{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T15:08:42Z","timestamp":1789139322942,"version":"build-2803163510"},"reference-count":23,"publisher":"Scientific Scholar","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedics"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.jor.2025.06.019","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T13:58:58Z","timestamp":1751378338000},"page":"287-292","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Robotic-assisted \u201cphysiological alignment\u201d TKA with a 3-degree varus inclination does not affect gait ability, regardless of pre-arthritic CPAK classification matching"],"prefix":"10.25259","volume":"66","author":[{"given":"Kazuki","family":"Amemiya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takao","family":"Kaneko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Shiga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shogo","family":"Horiuchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaru","family":"Omata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","reference":[{"issue":"12","key":"10.1016\/j.jor.2025.06.019_bib1","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1001\/archinternmed.2009.136","article-title":"Cost-effectiveness of total knee arthroplasty in the United States","volume":"169","author":"Reichman","year":"2009","journal-title":"Arch Intern Med"},{"issue":"19","key":"10.1016\/j.jor.2025.06.019_bib2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta18190","article-title":"KAT group A randomized controlled trial of the clinical effectiveness and cost-effectiveness of different knee prostheses: the Knee Arthroplasty Trial (KAT)","volume":"18","author":"Murray","year":"2014","journal-title":"Health Technol Assess"},{"issue":"2","key":"10.1016\/j.jor.2025.06.019_bib3","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.maturitas.2013.03.005","article-title":"Knee replacement for osteoarthritis","volume":"75","author":"Liddle","year":"2013","journal-title":"Maturitas"},{"key":"10.1016\/j.jor.2025.06.019_bib4","first-page":"236","article-title":"Bicruciate retaining arthroplasty","volume":"22","author":"Mont","year":"2012","journal-title":"Surg Technol Int"},{"issue":"11 Supple A","key":"10.1016\/j.jor.2025.06.019_bib5","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1302\/0301-620X.96B11.34152","article-title":"Patient dissatisfaction following total knee replacement: a growing concern?","volume":"96-B","author":"Nam","year":"2014","journal-title":"Bone Joint Lett J"},{"key":"10.1016\/j.jor.2025.06.019_bib6","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1051\/sicotj\/2021021","article-title":"Personalized alignment in total knee arthroplasty: current concepts","volume":"7","author":"Lustig","year":"2021","journal-title":"SICOT J"},{"key":"10.1016\/j.jor.2025.06.019_bib7","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.knee.2023.01.015","article-title":"Coronal alignment classes after robotic-assisted total knee arthroplasty are not associated with variation in patient-reported outcome measurements: a single-center cohort study","volume":"41","author":"Kaneko","year":"2023","journal-title":"Knee"},{"issue":"11","key":"10.1016\/j.jor.2025.06.019_bib8","doi-asserted-by":"crossref","first-page":"3393","DOI":"10.1016\/j.arth.2020.03.005","article-title":"Clinical and radiological outcomes in robotic-assisted total knee arthroplasty: a systematic review and meta-analysis","volume":"35","author":"Agarwal","year":"2020","journal-title":"J Arthroplast"},{"issue":"6","key":"10.1016\/j.jor.2025.06.019_bib9","doi-asserted-by":"crossref","first-page":"3391","DOI":"10.1007\/s00402-022-04636-6","article-title":"Clinical outcomes in TKA are enhanced by both robotic assistance and patient specific alignment: a comparative trial in 120 patients","volume":"143","author":"Winnock de Grave","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"issue":"5","key":"10.1016\/j.jor.2025.06.019_bib10","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1007\/s00167-019-05506-2","article-title":"Highly variable coronal tibial and femoral alignment in osteoarthritic knees: a systematic review","volume":"27","author":"Hess","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"10","key":"10.1016\/j.jor.2025.06.019_bib11","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1302\/0301-620X.106B10.BJJ-2023-1425.R1","article-title":"Pre- and postoperative coronal plane alignment of the knee classification and its impact on clinical outcomes in total knee arthroplasty","volume":"106-B","author":"Konishi","year":"2024","journal-title":"Bone Joint Lett J"},{"issue":"2","key":"10.1016\/j.jor.2025.06.019_bib12","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1302\/0301-620X.103B2.BJJ-2020-1050.R1","article-title":"Coronal plane alignment of the knee (CPAK) classification.A new system for describing knee phenotypes","volume":"103-B","author":"MacDessi","year":"2021","journal-title":"Bone Joint Lett J"},{"issue":"1","key":"10.1016\/j.jor.2025.06.019_bib13","first-page":"18","article-title":"Principles of deformity correction around the knee","volume":"29","author":"Paley","year":"2000","journal-title":"Orthop\u00e4"},{"key":"10.1016\/j.jor.2025.06.019_bib14","unstructured":"AYUMIEYE,\u201dWaseda elderly Health Association Co., Ltd. [[Last accessed on 30 Apr 30]]. Available: https:\/\/ayumieye.com .."},{"key":"10.1016\/j.jor.2025.06.019_bib15","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.gaitpost.2007.10.010","article-title":"Accelerometry:A technique for quantifying movement patterns during walking","volume":"28","author":"Kavanagh","year":"2008","journal-title":"Gait Posture"},{"key":"10.1016\/j.jor.2025.06.019_bib16","first-page":"783","article-title":"Association between trunk acceleration during walking and clinically assessed balance in patients with stroke","volume":"41","author":"Osaka","year":"2017","journal-title":"NeuroRehabilitation"},{"key":"10.1016\/j.jor.2025.06.019_bib17","article-title":"Comparison of gait analysis between a triaxial accelerometer-based device and an optical motion capture system","author":"Ito","year":"2020","journal-title":"Preprints"},{"key":"10.1016\/j.jor.2025.06.019_bib18","unstructured":"Ries M, Haas S, Bellemans J, McAuliffe M, Kaper B, Mendelson D, Lenz N. A review of historical and modern alignment philosophies in total knee arthroplasty: a look into the future with Smith+Nephew's alignment philosophy. 31170 V1. Published 01\/22. https:\/\/doi.org\/10.1007\/3-540-27658-0.."},{"issue":"3","key":"10.1016\/j.jor.2025.06.019_bib19","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.gaitpost.2009.05.015","article-title":"Variability of walking and other daily activities in patients with total knee replacement","volume":"30","author":"McClelland","year":"2009","journal-title":"Gait Posture"},{"issue":"11","key":"10.1016\/j.jor.2025.06.019_bib20","doi-asserted-by":"crossref","first-page":"3368","DOI":"10.1007\/s00167-018-4899-1","article-title":"Preoperative tibial mechanical axis orientation and articular surface design influence on the coronal joint line orientation relative to the ground during gait after total knee arthroplasties","volume":"26","author":"Murakami","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"12-S","key":"10.1016\/j.jor.2025.06.019_bib21","first-page":"91","article-title":"Pre-operative and post-operative kinematic analysis in total knee arthroplasty. A pilot study","volume":"90","author":"Di Benedetto","year":"2019","journal-title":"Acta Biomed"},{"issue":"3","key":"10.1016\/j.jor.2025.06.019_bib22","doi-asserted-by":"crossref","first-page":"418","DOI":"10.3390\/healthcare10030418","article-title":"Is static alignment a good predictor of dynamic alignment after total knee arthroplasty?","volume":"10","author":"Gu","year":"2022","journal-title":"Healthcare (Basel)"},{"issue":"25","key":"10.1016\/j.jor.2025.06.019_bib23","first-page":"35","article-title":"Anatomical bi-cruciate retaining TKA improves gait ability earlier than bi-cruciate stabilized TKA based on triaxial accelerometery data: a prospective cohort study","volume":"31","author":"Amemiya","year":"2021","journal-title":"Asia Pac J Sports Med Arthrosc Rehabil Technol"}],"container-title":["Journal of Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0972978X25002430?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0972978X25002430?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T14:11:35Z","timestamp":1789135895000},"score":1,"resource":{"primary":{"URL":"https:\/\/jortho.org\/robotic-assisted-physiological-alignment-tka-with-a-3-degree-varus-inclination-does-not-affect-gait-ability-regardless-of-pre-arthritic-cpak-classification-matching\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":23,"alternative-id":["S0972978X25002430"],"URL":"https:\/\/doi.org\/10.1016\/j.jor.2025.06.019","relation":{},"ISSN":["0972-978X"],"issn-type":[{"value":"0972-978X","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Robotic-assisted \u201cphysiological alignment\u201d TKA with a 3-degree varus inclination does not affect gait ability, regardless of pre-arthritic CPAK classification matching","name":"articletitle","label":"Article Title"},{"value":"Journal of Orthopaedics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jor.2025.06.019","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}