{"id":"https://openalex.org/W3122986320","doi":"https://doi.org/10.1055/s-0040-1722660","title":"The Adjustment of the Rotational Alignment of the Distal End of the Extramedullary Guide to the Anteroposterior Axis of the Proximal Tibia in Total Knee Arthroplasty","display_name":"The Adjustment of the Rotational Alignment of the Distal End of the Extramedullary Guide to the Anteroposterior Axis of the Proximal Tibia in Total Knee Arthroplasty","publication_year":2021,"publication_date":"2021-01-28","ids":{"openalex":"https://openalex.org/W3122986320","doi":"https://doi.org/10.1055/s-0040-1722660","mag":"3122986320","pmid":"https://pubmed.ncbi.nlm.nih.gov/33511586"},"language":"en","primary_location":{"id":"doi:10.1055/s-0040-1722660","doi":"https://doi.org/10.1055/s-0040-1722660","is_oa":false,"landing_page_url":"https://doi.org/10.1055/s-0040-1722660","pdf_url":null,"source":{"id":"https://openalex.org/S113113229","display_name":"The Journal of Knee Surgery","issn_l":"1538-8506","issn":["1538-8506","1938-2480"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Knee Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078642594","display_name":"Hideki Mizu\u2010uchi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I135598925","display_name":"Kyushu University","ror":"https://ror.org/00p4k0j84","country_code":"JP","type":"education","lineage":["https://openalex.org/I135598925"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Hideki Mizu-uchi","raw_affiliation_strings":["Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan","institution_ids":["https://openalex.org/I135598925"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025860025","display_name":"Hidehiko Kido","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210125298","display_name":"Yamaguchi Red Cross Hospital","ror":"https://ror.org/03c3s0k29","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I2799517759","https://openalex.org/I4210125298"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hidehiko Kido","raw_affiliation_strings":["Department of Orthopaedic Surgery, Yamaguchi Red Cross Hospital, Yamaguchi City, Yamaguchi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Yamaguchi Red Cross Hospital, Yamaguchi City, Yamaguchi, Japan","institution_ids":["https://openalex.org/I4210125298"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042539143","display_name":"Tomonao Chikama","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I135598925","display_name":"Kyushu University","ror":"https://ror.org/00p4k0j84","country_code":"JP","type":"education","lineage":["https://openalex.org/I135598925"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tomonao Chikama","raw_affiliation_strings":["Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan","institution_ids":["https://openalex.org/I135598925"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070245270","display_name":"Kenta Kamo","orcid":"https://orcid.org/0000-0003-1008-6517","observed_orcids":["https://orcid.org/0000-0003-1008-6517"]},"institutions":[{"id":"https://openalex.org/I4210125298","display_name":"Yamaguchi Red Cross Hospital","ror":"https://ror.org/03c3s0k29","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I2799517759","https://openalex.org/I4210125298"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kenta Kamo","raw_affiliation_strings":["Department of Orthopaedic Surgery, Yamaguchi Red Cross Hospital, Yamaguchi City, Yamaguchi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Yamaguchi Red Cross Hospital, Yamaguchi City, Yamaguchi, Japan","institution_ids":["https://openalex.org/I4210125298"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Satoshi Kido","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210125298","display_name":"Yamaguchi Red Cross Hospital","ror":"https://ror.org/03c3s0k29","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I2799517759","https://openalex.org/I4210125298"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Satoshi Kido","raw_affiliation_strings":["Department of Orthopaedic Surgery, Yamaguchi Red Cross Hospital, Yamaguchi City, Yamaguchi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Yamaguchi Red Cross Hospital, Yamaguchi City, Yamaguchi, Japan","institution_ids":["https://openalex.org/I4210125298"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5002669324","display_name":"Yasuharu Nakashima","orcid":"https://orcid.org/0000-0002-6692-982X","observed_orcids":["https://orcid.org/0000-0002-6692-982X","https://orcid.org/0000-0002-2653-5324"]},"institutions":[{"id":"https://openalex.org/I135598925","display_name":"Kyushu University","ror":"https://ror.org/00p4k0j84","country_code":"JP","type":"education","lineage":["https://openalex.org/I135598925"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yasuharu Nakashima","raw_affiliation_strings":["Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan","institution_ids":["https://openalex.org/I135598925"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5078642594"],"corresponding_institution_ids":["https://openalex.org/I135598925"],"apc_list":null,"apc_paid":null,"fwci":0.9114,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.69992401,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"35","issue":"12","first_page":"1273","last_page":"1279"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9994999766349792,"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":0.9994999766349792,"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":9.999999747378752e-05,"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":0.9980000257492065},{"id":"https://openalex.org/keywords/varus-knee-osteoarthritis","display_name":"varus knee osteoarthritis","score":0.7179999947547913},{"id":"https://openalex.org/keywords/imageless-navigation","display_name":"imageless navigation","score":0.699999988079071},{"id":"https://openalex.org/keywords/tibial-torsion","display_name":"tibial torsion","score":0.796999990940094},{"id":"https://openalex.org/keywords/ankle-joint-position","display_name":"ankle joint position","score":0.6309999823570251}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9643524885177612},{"id":"https://openalex.org/C3017871827","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Total knee arthroplasty","level":2,"score":0.7577006816864014},{"id":"https://openalex.org/C2777236700","wikidata":"https://www.wikidata.org/wiki/Q178366","display_name":"Tibia","level":2,"score":0.6295250654220581},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.560912549495697},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.5062436461448669},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.5007510185241699},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.30020755529403687}],"mesh":[{"descriptor_ui":"D003198","descriptor_name":"Computer Simulation","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":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D013977","descriptor_name":"Tibia","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D019645","descriptor_name":"Arthroplasty, Replacement, Knee","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020370","descriptor_name":"Osteoarthritis, Knee","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D020370","descriptor_name":"Osteoarthritis, Knee","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1055/s-0040-1722660","doi":"https://doi.org/10.1055/s-0040-1722660","is_oa":false,"landing_page_url":"https://doi.org/10.1055/s-0040-1722660","pdf_url":null,"source":{"id":"https://openalex.org/S113113229","display_name":"The Journal of Knee Surgery","issn_l":"1538-8506","issn":["1538-8506","1938-2480"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Knee Surgery","raw_type":"journal-article"},{"id":"pmid:33511586","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33511586","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":"The journal of knee surgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8371999859809875}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":33,"referenced_works":["https://openalex.org/W1085228207","https://openalex.org/W1668227937","https://openalex.org/W1967896690","https://openalex.org/W1970441349","https://openalex.org/W1974122972","https://openalex.org/W1975381839","https://openalex.org/W1979990960","https://openalex.org/W1994132730","https://openalex.org/W2006282619","https://openalex.org/W2008342425","https://openalex.org/W2009021483","https://openalex.org/W2019793919","https://openalex.org/W2041126267","https://openalex.org/W2049207604","https://openalex.org/W2056068954","https://openalex.org/W2066407839","https://openalex.org/W2080986084","https://openalex.org/W2089612585","https://openalex.org/W2094676778","https://openalex.org/W2112952938","https://openalex.org/W2125502857","https://openalex.org/W2132149849","https://openalex.org/W2139020025","https://openalex.org/W2148874691","https://openalex.org/W2325087095","https://openalex.org/W2611121050","https://openalex.org/W2624589907","https://openalex.org/W2736295478","https://openalex.org/W2770234046","https://openalex.org/W2906688933","https://openalex.org/W2914771979","https://openalex.org/W2937269152","https://openalex.org/W3009948658"],"related_works":["https://openalex.org/W2132149849","https://openalex.org/W2412872426","https://openalex.org/W2142687919","https://openalex.org/W2401845119","https://openalex.org/W24876720","https://openalex.org/W2804242876","https://openalex.org/W1974122972","https://openalex.org/W1967896690","https://openalex.org/W2412175418","https://openalex.org/W2089795539"],"abstract_inverted_index":{"The":[0,102,193,213,247,267,287],"optimal":[1,83,319],"placement":[2],"within":[3],"3":[4],"degrees":[5,275,295,316],"in":[6,12,29,86,98,170,178,190,276,296],"coronal":[7,84,151,250,312],"alignment":[8,23,40,85,124,152,157,195,278,298,313,340],"was":[9,203,222,258],"reportedly":[10],"achieved":[11],"only":[13],"60":[14],"to":[15,55,72,81,129,148,162,205,224,350],"80%":[16],"of":[17,48,62,65,77,105,125,138,140,144,158,166,174,196,200,209,215,219,227,327,341,345,354],"patients":[18],"when":[19,116],"using":[20,117,183],"an":[21,184],"extramedullary":[22,39,67,145],"guide":[24,41,68,107,120,146,202,221,347],"for":[25],"the":[26,38,46,49,66,73,78,87,106,113,123,126,130,136,141,149,155,159,163,167,197,201,206,210,216,220,225,228,234,244,255,261,309,318,328,332,338,342,346,351,355],"tibial":[27,58,150,248,311],"side":[28,199],"total":[30,173],"knee":[31],"arthroplasty":[32],"(TKA).":[33],"This":[34,133],"probably":[35],"occurs":[36],"because":[37],"is":[42,53,348],"easily":[43],"affected":[44],"by":[45,57,243],"position":[47,115,214,263,334],"ankle":[50,229],"joint":[51,230],"which":[52],"difficult":[54],"define":[56],"torsion.":[59],"Rotational":[60],"direction":[61],"distal":[63,103,142,160,217,256,329,343],"end":[64,104,143,161,218,257,330,344],"should":[69],"be":[70,109,322],"aligned":[71,223],"anteroposterior":[74],"(AP)":[75],"axis":[76,128,165,208,237,353],"proximal":[79,131,168,198,211,235,356],"tibia":[80,169],"acquire":[82],"computer":[88],"simulation":[89],"studies;":[90],"however,":[91],"its":[92],"efficacy":[93],"has":[94],"not":[95],"been":[96],"proven":[97],"a":[99,118],"clinical":[100],"setting.":[101],"can":[108,321,335],"overly":[110],"displaced":[111],"from":[112,233,260,317,331],"ideal":[114,262,333],"conventional":[119],"system":[121,187],"despite":[122],"AP":[127,164,207,236,352],"tibia.":[132,212,357],"study":[134],"investigated":[135],"effect":[137],"displacement":[139,326],"relative":[147],"while":[153],"adjusting":[154],"rotational":[156,194,339],"TKA.":[171],"A":[172],"50":[175,179],"TKAs":[176],"performed":[177],"varus":[180,297],"osteoarthritic":[181],"knees":[182],"image-free":[185],"navigation":[186,245],"were":[188,252,270,290],"included":[189],"this":[191],"study.":[192],"adjusted":[204,349],"center":[226],"as":[231,241,254],"viewed":[232],"(ideal":[238],"position)":[239],"and":[240,273,282,293,302],"determined":[242],"system.":[246],"intraoperative":[249,268,288],"alignments":[251,269,289],"recorded":[253],"moved":[259],"at":[264],"3-mm":[265],"intervals.":[266],"0.5,":[271],"0.9,":[272],"1.4":[274],"valgus":[277],"with":[279,299],"3-,":[280,300],"6-,":[281,301],"9-mm":[283,303],"medial":[284],"displacements,":[285,305],"respectively.":[286,306],"0.7,":[291],"1.2,":[292],"1.7":[294],"lateral":[304],"In":[307],"conclusion,":[308],"acceptable":[310],"(within":[314],"2":[315],"alignment)":[320],"achieved,":[323],"although":[324],"some":[325],"occur":[336],"after":[337]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":3},{"year":2022,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2021-02-01T00:00:00"}
