{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T11:18:15Z","timestamp":1785151095193,"version":"3.55.0"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Achieving a \u201cforgotten knee\u201d after total knee arthroplasty (TKA) remains a primary goal in modern knee replacement surgery. Anatomic implant designs aim to replicate native knee anatomy and kinematics, potentially improving patient satisfaction and functional outcomes. This study evaluates the long\u2010term clinical outcome and survivorship of the Persona Knee System at a minimum follow\u2010up of 10 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>116 TKAs performed using the Persona Posterior Stabilised (PS) Knee System (Zimmer Biomet, Warsaw, Indiana, USA) between 2013 and 2014 at a high\u2010volume orthopaedic centre were prospectively followed and retrospectively analysed. Clinical outcomes were assessed using patient\u2010reported outcome measures (PROMs), including the Forgotten Joint Score\u201012 (FJS\u201012), Oxford Knee Score (OKS), and Western Ontario and McMaster Universities Arthritis Index (WOMAC). Implant survivorship was determined using Kaplan\u2010Meier analysis, and complication rates were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At a mean follow\u2010up of 11.1 years, 116 knees were available for analysis. Patients were assessed clinically and radiographically at 1, 3 and 6 months postoperatively, and then annually, with a mean follow\u2010up of 11.1 years. The mean FJS\u201012 was 69.52 (SD 12.21, range 15\u201388), indicating a high level of joint awareness reduction. The OKS and WOMAC scores significantly improved postoperatively, with mean final values of 38.63 (SD 7.99, range 7\u201348) and 25.29 (SD 16.97, range 4\u201391), respectively. Radiological analysis demonstrated accurate and stable implant positioning, with no progressive radiolucent lines in non\u2010revised cases. Kaplan\u2013Meier survival analysis showed a 95.7% (SD 1.9%) implant survival rate. The revision rate was 4.3%, with aseptic loosening and persistent painful prosthesis as the primary causes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The anatomic design of the Persona Knee System provides excellent long\u2010term clinical outcomes, high patient satisfaction, and sustained implant durability. Future research should further investigate patient\u2010specific factors and surgical refinements to optimise long\u2010term outcomes in TKA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70037","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T08:21:10Z","timestamp":1756455670000},"page":"1318-1326","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A novel knee implant for total knee arthroplasty meets expectations at 10 years. First long\u2010term follow\u2010up report of clinical outcomes and survivorship"],"prefix":"10.1002","volume":"34","author":[{"given":"Alice","family":"Montagna","sequence":"first","affiliation":[{"name":"U.O.C Ortopedia e Traumatologia Fondazione Poliambulanza Brescia Italy"},{"name":"Clinica Ortopedica e Traumatologica Fondazione IRCCS Policlinico San Matteo Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Marescalchi","sequence":"additional","affiliation":[{"name":"U.O.C Ortopedia e Traumatologia Fondazione Poliambulanza Brescia Italy"},{"name":"Universit\u00e0 Cattolica del Sacro Cuore Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Cinelli","sequence":"additional","affiliation":[{"name":"U.O.C Ortopedia e Traumatologia Fondazione Poliambulanza Brescia Italy"},{"name":"Universit\u00e0 Cattolica del Sacro Cuore Rome 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