{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:28:48Z","timestamp":1790864928691,"version":"4.1.0"},"reference-count":35,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T00:00:00Z","timestamp":1533081600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","arthroplastyjournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2018,8]]},"DOI":"10.1016\/j.arth.2018.03.042","type":"journal-article","created":{"date-parts":[[2018,3,27]],"date-time":"2018-03-27T12:44:01Z","timestamp":1522154641000},"page":"2496-2501","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":247,"title":["Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee Arthroplasty: A Prospective Cohort Study and Validation of a New Classification System"],"prefix":"10.1016","volume":"33","author":[{"given":"Babar","family":"Kayani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujith","family":"Konan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jurek R.T.","family":"Pietrzak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fares S.","family":"Haddad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2018.03.042_bib1","unstructured":"National Joint Registry for England and Wales 9th Annual Report. http:\/\/www.njrcentre.org.uk [accessed 15.03.18]."},{"key":"10.1016\/j.arth.2018.03.042_bib2","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1054\/arth.2000.6503","article-title":"Accuracy of soft tissue balancing in total knee arthroplasty","volume":"15","author":"Griffin","year":"2000","journal-title":"J\u00a0Arthroplasty"},{"issue":"Suppl 4","key":"10.1016\/j.arth.2018.03.042_bib3","doi-asserted-by":"crossref","first-page":"132","DOI":"10.2106\/00004623-200300004-00018","article-title":"Comparison of ligament-balancing techniques during total knee arthroplasty","volume":"85","author":"Mihalko","year":"2003","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2018.03.042_bib4","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1054\/arth.2001.25504","article-title":"Primary total knee arthroplasty in the valgus knee: creating a balanced soft tissue envelope","volume":"16","author":"Peters","year":"2001","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.042_bib5","first-page":"412","article-title":"Total condylar knee arthroplasty for valgus and combined valgus-flexion deformity of the knee","volume":"33","author":"Ranawat","year":"1984","journal-title":"Instr Course Lect"},{"issue":"Suppl 1","key":"10.1016\/j.arth.2018.03.042_bib6","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1054\/arth.2002.33264","article-title":"Soft tissue balancing: the knee","volume":"17","author":"Whiteside","year":"2002","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.042_bib7","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1097\/00003086-200011000-00007","article-title":"Functional medical ligament balancing in total knee arthroplasty","volume":"380","author":"Whiteside","year":"2000","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.042_bib8","doi-asserted-by":"crossref","first-page":"e152","DOI":"10.2106\/JBJS.L.01686","article-title":"Lessons learned from selective soft-tissue release for gap balancing in primary total knee arthroplasty: an analysis of 1216 consecutive total knee arthroplasties","volume":"95","author":"Peters","year":"2013","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2018.03.042_bib9","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1097\/00003086-199301000-00008","article-title":"Determining the rotational alignment of the femoral component in total knee arthroplasty using the epicondylar axis","volume":"286","author":"Berger","year":"1993","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.042_bib10","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1054\/arth.2001.21456","article-title":"Determining femoral rotational alignment in total knee arthroplasty: reliability of techniques","volume":"16","author":"Katz","year":"2001","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.042_bib11","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1097\/00003086-200011000-00010","article-title":"Rotational malalignment of the femoral component in total knee arthroplasty","volume":"380","author":"Fehring","year":"2000","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.042_bib12","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1007\/s11999-009-1112-3","article-title":"Gap balancing versus measured resection technique for total knee arthroplasty","volume":"468","author":"Dennis","year":"2010","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.042_bib13","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1007\/s11999-010-1502-6","article-title":"Management of intraoperative medial collateral ligament injury during TKA","volume":"469","author":"Lee","year":"2011","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.042_bib14","first-page":"097","article-title":"Instability after total knee arthroplasty","volume":"28","author":"McNabb","year":"2014","journal-title":"J\u00a0Knee Surg"},{"key":"10.1016\/j.arth.2018.03.042_bib15","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/S0883-5403(87)80020-7","article-title":"Extensor mechanism complications following total knee arthroplasty","volume":"2","author":"Lynch","year":"1987","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.042_bib16","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1097\/00003086-198907000-00023","article-title":"Patellar tendon rupture after total knee arthroplasty","volume":"244","author":"Rand","year":"1989","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.042_bib17","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/j.arth.2015.09.040","article-title":"The effect of patella eversion on clinical outcome measures in simultaneous bilateral total knee arthroplasty: a prospective randomized controlled trial","volume":"31","author":"Zan","year":"2016","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.042_bib18","first-page":"068","article-title":"Outcomes of medial collateral ligament injuries during total knee arthroplasty","volume":"29","author":"Siqueira","year":"2014","journal-title":"J\u00a0Knee Surg"},{"key":"10.1016\/j.arth.2018.03.042_bib19","doi-asserted-by":"crossref","first-page":"95","DOI":"10.5435\/JAAOS-D-13-00205","article-title":"Extensor mechanism disruption after total knee arthroplasty","volume":"23","author":"Bates","year":"2015","journal-title":"J\u00a0Am Acad Orthop Surg"},{"key":"10.1016\/j.arth.2018.03.042_bib20","first-page":"441","article-title":"Robotic-arm assisted total knee arthroplasty demonstrated soft tissue protection","volume":"30","author":"Khlopas","year":"2017","journal-title":"Surg Technol Int"},{"key":"10.1016\/j.arth.2018.03.042_bib21","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1302\/0301-620X.86B6.15456","article-title":"Computer-assisted total knee replacement. A controlled cadaver study using a multi-parameter quantitative CT assessment of alignment (the perth CT protocol)","volume":"86","author":"Chauhan","year":"2004","journal-title":"J\u00a0Bone Joint Surg Br"},{"key":"10.1016\/j.arth.2018.03.042_bib22","doi-asserted-by":"crossref","first-page":"2671","DOI":"10.2106\/00004623-200412000-00013","article-title":"Total knee arthroplasty for severe valgus deformity. Five to fourteen-year follow-up","volume":"86-A","author":"Elkus","year":"2004","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2018.03.042_bib23","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/01.blo.0000092987.12414.fc","article-title":"The difficult knee: severe varus and valgus","author":"Engh","year":"2003","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.042_bib24","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1007\/s00776-004-0818-z","article-title":"Distal femoral cut perpendicular to the mechanical axis may induce varus instability in flexion in medial osteoarthritic knees with varus deformity in total knee arthroplasty: a pitfall of the navigation system","volume":"9","author":"Nagamine","year":"2004","journal-title":"J\u00a0Orthop Sci"},{"key":"10.1016\/j.arth.2018.03.042_bib25","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1302\/0301-620X.84B3.12046","article-title":"The effect of alignment of the knee on the outcome of unicompartmental knee replacement","volume":"84","author":"Ridgeway","year":"2002","journal-title":"J\u00a0Bone Joint Surg Br"},{"key":"10.1016\/j.arth.2018.03.042_bib26","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/01.blo.0000148582.86102.47","article-title":"Minimally invasive total knee replacement through a mini-midvastus incision: an outcome study","author":"Laskin","year":"2004","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.042_bib27","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/j.arth.2008.04.002","article-title":"Is minimally invasive surgery in total knee arthroplasty really minimally invasive surgery?","volume":"24","author":"Niki","year":"2009","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.042_bib28","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1302\/0301-620X.99B6.BJJ-2016-0540.R2","article-title":"Discharge on the day of surgery following unicompartmental knee arthroplasty within the United Kingdom NHS","volume":"99-B","author":"Bradley","year":"2017","journal-title":"Bone Joint J"},{"key":"10.1016\/j.arth.2018.03.042_bib29","first-page":"10","article-title":"Is outpatient unicompartmental knee arthroplasty safe to perform at an ambulatory surgery center? A comparative study of early post-operative complications","volume":"33","author":"Cody","year":"2017","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2018.03.042_bib30","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/S0968-0160(02)00015-7","article-title":"Technique and first clinical results of robot-assisted total knee replacement","volume":"9","author":"Siebert","year":"2002","journal-title":"Knee"},{"key":"10.1016\/j.arth.2018.03.042_bib31","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/s11999-012-2407-3","article-title":"Robotic-assisted TKA reduces postoperative alignment outliers and improves gap balance compared to conventional TKA","volume":"471","author":"Song","year":"2013","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.042_bib32","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1097\/BLO.0b013e318126c0c0","article-title":"Robot-assisted total knee arthroplasty","volume":"464","author":"Bellemans","year":"2007","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2018.03.042_bib33","doi-asserted-by":"crossref","first-page":"e1334","DOI":"10.3928\/01477447-20120822-18","article-title":"Robot-assisted implantation improves the precision of component position in minimally invasive TKA","volume":"35","author":"Kim","year":"2012","journal-title":"Orthopedics"},{"key":"10.1016\/j.arth.2018.03.042_bib34","doi-asserted-by":"crossref","first-page":"86","DOI":"10.3109\/10929088.2012.654408","article-title":"Comparison of robot-assisted and conventional total knee arthroplasty: a controlled cadaver study using multiparameter quantitative three-dimensional CT assessment of alignment","volume":"17","author":"Moon","year":"2012","journal-title":"Comput Aided Surg"},{"key":"10.1016\/j.arth.2018.03.042_bib35","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1007\/s00167-011-1400-9","article-title":"Simultaneous bilateral total knee arthroplasty with robotic and conventional techniques: a prospective, randomized study","volume":"19","author":"Song","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540318303000?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540318303000?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T23:37:54Z","timestamp":1660693074000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540318303000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":35,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["S0883540318303000"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2018.03.042","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2018,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee Arthroplasty: A Prospective Cohort Study and Validation of a New Classification System","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2018.03.042","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}