{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:58:26Z","timestamp":1790701106663,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"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."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare residual symptoms, function and patient satisfaction following unrestricted kinematic alignment (KA) versus mechanical alignment (MA) in primary total knee arthroplasty (TKA). It was hypothesized that KA would reduce residual symptoms and improve function and satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective cohort study was conducted on 622 patients undergoing primary TKA (315 KAs and 307 MAs) for end\u2010stage osteoarthritis between 2022 and 2024, with a minimum 1\u2010year follow\u2010up. All procedures used the same implant design and standardized perioperative protocols. Outcomes included patient satisfaction, functional performance, residual symptoms and joint perception, assessed using the Forgotten Joint Score (FJS) and Joint Awareness Score (JAS). Groups were compared using\n                      <jats:italic>t<\/jats:italic>\n                      tests and\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      tests (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      KA demonstrated significantly higher overall satisfaction compared with MA (94.0% vs. 81.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), as well as greater satisfaction with activities of daily living (92.7% vs. 83.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and pain relief (90.2% vs. 82.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). Functional outcomes favoured KA, with fewer patients reporting difficulty getting in\/out of a car (8.6% vs. 18.9%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) or chair (9.8% vs. 18.9%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), higher absence of limp (86.0% vs. 73.0%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and greater return to activity (91.7% vs. 80.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Residual symptoms were less frequent in the KA group, including pain (11.7% vs. 24.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and popping (7.3% vs. 17.9%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with a higher proportion of patients reporting a \u2018normal\u2019 knee (89.8% vs. 79.2%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). FJS (91.7 vs. 82.7;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and JAS (92.3 vs. 83.5;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) were both significantly higher in the KA group. No statistically significant differences were observed in stair\u2010climbing ability, swelling or stiffness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Unrestricted KA in TKA is associated with fewer residual symptoms, improved function and higher patient satisfaction compared with MA at 1 year. These findings support KA as a potential strategy to reduce the prevalence of the \u2018unhappy knee\u2019 after TKA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70621","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:05:04Z","timestamp":1790697904000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improved function and patient satisfaction with fewer residual symptoms following kinematically versus mechanically aligned total knee arthroplasty: A retrospective study from FP\u2010UCBM Knee Study Group"],"prefix":"10.1002","author":[{"given":"Stefano","family":"Campi","sequence":"first","affiliation":[{"name":"Fondazione Policlinico Universitario Campus Bio\u2010Medico Roma Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4385-6813","authenticated-orcid":false,"given":"Giancarlo","family":"Giurazza","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Campus Bio\u2010Medico Roma Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Franceschetti","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Campus Bio\u2010Medico Roma Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael T.","family":"Hirschmann","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology Kantonsspital Baselland (Bruderholz, Liestal, Laufen) Bruderholz Switzerland"},{"name":"University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Tanzilli","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Campus Bio\u2010Medico Roma Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Paciotti","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Campus Bio\u2010Medico Roma Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biagio","family":"Zampogna","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Campus Bio\u2010Medico Roma Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Roma Italy"},{"name":"Department of Biomedical, Dental, Morphological and Functional Images (BIOMORF) University of Messina Messina Italy"},{"name":"Department of Orthopaedic and Trauma Surgery A.O.U. Policlinico \u2018G. Martino\u2019 Messina Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Pepe","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Campus Bio\u2010Medico Roma Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Gregori","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Campus Bio\u2010Medico Roma Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umile Giuseppe","family":"Longo","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Campus Bio\u2010Medico Roma Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rocco","family":"Papalia","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Campus Bio\u2010Medico Roma Italy"},{"name":"Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"issue":"9","key":"e_1_2_14_2_1","doi-asserted-by":"crossref","first-page":"3854","DOI":"10.1007\/s00167-023-07375-2","article-title":"High variation among clinical studies in the assessment of physical function after knee replacement: a systematic review","volume":"31","author":"Adriani M","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"5","key":"e_1_2_14_3_1","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.1007\/s00167-018-5174-1","article-title":"Kinematic alignment in total knee arthroplasty better reproduces normal gait than mechanical alignment","volume":"27","author":"Blakeney W","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"9","key":"e_1_2_14_4_1","doi-asserted-by":"crossref","first-page":"3333","DOI":"10.1002\/ksa.12740","article-title":"Postoperative changes in CPAK\u2010classification do not significantly influence patient\u2010reported outcome measures following conventional or robotic\u2010assisted total knee arthroplasty: a randomised controlled trial","volume":"33","author":"Bollars P","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"e_1_2_14_5_1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s11999-009-1119-9","article-title":"Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?","volume":"468","author":"Bourne RB","year":"2010","journal-title":"Clin Orthop Relat Res"},{"issue":"3","key":"e_1_2_14_6_1","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1002\/ksa.12810","article-title":"Kinematic alignment preserves the mid\u2010flexion trochlear line orientation in total knee arthroplasty: a prospective analysis from the FP\u2010UCBM Knee Study Group","volume":"34","author":"Campi S","year":"2026","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"10","key":"e_1_2_14_7_1","doi-asserted-by":"crossref","first-page":"3668","DOI":"10.1002\/ksa.12725","article-title":"Femoral cartilage variability affects the accuracy of kinematic alignment and imageless navigation in total knee arthroplasty: a prospective study from the FP\u2010UCBM Knee Study Group","volume":"33","author":"Campi S","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"3","key":"e_1_2_14_8_1","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.arth.2022.10.011","article-title":"Are 20% of patients actually dissatisfied following total knee arthroplasty? 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arthroplasty","volume":"452","author":"Noble PC","year":"2006","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"e_1_2_14_33_1","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1007\/s11999-013-3229-7","article-title":"High level of residual symptoms in young patients after total knee arthroplasty","volume":"472","author":"Parvizi J","year":"2014","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"e_1_2_14_34_1","first-page":"175","article-title":"Management of stiffness following total knee arthroplasty","volume":"88","author":"Parvizi J","year":"2006","journal-title":"J Bone Jt Surg Am"},{"key":"e_1_2_14_35_1","doi-asserted-by":"crossref","first-page":"199","DOI":"10.2174\/1874325001206010199","article-title":"BMP\u20102 dependent increase of soft tissue density in arthrofibrotic TKA","volume":"6","author":"Pfitzner T","year":"2012","journal-title":"Open Orthop 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