{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:29:23Z","timestamp":1793320163299,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T00:00:00Z","timestamp":1588636800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T00:00:00Z","timestamp":1588636800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T00:00:00Z","timestamp":1588636800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To investigate the effect of preoperative coronal tibiofemoral subluxation (CTFS) on functional outcome, prosthesis type, insert thickness and revision rates in patients who underwent total knee arthroplasty (TKA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 224\u00a0knees of 186 patients were included. Patients were divided into two groups as either with (Group 1, 114\u00a0knees of 86 patients) or without (Group 2, 124\u00a0knees of 100 patients) coronal lateral tibiofemoral subluxation. The mean follow\u2010up period was 71.3\u2009\u00b1\u20097.3 (range 60\u201384) months in group 1 and 69.4\u2009\u00b1\u20096.6 (range 61\u201379) months in group 2 (n.s.). Coronal tibiofemoral subluxation degree was measured in degrees on standing anteroposterior knee radiographs. Group 1 was divided into three subgroups according to amount of subluxation (&lt;\u20095\u00a0mm, 6\u201310\u00a0mm and &gt;\u200910\u00a0mm). Functional outcome was evaluated using the Western Ontario and McMaster Osteoarthritis Index (WOMAC) score and Knee Injury and Osteoarthritis Outcome Score (KOOS) preoperatively and at the last follow\u2010up visit. Prosthesis type, insert thickness and revision rates were compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences between the two groups regarding patient demographics, prosthesis type, and revision rates (n.s.). The insert thickness was found significantly higher in group 1 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The preoperative and postoperative WOMAC and KOOS scores were found no significantly different between the two groups (n.s.). Among subluxation (+) subgroups, there was no significant difference in functional outcome scores and revision rates (n.s.). However, prosthesis type and insert thickness were significantly associated with the amount of subluxation (<jats:italic>p<\/jats:italic>\u2009=\u20090.009 and <jats:italic>p<\/jats:italic>\u2009=\u20090.001, respectively). There was no significant correlation between the degree of lower extremity deformity and coronal tibiofemoral amount of subluxation (n.s.).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Preoperative CTFS does not adversely affect the WOMAC score, KOOS and revision rates after TKA. In the clinical practice, surgeons should be aware of the need for a posterior cruciate stabilizing prosthesis and a thicker insert in the presence of CTFS, especially with subluxation greater than 10\u00a0mm and to consider a spared bony resection on the tibia in patients suffering from CTFS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06047-9","type":"journal-article","created":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T21:03:20Z","timestamp":1588626200000},"page":"914-920","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Tibiofemoral subluxation in the coronal plane does not affect WOMAC and KOOS after total knee arthroplasty"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1014-246X","authenticated-orcid":false,"given":"Mehmet Ozbey","family":"Buyukkuscu","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology Gaziosmanpasa Training and Research Hospital Karayollar\u0131 Mahallesi 34255 Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulhamit","family":"Misir","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology Gaziosmanpasa Training and Research Hospital Karayollar\u0131 Mahallesi 34255 Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akay","family":"Kirat","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedics and Traumatology Dortyol State Hospital 31670 Hatay Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kutalmis","family":"Albayrak","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Orthopaedics and Traumatology Haseki Sultangazi Training and Research Hospital 34270 Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerem","family":"Sencan","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Department of Orthopaedics and Traumatology Health Science University Baltalimani Bone Diseases Education and Research Hospital 34467 Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismet Yalkin","family":"Camurcu","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> Department of Orthopaedics and Traumatology, Faculty of Medicine Erzincan University 24030 Erzincan Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukru Sarper","family":"Gursu","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Department of Orthopaedics and Traumatology Health Science University Baltalimani Bone Diseases Education and Research Hospital 34467 Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,5]]},"reference":[{"key":"e_1_2_8_2_2","first-page":"7","article-title":"Osteoarthrosis of the knee: a radiographic investigation","volume":"277","author":"Ahlb\u00e4ck S","year":"1968","journal-title":"Acta Radiol Diagn Suppl"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2016.09.009"},{"key":"e_1_2_8_4_2","first-page":"47","article-title":"Unicompartmental knee arthroplasty: indications, techniques, and results","volume":"59","author":"Berger RA","year":"2010","journal-title":"Instr Course Lect"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2010.08.010"},{"issue":"1","key":"e_1_2_8_6_2","first-page":"5","article-title":"Posterior cruciate ligament\u2010retaining and posterior\u2010stabilized total knee arthroplasty: differences in surgical technique","volume":"1","author":"D'Anchise 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Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-020-06047-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-020-06047-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-020-06047-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-020-06047-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T14:38:37Z","timestamp":1760884717000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-020-06047-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,5]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1007\/s00167-020-06047-9"],"URL":"https:\/\/doi.org\/10.1007\/s00167-020-06047-9","archive":["Portico"],"relation":{"correction":[{"id-type":"doi","id":"10.1007\/s00167-020-06075-5","asserted-by":"object"}]},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,5]]},"assertion":[{"value":"4 April 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 April 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 May 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 February 2021","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s00167-020-06075-5","URL":"https:\/\/doi.org\/10.1007\/s00167-020-06075-5","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"All authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study protocol was approved by the Health Sciences University Baltalimani Bone and Joint Diseases Training and Research Hospital Institutional Review Board (Approval date and number: 03.01.2019\/282).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}