{"id":"https://openalex.org/W4401280290","doi":"https://doi.org/10.1302/2633-1462.58.bjo-2024-0054.r1","title":"\u2018Extended\u2019 restricted kinematic alignment results in decreased residual medial gap tightness among osteoarthritic varus knees during robotic-assisted total knee arthroplasty","display_name":"\u2018Extended\u2019 restricted kinematic alignment results in decreased residual medial gap tightness among osteoarthritic varus knees during robotic-assisted total knee arthroplasty","publication_year":2024,"publication_date":"2024-08-01","ids":{"openalex":"https://openalex.org/W4401280290","doi":"https://doi.org/10.1302/2633-1462.58.bjo-2024-0054.r1","pmid":"https://pubmed.ncbi.nlm.nih.gov/39089685","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11299516"},"language":"en","primary_location":{"id":"doi:10.1302/2633-1462.58.bjo-2024-0054.r1","doi":"https://doi.org/10.1302/2633-1462.58.bjo-2024-0054.r1","is_oa":true,"landing_page_url":"https://doi.org/10.1302/2633-1462.58.bjo-2024-0054.r1","pdf_url":null,"source":{"id":"https://openalex.org/S4210195717","display_name":"Bone & Joint Open","issn_l":"2633-1462","issn":["2633-1462"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310311815","host_organization_name":"British Editorial Society of Bone & Joint Surgery","host_organization_lineage":["https://openalex.org/P4310311815"],"host_organization_lineage_names":["British Editorial Society of Bone & Joint Surgery"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bone &amp; Joint Open","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1302/2633-1462.58.bjo-2024-0054.r1","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026307583","display_name":"Krishna Kiran Eachempati","orcid":"https://orcid.org/0000-0003-1416-9918","observed_orcids":["https://orcid.org/0000-0003-1416-9918"]},"institutions":[{"id":"https://openalex.org/I4405266117","display_name":"Medicover Hospitals","ror":"https://ror.org/00e0x6r29","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210139985","https://openalex.org/I4405266117"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Krishna K. Eachempati","raw_affiliation_strings":["Department of Orthopaedics, Medicover Hospitals, Hyderabad, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Medicover Hospitals, Hyderabad, India","institution_ids":["https://openalex.org/I4405266117"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086822510","display_name":"Apurve Parameswaran","orcid":"https://orcid.org/0000-0003-2070-2256","observed_orcids":["https://orcid.org/0000-0003-2070-2256"]},"institutions":[{"id":"https://openalex.org/I4405266117","display_name":"Medicover Hospitals","ror":"https://ror.org/00e0x6r29","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210139985","https://openalex.org/I4405266117"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Apurve Parameswaran","raw_affiliation_strings":["Department of Orthopaedics, Medicover Hospitals, Hyderabad, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Medicover Hospitals, Hyderabad, India","institution_ids":["https://openalex.org/I4405266117"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047256493","display_name":"Vinay Kishore Ponnala","orcid":"https://orcid.org/0009-0001-9239-1525","observed_orcids":["https://orcid.org/0009-0001-9239-1525"]},"institutions":[{"id":"https://openalex.org/I4405266117","display_name":"Medicover Hospitals","ror":"https://ror.org/00e0x6r29","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210139985","https://openalex.org/I4405266117"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Vinay K. Ponnala","raw_affiliation_strings":["Department of Orthopaedics, Medicover Hospitals, Hyderabad, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Medicover Hospitals, Hyderabad, India","institution_ids":["https://openalex.org/I4405266117"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076115335","display_name":"Sunil Apsingi","orcid":"https://orcid.org/0000-0002-6306-9860","observed_orcids":["https://orcid.org/0000-0002-6306-9860"]},"institutions":[{"id":"https://openalex.org/I4405266117","display_name":"Medicover Hospitals","ror":"https://ror.org/00e0x6r29","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210139985","https://openalex.org/I4405266117"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Apsingi Sunil","raw_affiliation_strings":["Department of Orthopaedics, Medicover Hospitals, Hyderabad, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Medicover Hospitals, Hyderabad, India","institution_ids":["https://openalex.org/I4405266117"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5037559298","display_name":"Neil Perry Sheth","orcid":"https://orcid.org/0000-0003-2465-145X","observed_orcids":["https://orcid.org/0000-0003-2465-145X"]},"institutions":[{"id":"https://openalex.org/I2800191209","display_name":"Pennsylvania Hospital","ror":"https://ror.org/03mvdc478","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800191209","https://openalex.org/I4210143392"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Neil P. Sheth","raw_affiliation_strings":["Penn Orthopaedics at Pennsylvania Hospital, University of Pennsylvania, Philadelphia, Pennsylvania, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Penn Orthopaedics at Pennsylvania Hospital, University of Pennsylvania, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I2800191209","https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5086822510"],"corresponding_institution_ids":["https://openalex.org/I4405266117"],"apc_list":{"value":800,"currency":"GBP","value_usd":981},"apc_paid":{"value":800,"currency":"GBP","value_usd":981},"fwci":4.0056,"has_fulltext":true,"cited_by_count":13,"citation_normalized_percentile":{"value":0.94434283,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"5","issue":"8","first_page":"628","last_page":"636"},"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":0.00019999999494757503,"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/T11023","display_name":"Prosthetics and Rehabilitation Robotics","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/robotic-assisted-total-knee-arthroplasty","display_name":"robotic-assisted total knee arthroplasty","score":0.9869999885559082},{"id":"https://openalex.org/keywords/varus-knee-osteoarthritis","display_name":"varus knee osteoarthritis","score":0.8980000019073486},{"id":"https://openalex.org/keywords/soft-tissue-release","display_name":"soft tissue release","score":0.6859999895095825},{"id":"https://openalex.org/keywords/virtual-surgical-planning","display_name":"virtual surgical planning","score":0.7419999837875366},{"id":"https://openalex.org/keywords/mechanical-alignment","display_name":"mechanical alignment","score":0.800000011920929},{"id":"https://openalex.org/keywords/component-placement","display_name":"component placement","score":0.722000002861023},{"id":"https://openalex.org/keywords/gap-management","display_name":"gap management","score":0.6549999713897705},{"id":"https://openalex.org/keywords/soft-tissue-balancing","display_name":"soft tissue balancing","score":0.7059999704360962}],"concepts":[{"id":"https://openalex.org/C136948725","wikidata":"https://www.wikidata.org/wiki/Q1458306","display_name":"Soft tissue","level":2,"score":0.7550616264343262},{"id":"https://openalex.org/C39920418","wikidata":"https://www.wikidata.org/wiki/Q11476","display_name":"Kinematics","level":2,"score":0.6515692472457886},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.645485520362854},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.6443483829498291},{"id":"https://openalex.org/C3017871827","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Total knee arthroplasty","level":2,"score":0.5283713340759277},{"id":"https://openalex.org/C2778829800","wikidata":"https://www.wikidata.org/wiki/Q7884755","display_name":"Unicompartmental knee arthroplasty","level":4,"score":0.5101063847541809},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.47622019052505493},{"id":"https://openalex.org/C203635412","wikidata":"https://www.wikidata.org/wiki/Q17007432","display_name":"Compartment (ship)","level":2,"score":0.42689990997314453},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3978803753852844},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.09714260697364807},{"id":"https://openalex.org/C111368507","wikidata":"https://www.wikidata.org/wiki/Q43518","display_name":"Oceanography","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C74650414","wikidata":"https://www.wikidata.org/wiki/Q11397","display_name":"Classical mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C127313418","wikidata":"https://www.wikidata.org/wiki/Q1069","display_name":"Geology","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1302/2633-1462.58.bjo-2024-0054.r1","doi":"https://doi.org/10.1302/2633-1462.58.bjo-2024-0054.r1","is_oa":true,"landing_page_url":"https://doi.org/10.1302/2633-1462.58.bjo-2024-0054.r1","pdf_url":null,"source":{"id":"https://openalex.org/S4210195717","display_name":"Bone & Joint Open","issn_l":"2633-1462","issn":["2633-1462"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310311815","host_organization_name":"British Editorial Society of Bone & Joint Surgery","host_organization_lineage":["https://openalex.org/P4310311815"],"host_organization_lineage_names":["British Editorial Society of Bone & Joint Surgery"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bone &amp; Joint Open","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11299516","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11299516","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11299516/pdf/BJO-5-2633-1462.58.BJO-2024-0054.R1.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bone Jt Open","raw_type":"Text"},{"id":"pmid:39089685","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39089685","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":"Bone & joint open","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:36280557934a427d8d1418c7ad4b4423","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/36280557934a427d8d1418c7ad4b4423","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Bone & Joint Open, Vol 5, Iss 8, Pp 628-636 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1302/2633-1462.58.bjo-2024-0054.r1","doi":"https://doi.org/10.1302/2633-1462.58.bjo-2024-0054.r1","is_oa":true,"landing_page_url":"https://doi.org/10.1302/2633-1462.58.bjo-2024-0054.r1","pdf_url":null,"source":{"id":"https://openalex.org/S4210195717","display_name":"Bone & Joint Open","issn_l":"2633-1462","issn":["2633-1462"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310311815","host_organization_name":"British Editorial Society of Bone & Joint Surgery","host_organization_lineage":["https://openalex.org/P4310311815"],"host_organization_lineage_names":["British Editorial Society of Bone & Joint Surgery"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bone &amp; Joint Open","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4401280290.pdf","grobid_xml":"https://content.openalex.org/works/W4401280290.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W1954123055","https://openalex.org/W2005782304","https://openalex.org/W2006949050","https://openalex.org/W2023076314","https://openalex.org/W2025836730","https://openalex.org/W2039765162","https://openalex.org/W2051955642","https://openalex.org/W2064019056","https://openalex.org/W2081837185","https://openalex.org/W2116824213","https://openalex.org/W2165626226","https://openalex.org/W2225014839","https://openalex.org/W2589205321","https://openalex.org/W2652276750","https://openalex.org/W2753262462","https://openalex.org/W2921919358","https://openalex.org/W2965062018","https://openalex.org/W2971664392","https://openalex.org/W2998622298","https://openalex.org/W3010878058","https://openalex.org/W3012606319","https://openalex.org/W3097460129","https://openalex.org/W3124947986","https://openalex.org/W3126587127","https://openalex.org/W3149016674","https://openalex.org/W3158994205","https://openalex.org/W3174619560","https://openalex.org/W3187763748","https://openalex.org/W4229079220","https://openalex.org/W4377287618","https://openalex.org/W4379535914","https://openalex.org/W4380355946","https://openalex.org/W4386467518","https://openalex.org/W4392732401","https://openalex.org/W4393384224"],"related_works":["https://openalex.org/W3180612830","https://openalex.org/W4403327923","https://openalex.org/W4405639071","https://openalex.org/W4414862505","https://openalex.org/W4415681160","https://openalex.org/W7221454349","https://openalex.org/W4376642749","https://openalex.org/W4401699974","https://openalex.org/W4415945206","https://openalex.org/W4393187477"],"abstract_inverted_index":{"Aims:":[0],"The":[1,162,247,294],"aims":[2],"of":[3,48,57,70,130,164,209,286,296],"this":[4],"study":[5,226],"were:":[6],"1)":[7],"to":[8,26,53,66,142,288],"describe":[9],"extended":[10],"restricted":[11],"kinematic":[12],"alignment":[13,17,40,139,144,252,278],"(E-rKA),":[14],"a":[15,283,307],"novel":[16],"strategy":[18,279],"during":[19,36,60,280],"robotic-assisted":[20],"total":[21],"knee":[22],"arthroplasty":[23],"(RA-TKA);":[24],"2)":[25],"compare":[27,67],"residual":[28,185],"medial":[29,113,186],"compartment":[30,114],"tightness":[31,115,187],"following":[32,118,188],"virtual":[33,119],"surgical":[34,71,120,189],"planning":[35,121],"RA-TKA":[37,61,94],"using":[38,62,122],"mechanical":[39],"(MA)":[41],"and":[42,64,83,97,124,153,207,256,264,276],"E-rKA,":[43],"in":[44,79,126,137,140,183,191,236,250,261,299],"the":[45,55,68,127,171,225],"same":[46,128],"set":[47,129],"osteoarthritic":[49],"varus":[50,102],"knees;":[51],"3)":[52],"assess":[54],"requirement":[56],"soft-tissue":[58,88,159,176,245,292,315],"releases":[59,133],"E-rKA;":[63],"4)":[65],"accuracy":[69],"plan":[72],"execution":[73,295],"between":[74,95,147],"knees":[75,169],"managed":[76,232,290],"with":[77,174,180,233],"adjustments":[78,235],"component":[80,237,300],"positioning":[81,238,301],"alone,":[82,239],"those":[84],"which":[85],"require":[86,158],"additional":[87,244],"releases.":[89,160,246,293,316],"Methods:":[90],"Patients":[91],"who":[92,149],"underwent":[93],"January":[96],"December":[98],"2022":[99],"for":[100,108,311],"primary":[101],"osteoarthritis":[103],"were":[104,110,134,145,231,253],"included.":[105],"Safe":[106],"boundaries":[107,305],"E-rKA":[109,123,165,178,272],"defined.":[111],"Residual":[112],"was":[116],"compared":[117,146,179],"MA,":[125],"knees.":[131],"Soft-tissue":[132],"documented.":[135],"Errors":[136],"postoperative":[138,251],"relation":[141],"planned":[143],"patients":[148,229,260,287],"did":[150,154],"(group":[151,156],"A)":[152],"not":[155],"B)":[157],"Results:":[161],"use":[163],"helped":[166],"restore":[167],"all":[168],"within":[170,302],"predefined":[172,303],"boundaries,":[173],"appropriate":[175],"balancing.":[177],"MA":[181],"resulted":[182],"reduced":[184],"planning,":[190],"full":[192],"extension":[193],"(2.71":[194],"mm":[195,200,212,217,255,258],"(SD":[196,201,213,218],"1.66)":[197],"vs":[198,215],"5.16":[199],"3.10),":[202],"respectively;":[203,220],"p":[204,221],"<":[205,222],"0.001),":[206],"90\u00b0":[208],"flexion":[210],"(2.52":[211],"1.63)":[214],"6.27":[216],"3.11),":[219],"0.001).":[223],"Among":[224],"population,":[227],"156":[228],"(78%)":[230],"minor":[234,297],"while":[240],"44":[241],"(22%)":[242],"required":[243],"mean":[248],"errors":[249],"0.53":[254],"0.26":[257],"among":[259],"group":[262,265],"A":[263],"B,":[266],"respectively":[267],"(p":[268],"=":[269],"0.328).":[270],"Conclusion:":[271],"is":[273,306],"an":[274],"effective":[275],"reproducible":[277],"RA-TKA,":[281],"permitting":[282],"large":[284],"proportion":[285],"be":[289],"without":[291],"alterations":[298],"multiplanar":[304],"better":[308],"starting":[309],"point":[310],"gap":[312],"management":[313],"than":[314]},"counts_by_year":[{"year":2026,"cited_by_count":8},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2024-08-03T00:00:00"}
