{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:50:52Z","timestamp":1792068652071,"version":"4.4.0"},"reference-count":19,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.arth.2026.02.021","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T20:42:21Z","timestamp":1774989741000},"page":"S130-S133","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"S1","title":["Why Do Robotic Total Knee Arthroplasties Fail?"],"prefix":"10.1016","volume":"41","author":[{"given":"Stefano","family":"Ghirardelli","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmelo","family":"Burgio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel A.","family":"Driscoll","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Sculco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan M.","family":"Vigdorchik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro Gonzalez","family":"Della Valle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4122-7976","authenticated-orcid":false,"given":"Gwo-Chin","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.02.021_bib1","doi-asserted-by":"crossref","first-page":"60","DOI":"10.5312\/wjo.v9.i4.60","article-title":"Why total knees fail-A modern perspective review","volume":"9","author":"Lum","year":"2018","journal-title":"World J Orthop"},{"key":"10.1016\/j.arth.2026.02.021_bib2","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.jor.2020.12.007","article-title":"Why do knees after total knee arthroplasty fail in different parts of the world?","volume":"23","author":"Mathis","year":"2020","journal-title":"J Orthop"},{"key":"10.1016\/j.arth.2026.02.021_bib3","doi-asserted-by":"crossref","first-page":"1774","DOI":"10.1016\/j.arth.2013.07.024","article-title":"Why are total knee arthroplasties failing today--has anything changed after 10 years?","volume":"29","author":"Sharkey","year":"2014","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.021_bib4","doi-asserted-by":"crossref","first-page":"3281","DOI":"10.1002\/ksa.12353","article-title":"Trends and epidemiology in robotic-assisted total knee arthroplasty: reduced complications and shorter hospital stays","volume":"32","author":"Maman","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"6S","key":"10.1016\/j.arth.2026.02.021_bib5","doi-asserted-by":"crossref","first-page":"S227","DOI":"10.1016\/j.arth.2023.02.016","article-title":"The impact of robotic-assisted total knee arthroplasty on resident training","volume":"38","author":"Duensing","year":"2023","journal-title":"J Arthroplasty"},{"issue":"6S","key":"10.1016\/j.arth.2026.02.021_bib6","doi-asserted-by":"crossref","first-page":"S177","DOI":"10.1016\/j.arth.2023.03.022","article-title":"What is the value of a balanced total knee arthroplasty? Getting it right the first time","volume":"38","author":"Lee","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.021_bib7","doi-asserted-by":"crossref","first-page":"3155","DOI":"10.1007\/s00590-024-04043-0","article-title":"Early and delayed periprosthetic joint infection in robot-assisted total knee arthroplasty: a multicenter study","volume":"34","author":"Burgio","year":"2024","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.arth.2026.02.021_bib8","doi-asserted-by":"crossref","first-page":"2637","DOI":"10.1016\/j.arth.2025.04.043","article-title":"Cemented and cementless robotic-assisted versus manual total knee arthroplasty outcomes: a single center Michigan Arthroplasty Registry Collaborative Quality Initiative-Based Study","volume":"40","author":"Ziedas","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.021_bib9","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.arth.2023.08.007","article-title":"Does computer navigation or robotic assistance affect the risk of periprosthetic joint infection in primary total knee arthroplasty? A propensity score-matched cohort analysis","volume":"39","author":"LaValva","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.021_bib10","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1080\/17453674.2019.1637177","article-title":"Manipulation under anesthesia after primary knee arthroplasty in Sweden: incidence, patient characteristics and risk of revision","volume":"90","author":"Thorsteinsson","year":"2019","journal-title":"Acta Orthop"},{"key":"10.1016\/j.arth.2026.02.021_bib11","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.knee.2022.08.009","article-title":"Understanding rates, risk factors, and complications associated with manipulation under anesthesia after total knee arthroplasty (TKA): an analysis of 100,613 TKAs","volume":"38","author":"Rull\u00e1n","year":"2022","journal-title":"Knee"},{"issue":"6S","key":"10.1016\/j.arth.2026.02.021_bib12","doi-asserted-by":"crossref","first-page":"S207","DOI":"10.1016\/j.arth.2022.02.085","article-title":"Posterior tibial slope in computer-navigated total knee arthroplasty: the transmalleolar sagittal axis underestimates slope compared to traditional intramedullary axis","volume":"37","author":"Chalmers","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.021_bib13","article-title":"Arthrofibrosis in robotic total knee arthroplasty: an investigation into how robotic assistance may contribute to a tight knee","volume":"7","author":"Ali","year":"2023","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"key":"10.1016\/j.arth.2026.02.021_bib14","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1097\/CORR.0000000000000916","article-title":"Does robotic-assisted TKA result in better outcome scores or long-term survivorship than conventional TKA? A randomized, controlled trial","volume":"478","author":"Kim","year":"2020","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.02.021_bib15","doi-asserted-by":"crossref","first-page":"82","DOI":"10.4055\/cios21138","article-title":"No difference in clinical outcomes and survivorship for robotic, navigational, and conventional primary total knee arthroplasty with a minimum Follow-up of 10 years","volume":"15","author":"Lee","year":"2023","journal-title":"Clin Orthop Surg"},{"key":"10.1016\/j.arth.2026.02.021_bib16","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1097\/CORR.0000000000001150","article-title":"No difference in 5-year clinical or radiographic outcomes between kinematic and mechanical alignment in TKA: a randomized controlled trial","volume":"478","author":"Young","year":"2020","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.02.021_bib17","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1097\/CORR.0000000000003193","article-title":"No difference in 10-year clinical or radiographic outcomes between kinematic and mechanical alignment in TKA: a randomized trial","volume":"483","author":"Gibbons","year":"2025","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.02.021_bib18","doi-asserted-by":"crossref","first-page":"2063","DOI":"10.2106\/JBJS.24.00539","article-title":"Association of technology usage and decreased revision TKA rates for low-volume surgeons using an optimal prosthesis combination: an analysis of 53,264 primary TKAs","volume":"106","author":"McAuliffe","year":"2024","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2026.02.021_bib19","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1097\/CORR.0000000000003330","article-title":"Robotic assistance is not associated with decreased early revisions in cementless TKA: an analysis of the American Joint Replacement Registry","volume":"483","author":"Kirchner","year":"2025","journal-title":"Clin Orthop Relat Res"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326001397?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326001397?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:10:36Z","timestamp":1792066236000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540326001397"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":19,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S0883540326001397"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.02.021","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Why Do Robotic Total Knee Arthroplasties Fail?","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.02.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}