416000"],"apc_list":{"value":3970,"currency":"USD","value_usd":3970},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.13057637,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"28","issue":"6","first_page":"767","last_page":"772"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/total-knee-arthroplasty","display_name":"total knee arthroplasty","score":0.9959999918937683},{"id":"https://openalex.org/keywords/helical-axis","display_name":"helical axis","score":0.9919999837875366},{"id":"https://openalex.org/keywords/computer-assisted-navigation","display_name":"computer-assisted navigation","score":0.7609999775886536},{"id":"https://openalex.org/keywords/soft-tissue-release","display_name":"soft tissue release","score":0.7590000033378601},{"id":"https://openalex.org/keywords/cruciate-retaining-knee-prosthesis","display_name":"cruciate-retaining knee prosthesis","score":0.8410000205039978},{"id":"https://openalex.org/keywords/cadaveric-knee","display_name":"cadaveric knee","score":0.781000018119812},{"id":"https://openalex.org/keywords/transepicondylar-axis","display_name":"transepicondylar axis","score":0.7900000214576721}],"concepts":[{"id":"https://openalex.org/C175696284","wikidata":"https://www.wikidata.org/wiki/Q986524","display_name":"Cadaveric spasm","level":2,"score":0.7512562870979309},{"id":"https://openalex.org/C136948725","wikidata":"https://www.wikidata.org/wiki/Q1458306","display_name":"Soft tissue","level":2,"score":0.689267635345459},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.5646417140960693},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5448394417762756},{"id":"https://openalex.org/C3017871827","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Total knee arthroplasty","level":2,"score":0.5366828441619873},{"id":"https://openalex.org/C2777236700","wikidata":"https://www.wikidata.org/wiki/Q178366","display_name":"Tibia","level":2,"score":0.5312326550483704},{"id":"https://openalex.org/C2778715743","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis","level":2,"score":0.5231296420097351},{"id":"https://openalex.org/C39920418","wikidata":"https://www.wikidata.org/wiki/Q11476","display_name":"Kinematics","level":2,"score":0.4638540744781494},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.4601190388202667},{"id":"https://openalex.org/C60465272","wikidata":"https://www.wikidata.org/wiki/Q494478","display_name":"Range of motion","level":2,"score":0.4488891065120697},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.4348868727684021},{"id":"https://openalex.org/C136229726","wikidata":"https://www.wikidata.org/wiki/Q327092","display_name":"Biomedical engineering","level":1,"score":0.34491822123527527},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2495042085647583},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.12605252861976624},{"id":"https://openalex.org/C74650414","wikidata":"https://www.wikidata.org/wiki/Q11397","display_name":"Classical mechanics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001696","descriptor_name":"Biomechanical Phenomena","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003646","descriptor_name":"Debridement","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007719","descriptor_name":"Knee Joint","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016059","descriptor_name":"Range of Motion, Articular","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019645","descriptor_name":"Arthroplasty, Replacement, Knee","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D025321","descriptor_name":"Surgery, Computer-Assisted","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1002/jor.21060","doi":"https://doi.org/10.1002/jor.21060","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jor.21060","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jor.21060","source":{"id":"https://openalex.org/S12558119","display_name":"Journal of Orthopaedic Research\u00ae","issn_l":"0736-0266","issn":["0736-0266","1554-527X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Research","raw_type":"journal-article"},{"id":"pmid:20058272","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20058272","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic research : official publication of the Orthopaedic Research Society","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1002/jor.21060","doi":"https://doi.org/10.1002/jor.21060","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jor.21060","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jor.21060","source":{"id":"https://openalex.org/S12558119","display_name":"Journal of Orthopaedic Research\u00ae","issn_l":"0736-0266","issn":["0736-0266","1554-527X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8371999859809875}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320310842","display_name":"Stryker","ror":"https://ror.org/043affe91"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2002240250.pdf","grobid_xml":"https://content.openalex.org/works/W2002240250.grobid-xml"},"referenced_works_count":43,"referenced_works":["https://openalex.org/W19717879","https://openalex.org/W117112936","https://openalex.org/W131009494","https://openalex.org/W1490461427","https://openalex.org/W1718746387","https://openalex.org/W1950897506","https://openalex.org/W1958380829","https://openalex.org/W1967083861","https://openalex.org/W1973384202","https://openalex.org/W1975807882","https://openalex.org/W1976649711","https://openalex.org/W1977189687","https://openalex.org/W1982522379","https://openalex.org/W1985595770","https://openalex.org/W1989204258","https://openalex.org/W1990479601","https://openalex.org/W1996876503","https://openalex.org/W1997672657","https://openalex.org/W2002283091","https://openalex.org/W2003271475","https://openalex.org/W2007010865","https://openalex.org/W2009788665","https://openalex.org/W2018580208","https://openalex.org/W2021884432","https://openalex.org/W2029588309","https://openalex.org/W2042305322","https://openalex.org/W2043272266","https://openalex.org/W2045154383","https://openalex.org/W2051955642","https://openalex.org/W2067003172","https://openalex.org/W2080986084","https://openalex.org/W2083290222","https://openalex.org/W2110605745","https://openalex.org/W2117532839","https://openalex.org/W2151562961","https://openalex.org/W2167161073","https://openalex.org/W2234548722","https://openalex.org/W2395852019","https://openalex.org/W2417498754","https://openalex.org/W2600494848","https://openalex.org/W3155757268","https://openalex.org/W4296938576","https://openalex.org/W4312861539"],"related_works":["https://openalex.org/W1986087770","https://openalex.org/W2176849385","https://openalex.org/W1981772417","https://openalex.org/W2167161073","https://openalex.org/W2088924978","https://openalex.org/W7037372006","https://openalex.org/W2126568184","https://openalex.org/W2574014365","https://openalex.org/W117112936","https://openalex.org/W2099807516"],"abstract_inverted_index":{"The":[0,100,110],"effects":[1],"of":[2,16,29,80,97,115,156,170,194,201,206,215,222,239],"osteophyte":[3],"debridement,":[4],"bony":[5,154],"cuts,":[6],"and":[7,84,92,236,246],"soft":[8,85,186],"tissue":[9,86,145,187],"releases":[10,87,146,188],"on":[11,66,150,192],"the":[12,17,42,116,121,131,157,177,195,202,207,216,224,232],"functional":[13,43,101],"flexion":[14,44],"axis":[15,45,104,118,123,197,226],"knee":[18,32,37],"can":[19,48],"be":[20,49],"assessed":[21],"by":[22,95,124],"evaluating":[23],"3D":[24],"kinematics":[25],"following":[26],"each":[27,52,67,78,96],"step":[28,79],"a":[30,35,62,153,220],"total":[31],"arthroplasty.":[33],"Using":[34],"navigated":[36],"system":[38],"with":[39,61,142,231],"dedicated":[40],"software,":[41],"(helical":[46],"axis)":[47],"determined":[50],"after":[51],"step.":[53],"Five":[54],"paired":[55],"fresh-frozen":[56],"cadaveric":[57],"knees":[58],"were":[59,75,241,251],"used":[60],"CT":[63],"scan":[64],"performed":[65],"specimen":[68],"identifying":[69],"implanted":[70],"fiducial":[71],"markers.":[72],"Kinematics":[73],"data":[74],"recorded":[76],"during":[77],"sequential":[81],"osseous":[82],"cuts":[83],"for":[88,107,130,199],"both":[89],"an":[90,247],"unloaded":[91,132],"loaded":[93],"limb":[94],"three":[98],"surgeons.":[99],"helical":[102,117,196,225],"(flexion/extension)":[103],"was":[105],"identified":[106],"all":[108],"specimens.":[109],"internal/external":[111],"rotation":[112],"angle":[113],"(theta)":[114],"differed":[119],"from":[120,136,163],"transepicondylar":[122,233],"-8.3":[125],"degrees":[126,129,138,141,165,181],"to":[127,139,166,182,213],"+6.7":[128],"condition.":[133],"theta":[134,162,178,193,240],"ranged":[135],"-7.2":[137],"+7.4":[140],"distraction.":[143],"Soft":[144],"had":[147,189],"no":[148],"effect":[149,191],"theta;":[151],"until":[152],"cut":[155],"articular":[158],"surface,":[159],"which":[160],"increased":[161],"-0.3":[164],"+9.7":[167],"degrees.":[168,184],"Implantation":[169,205],"cruciate":[171],"retaining":[172],"prosthetic":[173],"components":[174],"subsequently":[175],"reduced":[176,210],"range":[179],"-7.3":[180],"+4.0":[183],"Thus,":[185],"minimal":[190],"except":[198],"resection":[200],"proximal":[203],"tibia.":[204],"CR":[208],"prosthesis":[209],"\u00e8":[211],"close":[212],"that":[214],"intact":[217],"knee.":[218],"In":[219],"minority":[221],"knees,":[223],"did":[227],"not":[228],"coincide":[229],"exactly":[230],"axis.":[234],"Interspecimen":[235],"left/right":[237],"variability":[238,245],"significant,":[242],"although":[243],"interinvestigator":[244],"applied":[248],"distraction":[249],"force":[250],"insignificant.":[252]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}