{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:33:51Z","timestamp":1791434031589,"version":"4.3.3"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"DOI":"10.1007\/s00402-025-06184-1","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T04:28:18Z","timestamp":1770006498000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Preoperative flexion contracture influences magnitude of planned resections in robotic-assisted total knee arthroplasty"],"prefix":"10.1007","volume":"146","author":[{"given":"Catherine","family":"Di Gangi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saloni","family":"Haruray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Novikov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Meere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morteza","family":"Meftah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew S.","family":"Hepinstall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"6184_CR1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2023.04.021","author":"J Fournier","year":"2023","unstructured":"Fournier J, Trudel G, Feibel RJ, Uhthoff H, McGonagle D, Campbell TM (2023) Arch Phys Med Rehabil 104:2067\u20132074. https:\/\/doi.org\/10.1016\/j.apmr.2023.04.021. Asymmetric Flexion Contracture is Associated With Leg Length Inequality in Patients With Knee Osteoarthritis: Data From the Osteoarthritis Initiative"},{"key":"6184_CR2","doi-asserted-by":"publisher","first-page":"S241","DOI":"10.1016\/j.joca.2020.02.388","volume":"28","author":"A Cagnin","year":"2020","unstructured":"Cagnin A, Choini\u00e8re M, Bureau NJ, Eriau N, Hagemeister N (2020) Flexion contracture in knee osteoarthritis patients is not indicative of flexion\/extension impairments during gait. Osteoarthr Cartil 28:S241\u2013S242. https:\/\/doi.org\/10.1016\/j.joca.2020.02.388","journal-title":"Osteoarthr Cartil"},{"key":"6184_CR3","doi-asserted-by":"publisher","first-page":"101439","DOI":"10.1016\/j.rehab.2020.09.005","volume":"64","author":"TM Campbell","year":"2021","unstructured":"Campbell TM, McGonagle D (2021) Flexion contracture is a risk factor for knee osteoarthritis incidence, progression and earlier arthroplasty: data from the osteoarthritis initiative. Annals Phys Rehabilitation Med 64:101439. https:\/\/doi.org\/10.1016\/j.rehab.2020.09.005","journal-title":"Annals Phys Rehabilitation Med"},{"key":"6184_CR4","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1051\/sicotj\/2024007","volume":"10","author":"E Sappey-Marinier","year":"2024","unstructured":"Sappey-Marinier E, Fernandez A, Shatrov J, Batailler C, Servien E, Huten D et al (2024) Management of fixed flexion contracture in primary total knee arthroplasty: recent systematic review. SICOT-J 10:11. https:\/\/doi.org\/10.1051\/sicotj\/2024007","journal-title":"SICOT-J"},{"key":"6184_CR5","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1007\/s11999.0000000000000067","volume":"476","author":"T Luyckx","year":"2018","unstructured":"Luyckx T, Vandenneucker H, Ing LS, Vereecke E, Ing AV, Victor J (2018) Raising the joint line in TKA is associated with Mid-flexion laxity: A study in cadaver knees. Clin Orthop Relat Res 476:601\u2013611. https:\/\/doi.org\/10.1007\/s11999.0000000000000067","journal-title":"Clin Orthop Relat Res"},{"key":"6184_CR6","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1016\/j.arth.2006.11.009","volume":"22","author":"MA Ritter","year":"2007","unstructured":"Ritter MA, Lutgring JD, Davis KE, Berend ME, Pierson JL, Meneghini RM (2007) The role of flexion contracture on outcomes in primary total knee arthroplasty. J Arthroplast 22:1092\u20131096. https:\/\/doi.org\/10.1016\/j.arth.2006.11.009","journal-title":"J Arthroplast"},{"key":"6184_CR7","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1302\/2058-5241.6.200052","volume":"6","author":"J-P St Mart","year":"2021","unstructured":"St Mart J-P, Goh EL (2021) The current state of robotics in total knee arthroplasty. EFORT Open Reviews 6:270\u2013279. https:\/\/doi.org\/10.1302\/2058-5241.6.200052","journal-title":"EFORT Open Reviews"},{"key":"6184_CR8","doi-asserted-by":"publisher","first-page":"S193","DOI":"10.1016\/j.arth.2021.11.021","volume":"37","author":"A Haffar","year":"2022","unstructured":"Haffar A, Krueger CA, Goh GS, Lonner JH (2022) Total knee arthroplasty with robotic surgical assistance results in less physician stress and strain than conventional methods. J Arthroplast 37:S193\u2013200. https:\/\/doi.org\/10.1016\/j.arth.2021.11.021","journal-title":"J Arthroplast"},{"key":"6184_CR9","doi-asserted-by":"publisher","first-page":"S782","DOI":"10.1016\/j.arth.2021.12.018","volume":"37","author":"GS Tompkins","year":"2022","unstructured":"Tompkins GS, Sypher KS, Li H-F, Griffin TM, Duwelius PJ (2022) Robotic versus manual total knee arthroplasty in high volume surgeons: A comparison of cost and quality metrics. J Arthroplast 37:S782\u2013S789. https:\/\/doi.org\/10.1016\/j.arth.2021.12.018","journal-title":"J Arthroplast"},{"key":"6184_CR10","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.arth.2006.12.110","volume":"22","author":"GR Scuderi","year":"2007","unstructured":"Scuderi GR, Kochhar T (2007) Management of flexion contracture in total knee arthroplasty. J Arthroplast 22:20\u201324. https:\/\/doi.org\/10.1016\/j.arth.2006.12.110","journal-title":"J Arthroplast"},{"key":"6184_CR11","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1302\/0301-620X.94B11.30512","volume":"94\u2013B","author":"EP Su","year":"2012","unstructured":"Su EP (2012) Fixed flexion deformity and total knee arthroplasty. J Bone Joint Surg Br Volume 94\u2013B:112\u2013115. https:\/\/doi.org\/10.1302\/0301-620X.94B11.30512","journal-title":"J Bone Joint Surg Br Volume"},{"key":"6184_CR12","doi-asserted-by":"publisher","unstructured":"Shatrov J, Battelier C, Sappey-Marinier E, Gunst S, Servien E, Lustig S Functional alignment philosophy in total knee Arthroplasty \u2013 Rationale and technique for the varus morphotype using a CT based robotic platform and individualized planning. SICOT J N D ;8:11. https:\/\/doi.org\/10.1051\/sicotj\/2022010","DOI":"10.1051\/sicotj\/2022010"},{"key":"6184_CR13","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1097\/01.blo.0000238791.36725.c5","volume":"452","author":"J Bellemans","year":"2006","unstructured":"Bellemans J, Vandenneucker H, Victor J, Vanlauwe J (2006) Flexion contracture in total knee arthroplasty. Clin Orthop Relat Research\u00ae 452:78. https:\/\/doi.org\/10.1097\/01.blo.0000238791.36725.c5","journal-title":"Clin Orthop Relat Research\u00ae"},{"key":"6184_CR14","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1053\/j.sart.2019.01.009","volume":"29","author":"KA Marfo","year":"2018","unstructured":"Marfo KA, Berend KR, Lombardi AV (2018) Flexion contractures: A Stepwise algorithmic approach. Semin Arthroplast 29:229\u2013235. https:\/\/doi.org\/10.1053\/j.sart.2019.01.009","journal-title":"Semin Arthroplast"},{"key":"6184_CR15","doi-asserted-by":"publisher","first-page":"S265","DOI":"10.1016\/j.arth.2018.02.021","volume":"33","author":"PJ Evangelista","year":"2018","unstructured":"Evangelista PJ, Laster SK, Lenz NM, Sheth NP, Schwarzkopf R (2018) A computer model of Mid-Flexion instability in a balanced total knee arthroplasty. J Arthroplast 33:S265\u2013S269. https:\/\/doi.org\/10.1016\/j.arth.2018.02.021","journal-title":"J Arthroplast"},{"key":"6184_CR16","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1016\/j.knee.2012.05.007","volume":"19","author":"MB Cross","year":"2012","unstructured":"Cross MB, Nam D, Plaskos C, Sherman SL, Lyman S, Pearle AD et al (2012) Recutting the distal femur to increase maximal knee extension during TKA causes coronal plane laxity in mid-flexion. Knee 19:875\u2013879. https:\/\/doi.org\/10.1016\/j.knee.2012.05.007","journal-title":"Knee"},{"key":"6184_CR17","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1302\/0301-620X.103B6.BJJ-2020-2444.R1","volume":"103\u2013B","author":"BP Chalmers","year":"2021","unstructured":"Chalmers BP, Elmasry SS, Kahlenberg CA, Mayman DJ, Wright TM, Westrich GH et al (2021) Additional distal femoral resection increases mid-flexion coronal laxity in posterior-stabilized total knee arthroplasty with flexion contracture: a computational study. Bone Joint J 103\u2013B:87\u201393. https:\/\/doi.org\/10.1302\/0301-620X.103B6.BJJ-2020-2444.R1","journal-title":"Bone Joint J"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-025-06184-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-025-06184-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-025-06184-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T04:28:23Z","timestamp":1770006503000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-025-06184-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,2]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6184"],"URL":"https:\/\/doi.org\/10.1007\/s00402-025-06184-1","relation":{"references":[{"id-type":"doi","id":"10.1016\/j.apmr.2023.04.021","asserted-by":"subject"}]},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,2]]},"assertion":[{"value":"19 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Financial interests: Author PM: stock or stock options in Intellijoint; Author MM: stock or stock options in CAIRA Surgical and Constance, other financial or material support from Intellijoint and Smith and Nephew; Author MSH: royalties from JointMedica; speakers bureau\/paid presentations for Stryker, paid consultant for Exactech, JointMedica, and Stryker, research support as a Principal Investigator from Exactech and Stryker; Authors CD, SH, and DN: none.Non-financial interests: Author MM: editorial\/governing board for the Orthopedics Journal and the Journal of Arthroplasty, board member\/has committee appointments for ISTA and PAS; Author MSH: board member\/committee appointments for CAOS and ISTA; Authors PM, CD, SH, and DN: none.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interests"}}],"article-number":"36"}}