{"id":"https://openalex.org/W7123873022","doi":"https://doi.org/10.1016/j.jisako.2025.101063","title":"Salvage of failed patellofemoral arthroplasty due to instability: Combined medial patellofemoral ligament reconstruction, tibial tubercle osteotomy, and vastus medialis obliquus advancement - Case report and algorithm-based","display_name":"Salvage of failed patellofemoral arthroplasty due to instability: Combined medial patellofemoral ligament reconstruction, tibial tubercle osteotomy, and vastus medialis obliquus advancement - Case report and algorithm-based","publication_year":2026,"publication_date":"2026-01-13","ids":{"openalex":"https://openalex.org/W7123873022","doi":"https://doi.org/10.1016/j.jisako.2025.101063","pmid":"https://pubmed.ncbi.nlm.nih.gov/41539439"},"language":"en","primary_location":{"id":"doi:10.1016/j.jisako.2025.101063","doi":"https://doi.org/10.1016/j.jisako.2025.101063","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jisako.2025.101063","pdf_url":null,"source":{"id":"https://openalex.org/S4210197731","display_name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","issn_l":"2059-7754","issn":["2059-7754","2059-7762"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of ISAKOS","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/10.1016/j.jisako.2025.101063","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5080716343","display_name":"Gonzalo Arteaga","orcid":"https://orcid.org/0000-0001-8265-2093","observed_orcids":["https://orcid.org/0000-0001-8265-2093"]},"institutions":[{"id":"https://openalex.org/I4210151373","display_name":"Hospital Vozandes","ror":"https://ror.org/04nr0c858","country_code":"EC","type":"healthcare","lineage":["https://openalex.org/I4210151373"]}],"countries":["EC"],"is_corresponding":true,"raw_author_name":"Gonzalo Fernando Arteaga Guerrero","raw_affiliation_strings":["Cl\u00ednica Arthros, Hospital Vozandes, Quito, Ecuador. Electronic address: arteagagonzalo@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cl\u00ednica Arthros, Hospital Vozandes, Quito, Ecuador. Electronic address: arteagagonzalo@gmail.com","institution_ids":["https://openalex.org/I4210151373"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018967088","display_name":"S\u00e9bastien Lust\u0131g","orcid":"https://orcid.org/0000-0002-6739-4601","observed_orcids":["https://orcid.org/0000-0002-6739-4601"]},"institutions":[{"id":"https://openalex.org/I4210100596","display_name":"Hospices Civils de Lyon","ror":"https://ror.org/01502ca60","country_code":"FR","type":"healthcare","lineage":["https://openalex.org/I4210100596"]}],"countries":["FR"],"is_corresponding":true,"raw_author_name":"Sebastien Lustig","raw_affiliation_strings":["Arthritis and Joint Replacement Department, Lyon North University Hospital - Hospices Civils de Lyon, Lyon, France. Electronic address: sebastien.lustig@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Arthritis and Joint Replacement Department, Lyon North University Hospital - Hospices Civils de Lyon, Lyon, France. Electronic address: sebastien.lustig@gmail.com","institution_ids":["https://openalex.org/I4210100596"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077987149","display_name":"Francisco Endara Urresta","orcid":"https://orcid.org/0000-0002-7799-124X","observed_orcids":["https://orcid.org/0000-0002-7799-124X"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Francisco Endara Urresta","raw_affiliation_strings":["Cl\u00ednica Arthros, Quito, Ecuador. Electronic address: fren9123@hotmail.com"],"raw_orcid":"https://orcid.org/0000-0002-7799-124X","affiliations":[{"raw_affiliation_string":"Cl\u00ednica Arthros, Quito, Ecuador. Electronic address: fren9123@hotmail.com","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126106265","display_name":"Carlos Pe\u00f1aherrera\u2010Carrillo","orcid":"https://orcid.org/0000-0002-1474-5295","observed_orcids":["https://orcid.org/0000-0002-1474-5295"]},"institutions":[{"id":"https://openalex.org/I4210124243","display_name":"Instituto Nacional de Rehabilitaci\u00f3n","ror":"https://ror.org/03734cd59","country_code":"MX","type":"facility","lineage":["https://openalex.org/I4210124243"]}],"countries":["MX"],"is_corresponding":true,"raw_author_name":"Carlos Pe\u00f1aherrera-Carrillo","raw_affiliation_strings":["Instituto Nacional de Rehabilitaci\u00f3n, Mexico City, Mexico. Electronic address: carlospenaherrerac@gmail.com"],"raw_orcid":"https://orcid.org/0000-0002-1474-5295","affiliations":[{"raw_affiliation_string":"Instituto Nacional de Rehabilitaci\u00f3n, Mexico City, Mexico. Electronic address: carlospenaherrerac@gmail.com","institution_ids":["https://openalex.org/I4210124243"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121070750","display_name":"Alejandro Xavier Barros Castro","orcid":"https://orcid.org/0000-0001-8480-9218","observed_orcids":["https://orcid.org/0000-0001-8480-9218"]},"institutions":[{"id":"https://openalex.org/I4210140740","display_name":"Universidad Internacional del Ecuador","ror":"https://ror.org/04xf2rc74","country_code":"EC","type":"education","lineage":["https://openalex.org/I4210140740"]}],"countries":["EC"],"is_corresponding":true,"raw_author_name":"Alejandro Xavier Barros Castro","raw_affiliation_strings":["Universidad Internacional del Ecuador, Quito, Ecuador. Electronic address: alejandroxbc27@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidad Internacional del Ecuador, Quito, Ecuador. Electronic address: alejandroxbc27@gmail.com","institution_ids":["https://openalex.org/I4210140740"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5042082966","display_name":"Andres Clemente Bravo Amores","orcid":"https://orcid.org/0000-0001-8431-5429","observed_orcids":["https://orcid.org/0000-0001-8431-5429"]},"institutions":[{"id":"https://openalex.org/I4210102282","display_name":"Universidad de Las Am\u00e9ricas","ror":"https://ror.org/0198j4566","country_code":"EC","type":"education","lineage":["https://openalex.org/I4210102282"]}],"countries":["EC"],"is_corresponding":true,"raw_author_name":"Andr\u00e9s Clemente Bravo Amores","raw_affiliation_strings":["Universidad de Las Am\u00e9ricas, Quito, Ecuador. Electronic address: andresc.bravoa@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidad de Las Am\u00e9ricas, Quito, Ecuador. Electronic address: andresc.bravoa@gmail.com","institution_ids":["https://openalex.org/I4210102282"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5018967088","https://openalex.org/A5042082966","https://openalex.org/A5077987149","https://openalex.org/A5080716343","https://openalex.org/A5121070750","https://openalex.org/A5126106265"],"corresponding_institution_ids":["https://openalex.org/I4210100596","https://openalex.org/I4210102282","https://openalex.org/I4210124243","https://openalex.org/I4210140740","https://openalex.org/I4210151373"],"apc_list":{"value":2000,"currency":"USD","value_usd":2000},"apc_paid":{"value":2000,"currency":"USD","value_usd":2000},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.01677558,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":"101063","last_page":"101063"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11018","display_name":"Lower Extremity Biomechanics and Pathologies","score":0.5737000107765198,"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"}},"topics":[{"id":"https://openalex.org/T11018","display_name":"Lower Extremity Biomechanics and Pathologies","score":0.5737000107765198,"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"}},{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.302700012922287,"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":0.039900001138448715,"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/patellar-instability","display_name":"patellar instability","score":0.9789999723434448},{"id":"https://openalex.org/keywords/medial-patellofemoral-ligament-reconstruction","display_name":"medial patellofemoral ligament reconstruction","score":0.9750000238418579},{"id":"https://openalex.org/keywords/tibial-tubercle-osteotomy","display_name":"tibial tubercle osteotomy","score":0.9649999737739563},{"id":"https://openalex.org/keywords/anterior-knee-pain","display_name":"anterior knee pain","score":0.7689999938011169},{"id":"https://openalex.org/keywords/patellofemoral-osteoarthritis","display_name":"patellofemoral osteoarthritis","score":0.9430000185966492},{"id":"https://openalex.org/keywords/joint-preserving-surgery","display_name":"joint-preserving surgery","score":0.8920000195503235},{"id":"https://openalex.org/keywords/surgical-decision-making-algorithm","display_name":"surgical decision-making algorithm","score":0.6549999713897705},{"id":"https://openalex.org/keywords/hamstring-autograft","display_name":"hamstring tendon graft","score":0.824999988079071}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7954000234603882},{"id":"https://openalex.org/C2781058234","wikidata":"https://www.wikidata.org/wiki/Q16655697","display_name":"Medial patellofemoral ligament","level":3,"score":0.7591999769210815},{"id":"https://openalex.org/C162884822","wikidata":"https://www.wikidata.org/wiki/Q469660","display_name":"Tubercle","level":4,"score":0.47679999470710754},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.43059998750686646},{"id":"https://openalex.org/C2780368125","wikidata":"https://www.wikidata.org/wiki/Q229081","display_name":"Patella","level":2,"score":0.41179999709129333},{"id":"https://openalex.org/C3019391314","wikidata":"https://www.wikidata.org/wiki/Q37425","display_name":"Patellofemoral joint","level":3,"score":0.38679999113082886},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.3711000084877014},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.33090001344680786},{"id":"https://openalex.org/C2779753412","wikidata":"https://www.wikidata.org/wiki/Q39888","display_name":"Ligament","level":2,"score":0.31459999084472656},{"id":"https://openalex.org/C3017871827","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Total knee arthroplasty","level":2,"score":0.27469998598098755},{"id":"https://openalex.org/C2778829800","wikidata":"https://www.wikidata.org/wiki/Q7884755","display_name":"Unicompartmental knee arthroplasty","level":4,"score":0.2655999958515167},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.2632000148296356}],"mesh":[{"descriptor_ui":"D000097547","descriptor_name":"Tibiofemoral Joint","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"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":"D007593","descriptor_name":"Joint Instability","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010027","descriptor_name":"Osteotomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D013977","descriptor_name":"Tibia","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D016879","descriptor_name":"Salvage Therapy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D019645","descriptor_name":"Arthroplasty, Replacement, Knee","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D019645","descriptor_name":"Arthroplasty, Replacement, Knee","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D019651","descriptor_name":"Plastic Surgery Procedures","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D020370","descriptor_name":"Osteoarthritis, Knee","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D052097","descriptor_name":"Quadriceps Muscle","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D057071","descriptor_name":"Patellofemoral Joint","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.jisako.2025.101063","doi":"https://doi.org/10.1016/j.jisako.2025.101063","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jisako.2025.101063","pdf_url":null,"source":{"id":"https://openalex.org/S4210197731","display_name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","issn_l":"2059-7754","issn":["2059-7754","2059-7762"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of ISAKOS","raw_type":"journal-article"},{"id":"pmid:41539439","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41539439","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 ISAKOS : joint disorders & orthopaedic sports medicine","raw_type":"Journal Article"},{"id":"pmh:oai:HAL:hal-05464782v1","doi":null,"is_oa":false,"landing_page_url":"https://hal.science/hal-05464782","pdf_url":null,"source":{"id":"https://openalex.org/S4306402512","display_name":"HAL","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4405252976","host_organization_name":"Centre pour la Communication Scientifique Directe","host_organization_lineage":["https://openalex.org/I4405252976"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of ISAKOS, 2026, 17, pp.101063. ⟨10.1016/j.jisako.2025.101063⟩","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.1016/j.jisako.2025.101063","doi":"https://doi.org/10.1016/j.jisako.2025.101063","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jisako.2025.101063","pdf_url":null,"source":{"id":"https://openalex.org/S4210197731","display_name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","issn_l":"2059-7754","issn":["2059-7754","2059-7762"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of ISAKOS","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9789000153541565}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W149052623","https://openalex.org/W1779596788","https://openalex.org/W1980577273","https://openalex.org/W1988910836","https://openalex.org/W2006938726","https://openalex.org/W2044442596","https://openalex.org/W2071429306","https://openalex.org/W2082911774","https://openalex.org/W2087525440","https://openalex.org/W2256613178","https://openalex.org/W2275334290","https://openalex.org/W2342410729","https://openalex.org/W2461140920","https://openalex.org/W2553887085","https://openalex.org/W2743762160","https://openalex.org/W2765828556","https://openalex.org/W2793748301","https://openalex.org/W2795095849","https://openalex.org/W2888843528","https://openalex.org/W2911983325","https://openalex.org/W4244912919"],"related_works":["https://openalex.org/W4381330183","https://openalex.org/W4225016604","https://openalex.org/W4281620072","https://openalex.org/W7125610812","https://openalex.org/W2958208698","https://openalex.org/W2442684710","https://openalex.org/W2582935706","https://openalex.org/W4327850210","https://openalex.org/W4317716343","https://openalex.org/W2762713853"],"abstract_inverted_index":{"INTRODUCTION/OBJECTIVES:":[0],"Patellofemoral":[1],"arthroplasty":[2,11],"(PFA)":[3],"is":[4,60],"a":[5,67,128],"joint-sparing":[6],"alternative":[7,239],"to":[8,65,77,81,181,191,240],"total":[9],"knee":[10,39,97],"(TKA)":[12],"for":[13,72,86],"isolated":[14,105],"patellofemoral":[15,133],"osteoarthritis,":[16],"offering":[17],"symptom":[18],"relief":[19],"while":[20],"preserving":[21],"tibiofemoral":[22,58,116],"compartments":[23,117],"and":[24,33,41,57,80,99,110,145,158,168,183,203,220,231,260],"bone":[25],"stock":[26],"compared":[27],"with":[28,94,114,137,155,245],"TKA,":[29],"particularly":[30],"in":[31,242,257],"younger":[32],"active":[34],"patients.":[35],"However,":[36],"persistent":[37],"anterior":[38,96],"pain":[40,98,197],"patellar":[42,78,121,201],"instability":[43,79,101],"remain":[44],"the":[45,156,175,184],"leading":[46],"causes":[47],"of":[48,200],"early":[49],"failure,":[50],"even":[51],"when":[52],"prosthetic":[53,112,222],"components":[54,113],"are":[55],"stable":[56,109],"degeneration":[59],"absent.":[61],"This":[62],"study":[63],"aimed":[64],"describe":[66],"combined,":[68],"nonprosthetic":[69],"surgical":[70,209,258],"strategy":[71],"symptomatic":[73,246],"PFA":[74,247],"failure":[75,248],"due":[76],"propose":[82],"an":[83,236],"algorithm-based":[84],"framework":[85],"clinical":[87],"decision-making.":[88],"METHODS:":[89],"A":[90,225],"54-year-old":[91],"woman":[92],"presented":[93,254],"chronic":[95],"recurrent":[100,207],"four":[102],"years":[103],"after":[104],"PFA.":[106],"Imaging":[107],"confirmed":[108,217],"well-aligned":[111],"preserved":[115],"but":[118],"consistent":[119],"lateral":[120],"subluxation.":[122],"The":[123,193,252],"patient":[124,194,262],"was":[125],"treated":[126],"using":[127],"joint-preserving":[129,238],"approach":[130,227],"combining":[131],"medial":[132],"ligament":[134],"(MPFL)":[135],"reconstruction":[136],"hamstring":[138],"autograft,":[139],"anteromedial":[140],"tibial":[141],"tubercle":[142],"osteotomy":[143],"(TTO),":[144],"vastus":[146],"medialis":[147],"obliquus":[148],"(VMO)":[149],"advancement.":[150],"Clinical":[151],"outcomes":[152],"were":[153,214],"assessed":[154],"Kujala":[157,176],"International":[159],"Knee":[160],"Documentation":[161],"Committee":[162],"(IKDC)":[163],"scores":[164],"at":[165],"six":[166],"weeks":[167],"three":[169,173],"months.":[170],"RESULTS:":[171],"At":[172],"months,":[174],"score":[177,187],"improved":[178],"from":[179,189],"54":[180],"78,":[182],"IKDC":[185],"subjective":[186],"increased":[188],"38":[190],"69.":[192],"reported":[195],"significant":[196],"reduction,":[198],"restoration":[199],"stability,":[202],"functional":[204],"recovery.":[205],"No":[206],"instability,":[208],"complications,":[210],"or":[211],"implant-related":[212],"problems":[213],"observed.":[215],"Radiographs":[216],"correct":[218],"alignment":[219],"congruent":[221],"components.":[223],"CONCLUSION:":[224],"combined":[226],"addressing":[228],"soft-tissue,":[229],"bony,":[230],"dynamic":[232],"stabilizers":[233],"may":[234,255],"provide":[235],"effective,":[237],"TKA":[241],"selected":[243],"patients":[244],"caused":[249],"by":[250],"instability.":[251],"algorithm":[253],"assist":[256],"decision-making":[259],"optimize":[261],"outcomes.":[263],"LEVEL":[264],"OF":[265],"EVIDENCE:":[266],"V.":[267]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-01-14T00:00:00"}