{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T22:20:52Z","timestamp":1789856452360,"version":"4.0.1"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T00:00:00Z","timestamp":1704240000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare the long\u2010term objective biomechanical and functional parameters of a high\u2010flexion total knee arthroplasty (TKA) design against healthy older adults to determine whether knee biomechanics are comparable in both populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      One cohort of patients with a primary TKA, and a cohort of healthy adults over 55 years old with no musculoskeletal deficits or arthritis participated. Bilateral knee range of motion (RoM) was assessed with a goniometer, and gait patterns were analysed with a three\u2010dimensional\u2010motion capture system. An arthrometer quantified the anterior\u2010posterior laxity of each knee. Statistical analyses were performed in SPSS software (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2009=\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010three knees were replaced in 20 patients. At 9.8\u2009\u00b1\u20093.1 years postoperatively, patients' knees had a statistically significantly poorer RoM than healthy controls' knees (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200923) due to limited flexion;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001. Patients also failed to achieve the same degree of knee flexion as controls during downhill gait. No kinematic differences were observed during mid\u2010flexion in level nor downhill gait; a state that has been associated with instability (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.614; not significant [n.s]). There were no differences between groups in knee laxity (n.s).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients in this study had similar gait patterns to healthy older adults during mid\u2010flexion and were no more likely than the healthy controls to exhibit anterior\u2010posterior translation of the knee\u2009&gt;\u20097\u2009mm; a known risk factor of instability. However, the knee flexion range was poorer. This likely led to bilateral pathological knee flexion patterns during downhill gait.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Level of Evidence:<\/jats:bold>\n                      Level III.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12020","type":"journal-article","created":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T04:56:25Z","timestamp":1704257785000},"page":"54-63","source":"Crossref","is-referenced-by-count":3,"title":["Gait kinematics and knee stability 10\u2010years following posterior\u2010stabilised total knee arthroplasty comparable to healthy adults &gt;55"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9161-2325","authenticated-orcid":false,"given":"Gwenllian F.","family":"Tawy","sequence":"first","affiliation":[{"name":"Division of Cell Matrix Biology &amp; Regenerative Medicine, School of Biological Sciences The University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leela C.","family":"Biant","sequence":"additional","affiliation":[{"name":"Division of Cell Matrix Biology &amp; Regenerative Medicine, School of Biological Sciences The University of Manchester Manchester UK"},{"name":"Department of Orthopaedics, Trafford General Hospital Manchester University NHS Foundation Trust Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"McNicholas","sequence":"additional","affiliation":[{"name":"Division of Cell Matrix Biology &amp; Regenerative Medicine, School of Biological Sciences The University of Manchester Manchester UK"},{"name":"Department of Orthopaedics, Trafford General Hospital Manchester University NHS Foundation Trust Manchester UK"},{"name":"Department of Trauma and Orthopaedics, Broadgreen Hospital Royal Liverpool and Broadgreen University Hospitals NHS Trust Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,3]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-1119-9"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.07.021"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2019.05.029"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199010000-00021"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-05909-6"},{"key":"e_1_2_12_7_1","first-page":"1273","article-title":"The importance of patient expectations in predicting functional outcomes after total joint arthroplasty","volume":"29","author":"Mahomed N.N.","year":"2002","journal-title":"The Journal of Rheumatology"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0966-6362(00)00060-6"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-022-05420-2"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2021.12.003"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-023-03514-01-7"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-016-0419-5"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.5792\/ksrr.2015.27.3.156"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2016.12.011"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2020.03.041"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42836-023-00165-8"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(03)00146-3"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2020.105068"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2019.08.021"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2022.105625"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2017.06.342"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0203417"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.4137\/CMAMD.S13009"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2022.07.011"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-07287-7"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-019-1063-z"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06710-9"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06629-1"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07541-6"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06846-8"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2018.01.014"},{"key":"e_1_2_12_32_1","volume-title":"The National Joint Registry 19th Annual Report 2022","author":"Ben\u2010Shlomo Y.","year":"2022"},{"key":"e_1_2_12_33_1","first-page":"28","article-title":"Which implants have been identified as \u2018outliers\u2019 by the NJR over the years and which of these are still being used?","volume":"10","author":"Howard P.","year":"2022","journal-title":"Journal of Trauma and Orthopaedics"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.103B10.BJJ-2021-1260"},{"key":"e_1_2_12_35_1","unstructured":"Leppo S.Zimmer biomet urgent medical device recall.2022. 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