{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T13:48:07Z","timestamp":1792676887441,"version":"4.5.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"DOI":"10.1007\/s00402-025-05935-4","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T06:38:10Z","timestamp":1748587090000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Compensatory changes in lower limb alignment following total knee arthroplasty: large valgus knee correction (\u2265\u200910\u00b0) demonstrates substantial alterations in ankle and subtalar joint alignment"],"prefix":"10.1007","volume":"145","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6290-1483","authenticated-orcid":false,"given":"Erel","family":"Ben-Ari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itay","family":"Ashkenazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Sissman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan L.","family":"Katzman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey","family":"Cardillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Schwarzkopf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"5935_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2019\/7656878","volume":"2019","author":"K Yoshimoto","year":"2019","unstructured":"Yoshimoto K, Noguchi M, Yamada A, Nasu Y (2019) Compensatory function of the subtalar joint for lower extremity malalignment. Adv Ortho 2019:1\u20139. https:\/\/doi.org\/10.1155\/2019\/7656878","journal-title":"Adv Ortho"},{"key":"5935_CR2","doi-asserted-by":"publisher","unstructured":"Kawahara S, Matsuda S (2012) Relationship between the tibial anteroposterior axis and the surgical epicondylar axis in varus and valgus knees. https:\/\/doi.org\/10.1007\/s00167-011-1826-0. Knee Surg Sports Traumatol Arthrosc 2077\u20132081","DOI":"10.1007\/s00167-011-1826-0"},{"key":"5935_CR3","first-page":"65","volume":"78","author":"J Hooper","year":"2020","unstructured":"Hooper J, Rozell J, Walker PS, Schwarzkopf R (2020) The role of the hindfoot in total knee arthroplasty alignment. Bull Hosp Joint Dis 78:65\u201373","journal-title":"Bull Hosp Joint Dis"},{"key":"5935_CR4","doi-asserted-by":"publisher","unstructured":"Tashiro Y, Matsuda S, Okazaki K (2014) The coronal alignment after medial unicompartmental knee arthroplasty can be predicted: usefulness of full\u2013 length valgus stress radiography for evaluating correctability. Knee Surg Sports Traumatol Arthrosc 3142\u20133149. https:\/\/doi.org\/10.1007\/s00167-014-3248-2","DOI":"10.1007\/s00167-014-3248-2"},{"key":"5935_CR5","doi-asserted-by":"publisher","first-page":"3653","DOI":"10.1007\/s00167-014-3269-x","volume":"23","author":"JDMJ Victor","year":"2015","unstructured":"Victor JDMJ, Kaminski OCL (2015) Total knee arthroplasty in patients with substantial deformities using primary knee components. Knee Surg Sport Traumatol Arthrosc 23:3653\u20133659. https:\/\/doi.org\/10.1007\/s00167-014-3269-x","journal-title":"Knee Surg Sport Traumatol Arthrosc"},{"key":"5935_CR6","doi-asserted-by":"publisher","unstructured":"Guichet J, Javed A, Russell J, Saleh M (2003) Effect of the foot on the mechanical alignment of the lower limbs. 193\u2013201. https:\/\/doi.org\/10.1097\/01.blo.0000092973.12414.ec..Clin Ortop Relate Res","DOI":"10.1097\/01.blo.0000092973.12414.ec"},{"key":"5935_CR7","doi-asserted-by":"publisher","unstructured":"Mullaji A, Shetty G (2011) Persistent hindfoot Valgus causes lateral deviation of weightbearing Axis after total knee arthroplasty. Clin Ortop Relate Res 1154\u20131160. https:\/\/doi.org\/10.1007\/s11999-010-1703-z","DOI":"10.1007\/s11999-010-1703-z"},{"key":"5935_CR8","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1007\/s00167-020-06246-4","volume":"30","author":"F Graef","year":"2022","unstructured":"Graef F, Hommel H, Falk R et al (2022) Correction of severe valgus osteoarthritis by total knee arthroplasty is associated with increased postoperative ankle symptoms. Knee Surg Sport Traumatol Arthrosc 30:527\u2013535. https:\/\/doi.org\/10.1007\/s00167-020-06246-4","journal-title":"Knee Surg Sport Traumatol Arthrosc"},{"key":"5935_CR9","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1302\/0301-620X.98B3.35468","volume":"98","author":"K Akiyama","year":"2016","unstructured":"Akiyama K, Nakata K, Kitada M et al (2016) Changes in axial alignment of the ipsilateral hip and knee after total hip arthroplasty. Bone Join J 98:349\u2013358. https:\/\/doi.org\/10.1302\/0301-620X.98B3.35468","journal-title":"Bone Join J"},{"key":"5935_CR10","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.knee.2016.09.023","volume":"24","author":"F Gao","year":"2017","unstructured":"Gao F, Ma J, Sun W et al (2017) The knee radiographic assessment of knee\u2013 ankle alignment after total knee arthroplasty for varus and valgus knee osteoarthritis. Knee 24:107\u2013115. https:\/\/doi.org\/10.1016\/j.knee.2016.09.023","journal-title":"Knee"},{"key":"5935_CR11","doi-asserted-by":"publisher","first-page":"869","DOI":"10.1016\/j.arth.2022.01.059","volume":"37","author":"I Shichman","year":"2022","unstructured":"Shichman I, Ben-ari E, Sissman E et al (2022) Effect of total knee arthroplasty on coronal alignment of the ankle joint. J Arthroplasty 37:869\u2013873. https:\/\/doi.org\/10.1016\/j.arth.2022.01.059","journal-title":"J Arthroplasty"},{"issue":"2","key":"5935_CR12","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/j.arth.2003.09.007","volume":"19","author":"JT Chandler","year":"2004","unstructured":"Chandler JT, Moskal JT (2004) Evaluation of knee and hindfoot alignment before and after total knee arthroplasty: a prospective analysis. J Arthroplasty 19(2):211\u2013216. https:\/\/doi.org\/10.1016\/j.arth.2003.09.007","journal-title":"J Arthroplasty"},{"key":"5935_CR13","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1053\/j.jfas.2018.02.002","volume":"57","author":"C Kim","year":"2018","unstructured":"Kim C, Gwak H, Kim J et al (2018) Radiologic factors affecting ankle pain before and after total knee arthroplasty for the Varus Osteoarthritic knee. J Foot Ankle Surg 57:865\u2013869. https:\/\/doi.org\/10.1053\/j.jfas.2018.02.002","journal-title":"J Foot Ankle Surg"},{"key":"5935_CR14","doi-asserted-by":"publisher","first-page":"2632","DOI":"10.1007\/s00167-016-4122-1","volume":"25","author":"Y Okamoto","year":"2017","unstructured":"Okamoto Y, Otsuki S, Jotoku T, Nakajima M (2017) Clinical usefulness of hindfoot assessment for total knee arthroplasty: persistent post\u2013 operative hindfoot pain and alignment in pre\u2013 existing severe knee deformity. Knee Surg Sport Traumatol Arthrosc 25:2632\u20132639. https:\/\/doi.org\/10.1007\/s00167-016-4122-1","journal-title":"Knee Surg Sport Traumatol Arthrosc"},{"key":"5935_CR15","doi-asserted-by":"publisher","first-page":"2442","DOI":"10.1007\/s00167-015-3916-x","volume":"24","author":"T Takenaka","year":"2016","unstructured":"Takenaka T, Ikoma K, Ohashi S et al (2016) Hindfoot alignment at one year after total knee arthroplasty. Knee Surg Sport Traumatol Arthrosc 24:2442\u20132446. https:\/\/doi.org\/10.1007\/s00167-015-3916-x","journal-title":"Knee Surg Sport Traumatol Arthrosc"},{"key":"5935_CR16","doi-asserted-by":"publisher","first-page":"1087","DOI":"10.3113\/FAI.2012.1087","volume":"33","author":"JH Lee","year":"2012","unstructured":"Lee JH, Jeong BO (2012) Radiologic changes of ankle joint after total knee arthroplasty. Foot Ankle Int 33:1087\u20131092. https:\/\/doi.org\/10.3113\/FAI.2012.1087","journal-title":"Foot Ankle Int"},{"key":"5935_CR17","doi-asserted-by":"publisher","first-page":"3596","DOI":"10.1007\/s00167-016-4278-8","volume":"25","author":"W Shin","year":"2017","unstructured":"Shin W, Hun C, Cho S, Eun S (2017) Changes in hindfoot alignment after total knee arthroplasty in knee Osteoarthritic patients with varus deformity. Knee surgery. Sport Traumatol Arthrosc 25:3596\u20133604. https:\/\/doi.org\/10.1007\/s00167-016-4278-8","journal-title":"Sport Traumatol Arthrosc"},{"key":"5935_CR18","doi-asserted-by":"publisher","unstructured":"Chang CB, Jeong JH, Chang MJ et al (2018) Concomitant ankle osteoarthritis is related to increased ankle pain and a worse clinical outcome following total knee arthroplasty. JBJS Am 735\u2013741. https:\/\/doi.org\/10.2106\/JBJS.17.00883","DOI":"10.2106\/JBJS.17.00883"},{"key":"5935_CR19","doi-asserted-by":"publisher","unstructured":"Russell I, Dougall H (2009) Etiology of ankle osteoarthritis. Clin Ortop Relate Res 1800\u20131806. https:\/\/doi.org\/10.1007\/s11999-008-0543-6","DOI":"10.1007\/s11999-008-0543-6"},{"key":"5935_CR20","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1016\/j.arth.2014.07.026","volume":"30","author":"Y Hara","year":"2015","unstructured":"Hara Y, Ikoma K, Arai Y et al (2015) Alteration of hindfoot alignment after total knee arthroplasty using a novel hindfoot alignment view. J Arthroplasty 30:126\u2013129. https:\/\/doi.org\/10.1016\/j.arth.2014.07.026","journal-title":"J Arthroplasty"},{"key":"5935_CR21","doi-asserted-by":"publisher","first-page":"3305","DOI":"10.1016\/j.arth.2020.06.027","volume":"35","author":"CB Chang","year":"2020","unstructured":"Chang CB, Chung CY, Park MS et al (2020) Aggravation of ankle Varus incongruency following total knee replacement correcting\u2009\u2265\u200910\u00b0 of Genu varum deformity: A radiographic assessment. J Arthroplasty 35:3305\u20133310. https:\/\/doi.org\/10.1016\/j.arth.2020.06.027","journal-title":"J Arthroplasty"},{"key":"5935_CR22","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/1757-1146-6-48","volume":"6","author":"K Ikoma","year":"2013","unstructured":"Ikoma K, Noguchi M, Nagasawa K et al (2013) A new radiographic view of the hindfoot. J Foot Ankle Res 6:2\u20136. https:\/\/doi.org\/10.1186\/1757-1146-6-48","journal-title":"J Foot Ankle Res"},{"key":"5935_CR23","doi-asserted-by":"publisher","first-page":"159","DOI":"10.2307\/2529310","volume":"33","author":"JR Landis","year":"1977","unstructured":"Landis JR, Koch GG (1977) Landis Amd Koch1977_agreement of categorical data. Biometrics 33:159\u2013174","journal-title":"Biometrics"},{"key":"5935_CR24","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1037\/0033-2909.86.2.420","volume":"86","author":"PE Shrout","year":"1979","unstructured":"Shrout PE, Fleiss JL (1979) Intraclass correlations: uses in assessing rater reliability. Psychol Bull 86:420\u2013428. https:\/\/doi.org\/10.1037\/0033-2909.86.2.420","journal-title":"Psychol Bull"},{"key":"5935_CR25","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1007\/s00402-007-0502-9","volume":"128","author":"K Tallroth","year":"2008","unstructured":"Tallroth K, Harilainen A, Kerttula L, Sayed R (2008) Ankle osteoarthritis is associated with knee osteoarthritis. Conclusions based on mechanical axis radiographs. Arch Orthop Trauma Surg 128:555\u2013560. https:\/\/doi.org\/10.1007\/s00402-007-0502-9","journal-title":"Arch Orthop Trauma Surg"},{"key":"5935_CR26","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1302\/0301-620X.103B1.BJJ-2020-0143.R1","volume":"103","author":"A Burssens","year":"2021","unstructured":"Burssens A, De Roos D, Barg A et al (2021) Alignment of the hindfoot in total knee arthroplasty: A systematic review of clinical and radiological outcomes. Bone Join J 103:87\u201397. https:\/\/doi.org\/10.1302\/0301-620X.103B1.BJJ-2020-0143.R1","journal-title":"Bone Join J"},{"key":"5935_CR27","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1097\/CORR.0000000000001067","volume":"478","author":"ABM Burssens","year":"2020","unstructured":"Burssens ABM, Buedts K, Barg A et al (2020) Is lower-limb alignment associated with hindfoot deformity in the coronal plane? A weightbearing CT analysis. Clin Orthop Relat Res 478:154\u2013168. https:\/\/doi.org\/10.1097\/CORR.0000000000001067","journal-title":"Clin Orthop Relat Res"},{"key":"5935_CR28","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1007\/s11999-014-3801-9","volume":"473","author":"AA Norton","year":"2015","unstructured":"Norton AA, Callaghan JJ, Amendola A et al (2015) Correlation of knee and hindfoot deformities in advanced knee OA: compensatory hindfoot alignment and where it occurs. Clin Orthop Relat Res 473:166\u2013174. https:\/\/doi.org\/10.1007\/s11999-014-3801-9","journal-title":"Clin Orthop Relat Res"},{"key":"5935_CR29","doi-asserted-by":"publisher","first-page":"2376","DOI":"10.1016\/j.arth.2019.05.029","volume":"34","author":"H Mansur","year":"2019","unstructured":"Mansur H, Rocha FA, Garcia PBL et al (2019) Alteration of hindfoot Axis after total knee arthroplasty. J Arthroplasty 34:2376\u20132382. https:\/\/doi.org\/10.1016\/j.arth.2019.05.029","journal-title":"J Arthroplasty"},{"key":"5935_CR30","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1016\/j.ejrad.2015.11.021","volume":"85","author":"F Gao","year":"2016","unstructured":"Gao F, Ma J, Sun W et al (2016) The influence of knee malalignment on the ankle alignment in varus and valgus gonarthrosis based on radiographic measurement. Eur J Radiol 85:228\u2013232. https:\/\/doi.org\/10.1016\/j.ejrad.2015.11.021","journal-title":"Eur J Radiol"},{"key":"5935_CR31","doi-asserted-by":"publisher","first-page":"3694","DOI":"10.1016\/j.arth.2018.08.015","volume":"33","author":"K Xie","year":"2018","unstructured":"Xie K, Jiang X, Han X et al (2018) Association between knee malalignment and ankle degeneration in patients with End-Stage knee osteoarthritis. J Arthroplasty 33:3694\u20133698e1. https:\/\/doi.org\/10.1016\/j.arth.2018.08.015","journal-title":"J Arthroplasty"},{"key":"5935_CR32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fsurg.2021.713055","volume":"8","author":"Z Feng","year":"2021","unstructured":"Feng Z, Ma M, Wang Y et al (2021) Clinical and radiological changes of ankle in knee osteoarthritis with Varus after total knee arthroplasty: A systematic review. Front Surg 8:1\u20137. https:\/\/doi.org\/10.3389\/fsurg.2021.713055","journal-title":"Front Surg"},{"key":"5935_CR33","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1016\/j.fas.2023.09.001","volume":"30","author":"J Li","year":"2024","unstructured":"Li J, Fang M, Van Oevelen A et al (2024) Diagnostic applications and benefits of weightbearing CT in the foot and ankle: A systematic review of clinical studies. Foot Ankle Surg 30:7\u201320. https:\/\/doi.org\/10.1016\/j.fas.2023.09.001","journal-title":"Foot Ankle Surg"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-025-05935-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-025-05935-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-025-05935-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T08:20:47Z","timestamp":1767169247000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-025-05935-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,30]]},"references-count":33,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["5935"],"URL":"https:\/\/doi.org\/10.1007\/s00402-025-05935-4","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,30]]},"assertion":[{"value":"23 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 May 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study received an institutional review board (IRB) approval at our institution:\n                      i17-01223\n                      .","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}],"article-number":"322"}}