{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T15:07:43Z","timestamp":1789139263402,"version":"build-2803163510"},"reference-count":61,"publisher":"Scientific Scholar","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T00:00:00Z","timestamp":1765584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"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":[[2026,3]]},"DOI":"10.1016\/j.jor.2025.12.007","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T07:53:11Z","timestamp":1765180391000},"page":"42-49","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Impact of implant generation on the outcomes in medial pivot total knee arthroplasty: a systematic review"],"prefix":"10.25259","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7220-1221","authenticated-orcid":false,"given":"Filippo","family":"Migliorini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1320-2496","authenticated-orcid":false,"given":"Marco","family":"Pilone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luise","family":"Sch\u00e4fer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9577-9533","authenticated-orcid":false,"given":"Raju","family":"Vaishya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Memminger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5327-3702","authenticated-orcid":false,"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","reference":[{"issue":"3","key":"10.1016\/j.jor.2025.12.007_bib1","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.arth.2009.05.008","article-title":"Primitive results after medial-pivot knee arthroplasties: a minimum 5-year follow-up study","volume":"25","author":"Fan","year":"2010","journal-title":"J Arthroplast"},{"issue":"1","key":"10.1016\/j.jor.2025.12.007_bib2","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1186\/s13018-022-03285-0","article-title":"Medial pivot prosthesis has a better functional score and lower complication rate than posterior-stabilized prosthesis: a systematic review and meta-analysis","volume":"17","author":"Shi","year":"2022","journal-title":"J Orthop Surg Res"},{"issue":"23","key":"10.1016\/j.jor.2025.12.007_bib3","doi-asserted-by":"crossref","DOI":"10.3390\/jcm12237258","article-title":"Clinical and functional outcomes of kinematic aligned total knee arthroplasty with a medial pivot design: Two-Year Follow-Up","volume":"12","author":"Sosio","year":"2023","journal-title":"J Clin Med"},{"issue":"3","key":"10.1016\/j.jor.2025.12.007_bib4","doi-asserted-by":"crossref","first-page":"135","DOI":"10.5792\/ksrr.2014.26.3.135","article-title":"Total knee arthroplasty using a posterior cruciate ligament sacrificing medial pivot knee: minimum 5-year Follow-up results","volume":"26","author":"Youm","year":"2014","journal-title":"Knee Surg Relat Res"},{"issue":"8","key":"10.1016\/j.jor.2025.12.007_bib5","doi-asserted-by":"crossref","first-page":"2057","DOI":"10.1007\/s00402-021-04121-6","article-title":"Comparison of postoperative knee flexion and patient satisfaction between newly and conventionally designed medial pivot total knee arthroplasty: a 5-year follow-up matched cohort study","volume":"142","author":"Ueyama","year":"2022","journal-title":"Arch Orthop Trauma Surg"},{"issue":"8","key":"10.1016\/j.jor.2025.12.007_bib6","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1302\/0301-620X.98B8.36208","article-title":"An 11- to 15-year clinical outcome study of the Advance Medial Pivot total knee arthroplasty: pivot knee arthroplasty","volume":"98-B","author":"Karachalios","year":"2016","journal-title":"Bone Joint Lett J"},{"issue":"2","key":"10.1016\/j.jor.2025.12.007_bib7","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/j.knee.2017.01.008","article-title":"A long term clinical outcome of the Medial Pivot Knee Arthroplasty System","volume":"24","author":"Macheras","year":"2017","journal-title":"Knee"},{"key":"10.1016\/j.jor.2025.12.007_bib8","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/s13018-016-0388-8","article-title":"Long-term survivorship of a medial-pivot total knee system compared with other cemented designs in an arthroplasty registry","volume":"11","author":"Bordini","year":"2016","journal-title":"J Orthop Surg Res"},{"issue":"5","key":"10.1016\/j.jor.2025.12.007_bib9","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1016\/j.arth.2010.04.022","article-title":"Clinical outcome of total knee arthroplasty with medial pivot prosthesis a comparative study between the cruciate retaining and sacrificing","volume":"26","author":"Bae","year":"2011","journal-title":"J Arthroplast"},{"issue":"11","key":"10.1016\/j.jor.2025.12.007_bib10","doi-asserted-by":"crossref","first-page":"2337","DOI":"10.1002\/jor.24416","article-title":"Kinematic evaluation of the GMK sphere implant during gait activities: a dynamic videofluoroscopy Study","volume":"37","author":"Schutz","year":"2019","journal-title":"J Orthop Res"},{"issue":"3","key":"10.1016\/j.jor.2025.12.007_bib11","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1302\/2046-3758.53.2000621","article-title":"Can a total knee arthroplasty be both rotationally unconstrained and anteroposteriorly stabilised? A pulsed fluoroscopic investigation","volume":"5","author":"Scott","year":"2016","journal-title":"Bone Joint Res"},{"issue":"7","key":"10.1016\/j.jor.2025.12.007_bib12","doi-asserted-by":"crossref","first-page":"4339","DOI":"10.1007\/s00402-022-04661-5","article-title":"Influence of kinematic alignment on femorotibial kinematics in medial stabilized TKA design compared to mechanical alignment","volume":"143","author":"Bauer","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"issue":"1","key":"10.1016\/j.jor.2025.12.007_bib13","doi-asserted-by":"crossref","first-page":"97","DOI":"10.52628\/89.1.10252","article-title":"Medial pivot total knee arthroplasty: Mid-term results","volume":"89","author":"Karahan","year":"2023","journal-title":"Acta Orthop Belg"},{"issue":"1_Supple_A","key":"10.1016\/j.jor.2025.12.007_bib14","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1302\/0301-620X.101B1.BJJ-2018-0434.R1","article-title":"Medial ball and socket total knee arthroplasty: five-year clinical results","volume":"101-B","author":"Katchky","year":"2019","journal-title":"Bone Joint Lett J"},{"issue":"6","key":"10.1016\/j.jor.2025.12.007_bib15","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1097\/CORR.0000000000001120","article-title":"Decreased survival of medial pivot designs compared with cruciate-retaining designs in TKA without patellar resurfacing","volume":"478","author":"Ohrn","year":"2020","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"10.1016\/j.jor.2025.12.007_bib16","doi-asserted-by":"crossref","DOI":"10.1002\/jeo2.70075","article-title":"The location of the centre of the proximal quadriceps tendon in kinematically aligned total knee arthroplasty is not associated with poor outcome scores or symptomatic patellar instability","volume":"11","author":"Razick","year":"2024","journal-title":"J Exp Orthop"},{"issue":"1","key":"10.1016\/j.jor.2025.12.007_bib17","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1007\/s00402-025-05835-7","article-title":"Mechanical versus kinematic alignment for total knee arthroplasty: a meta-analysis","volume":"145","author":"Migliorini","year":"2025","journal-title":"Arch Orthop Trauma Surg"},{"issue":"4","key":"10.1016\/j.jor.2025.12.007_bib18","doi-asserted-by":"crossref","first-page":"1741","DOI":"10.1007\/s00402-023-05195-0","article-title":"Functional alignment in robotic-assisted total knee arthroplasty: a systematic review","volume":"144","author":"Migliorini","year":"2024","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.jor.2025.12.007_bib19","series-title":"The 2011 Oxford CEBM Levels of Evidence","author":"Howick","year":"2011"},{"key":"10.1016\/j.jor.2025.12.007_bib20","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"Br Med J"},{"key":"10.1016\/j.jor.2025.12.007_bib21","series-title":"Cochrane Handbook for Systematic Reviews of Interventions Version 6.3 (Updated February 2022)","year":"2022"},{"key":"10.1016\/j.jor.2025.12.007_bib22","article-title":"RoB 2: a revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne","year":"2019","journal-title":"Br Med J"},{"key":"10.1016\/j.jor.2025.12.007_bib23","series-title":"Cochrane Handbook for Systematic Reviews of Interventions Version 6.3 (Updated February 2022)","article-title":"Chapter 8: assessing risk of bias in a randomized trial","author":"Higgins","year":"2022"},{"key":"10.1016\/j.jor.2025.12.007_bib24","article-title":"ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions","volume":"355","author":"Sterne","year":"2016","journal-title":"Br Med J"},{"key":"10.1016\/j.jor.2025.12.007_bib25","article-title":"Risk-of-bias VISualization (robvis): an R package and shiny web app for visualizing risk-of-bias assessments","author":"McGuinness","year":"2020","journal-title":"Research Synthesis Methods n\/a (n\/a)"},{"key":"10.1016\/j.jor.2025.12.007_bib26","series-title":"Cochrane Handbook for Systematic Reviews of Interventions Version 6.2","author":"Higgins","year":"2021"},{"issue":"1","key":"10.1016\/j.jor.2025.12.007_bib27","doi-asserted-by":"crossref","first-page":"90","DOI":"10.4055\/cios20268","article-title":"Medial ball and socket total knee arthroplasty in Indian population: 5-Year clinical results","volume":"14","author":"Batra","year":"2022","journal-title":"Clin Orthop Surg"},{"issue":"2","key":"10.1016\/j.jor.2025.12.007_bib28","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.knee.2013.10.005","article-title":"Satisfactory results at 8 years mean follow-up after ADVANCE(R) medial-pivot total knee arthroplasty","volume":"21","author":"Chinzei","year":"2014","journal-title":"Knee"},{"issue":"3","key":"10.1016\/j.jor.2025.12.007_bib29","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/j.arth.2016.08.028","article-title":"Are midterm patient-reported outcome measures between rotating-platform mobile-bearing prosthesis and medial-pivot prosthesis different? A minimum of 5-Year Follow-Up Study","volume":"32","author":"Choi","year":"2017","journal-title":"J Arthroplast"},{"issue":"9","key":"10.1016\/j.jor.2025.12.007_bib30","doi-asserted-by":"crossref","first-page":"3627","DOI":"10.1007\/s00167-021-06668-8","article-title":"The posterolateral upslope of a low-conforming insert blocks the medial pivot during a deep knee bend in TKA: a comparative analysis of two implants with different insert conformities","volume":"31","author":"Delman","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"7","key":"10.1016\/j.jor.2025.12.007_bib31","doi-asserted-by":"crossref","first-page":"1737","DOI":"10.1007\/s00264-023-05834-6","article-title":"Ball-in-socket medial conformity with posterior cruciate ligament retention neither limits internal tibial rotation and knee flexion nor lowers clinical outcome scores after unrestricted kinematically aligned total knee arthroplasty","volume":"47","author":"Elorza","year":"2023","journal-title":"Int Orthop"},{"key":"10.1016\/j.jor.2025.12.007_bib32","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.knee.2023.05.012","article-title":"Posterior cruciate ligament retention with medial ball-in-socket conformity promotes internal tibial rotation and knee flexion while providing high clinical outcome scores","volume":"43","author":"Pacheco Elorza","year":"2023","journal-title":"Knee"},{"issue":"5","key":"10.1016\/j.jor.2025.12.007_bib33","doi-asserted-by":"crossref","first-page":"1275","DOI":"10.1002\/ksa.12143","article-title":"Higher satisfaction and function scores in restricted kinematic alignment versus mechanical alignment with medial pivot design total knee arthroplasty: a prospective randomised controlled trial","volume":"32","author":"Ettinger","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.jor.2025.12.007_bib34","doi-asserted-by":"crossref","DOI":"10.1002\/ksa.12712","article-title":"The Forgotten Joint Score after total knee arthroplasty with a kinematic alignment-optimized femoral component matches total hip arthroplasty","author":"Howell","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"12","key":"10.1016\/j.jor.2025.12.007_bib35","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2023.e22741","article-title":"Equivalence of clinical and radiological outcomes in cruciate-retaining and cruciate-substituting total knee arthroplasty with medial pivot knee: a comparative study","volume":"9","author":"Hu","year":"2023","journal-title":"Heliyon"},{"issue":"3","key":"10.1016\/j.jor.2025.12.007_bib36","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1007\/s00167-012-2314-x","article-title":"No difference between double-high insert and medial-pivot insert in TKA","volume":"22","author":"Ishida","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"5","key":"10.1016\/j.jor.2025.12.007_bib37","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1016\/j.otsr.2020.04.005","article-title":"Short-term follow-up of kinematically vs. mechanically aligned total knee arthroplasty with medial pivot components: a case-control study","volume":"106","author":"Jeremic","year":"2020","journal-title":"Orthop Traumatol Surg Res"},{"issue":"4","key":"10.1016\/j.jor.2025.12.007_bib38","doi-asserted-by":"crossref","DOI":"10.1002\/jeo2.70013","article-title":"Medial pivot total knee arthroplasty for valgus knees provides equivalent medial stability compared to that for varus knees: in vivo kinematic study","volume":"11","author":"Kage","year":"2024","journal-title":"J Exp Orthop"},{"issue":"8","key":"10.1016\/j.jor.2025.12.007_bib39","doi-asserted-by":"crossref","first-page":"2771","DOI":"10.1016\/j.arth.2021.03.007","article-title":"Evaluating the \"Patella-Friendly\" concept in total knee arthroplasty: a minimum 15-Year Follow-Up outcome Study comparing constant radius, Multiradius Cruciate-Retaining, and nonanatomical cruciate-retaining implants","volume":"36","author":"Karachalios","year":"2021","journal-title":"J Arthroplast"},{"key":"10.1016\/j.jor.2025.12.007_bib40","article-title":"Unrestricted kinematic alignment offers limited functional benefit over mechanical alignment in medial pivot total knee arthroplasty: a randomized controlled trial using conventional instrumentation","author":"Koutp","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.jor.2025.12.007_bib41","doi-asserted-by":"crossref","first-page":"758","DOI":"10.2340\/17453674.2024.42489","article-title":"A new tibial insert design with ball-in-socket medial conformity and posterior cruciate ligament retention has low tibial baseplate migration after unrestricted kinematically aligned total knee arthroplasty: a cohort study using radiostereometric analysis","volume":"95","author":"Niesen","year":"2024","journal-title":"Acta Orthop"},{"issue":"3","key":"10.1016\/j.jor.2025.12.007_bib42","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1007\/s00264-025-06420-8","article-title":"Comparative study of outcomes with total knee arthroplasty: medial pivot prosthesis vs posterior stabilized implant. Prospective randomized control","volume":"49","author":"Obada","year":"2025","journal-title":"Int Orthop"},{"key":"10.1016\/j.jor.2025.12.007_bib43","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.jor.2020.08.025","article-title":"Combining kinematic alignment and medial stabilized design in total knee arthroplasty: basic rationale and preliminary clinical evidences","volume":"21","author":"Risitano","year":"2020","journal-title":"J Orthop"},{"issue":"1","key":"10.1016\/j.jor.2025.12.007_bib44","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/s42836-023-00180-9","article-title":"Long-term clinical results of alumina ceramic medial pivot total knee arthroplasty: a 10-year follow-up study","volume":"5","author":"Ueyama","year":"2023","journal-title":"Arthroplasty"},{"issue":"2","key":"10.1016\/j.jor.2025.12.007_bib45","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.arth.2021.11.016","article-title":"No difference in postoperative knee flexion and patient joint awareness between cruciate-substituting and cruciate-retaining medial pivot total knee prostheses: a 10-Year Follow-Up Study","volume":"37","author":"Ueyama","year":"2022","journal-title":"J Arthroplast"},{"issue":"6","key":"10.1016\/j.jor.2025.12.007_bib46","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/j.knee.2012.04.002","article-title":"Clinical and radiologic outcomes of total knee arthroplasty using the advance Medial Pivot prosthesis. A mean 7 years follow-up","volume":"19","author":"Vecchini","year":"2012","journal-title":"Knee"},{"issue":"11","key":"10.1016\/j.jor.2025.12.007_bib47","doi-asserted-by":"crossref","first-page":"2877","DOI":"10.1007\/s00264-021-05017-1","article-title":"Mid-term clinical outcomes and survivorship of medial-pivot total knee arthroplasty-a mean five year follow-up based on one thousand, one hundred and twenty eight cases","volume":"45","author":"Xiang","year":"2021","journal-title":"Int Orthop"},{"issue":"8","key":"10.1016\/j.jor.2025.12.007_bib48","doi-asserted-by":"crossref","first-page":"1933","DOI":"10.1007\/s00167-013-2776-5","article-title":"The minimal clinically important difference in the Oxford knee score and Short Form 12 score after total knee arthroplasty","volume":"22","author":"Clement","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"10.1016\/j.jor.2025.12.007_bib49","article-title":"Constraint of different knee implant designs under anterior-posterior shear forces and internal-external rotation moments in human cadaveric knees","volume":"12","author":"Brendle","year":"2025","journal-title":"Bioengineering (Basel)"},{"issue":"6","key":"10.1016\/j.jor.2025.12.007_bib50","doi-asserted-by":"crossref","first-page":"1595","DOI":"10.1016\/j.arth.2023.11.038","article-title":"Kinematic performance of medial pivot total knee arthroplasty","volume":"39","author":"Hamilton","year":"2024","journal-title":"J Arthroplast"},{"issue":"1","key":"10.1016\/j.jor.2025.12.007_bib51","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.ocl.2023.06.007","article-title":"The medial pivot design in total knee arthroplasty","volume":"55","author":"Hodgeson","year":"2024","journal-title":"Orthop Clin North Am"},{"key":"10.1016\/j.jor.2025.12.007_bib52","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1097\/01.blo.0000063598.67412.0d","article-title":"The movement of the knee studied by magnetic resonance imaging","volume":"410","author":"Freeman","year":"2003","journal-title":"Clin Orthop Relat Res"},{"issue":"11","key":"10.1016\/j.jor.2025.12.007_bib53","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1007\/s00402-018-3019-5","article-title":"Second-generation bi-cruciate stabilized total knee system has a lower reoperation and revision rate than its predecessor","volume":"138","author":"Christen","year":"2018","journal-title":"Arch Orthop Trauma Surg"},{"issue":"18","key":"10.1016\/j.jor.2025.12.007_bib54","doi-asserted-by":"crossref","DOI":"10.3390\/jcm13185623","article-title":"Mechanically aligned second-generation medial pivot primary total knee arthroplasty does not reproduce normal knee biomechanics: a gait analysis Study","volume":"13","author":"La Verde","year":"2024","journal-title":"J Clin Med"},{"key":"10.1016\/j.jor.2025.12.007_bib55","doi-asserted-by":"crossref","DOI":"10.1016\/j.clinbiomech.2024.106267","article-title":"Biomechanical improvements in gait following medial pivot knee implant surgery","volume":"116","author":"Dabirrahmani","year":"2024","journal-title":"Clin Biomech"},{"issue":"6","key":"10.1016\/j.jor.2025.12.007_bib56","doi-asserted-by":"crossref","first-page":"1784","DOI":"10.1007\/s00167-016-4414-5","article-title":"Kinematics of a bicruciate-retaining total knee arthroplasty","volume":"25","author":"Heyse","year":"2017","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"6","key":"10.1016\/j.jor.2025.12.007_bib57","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1016\/j.knee.2014.11.011","article-title":"Fluoroscopic motion study confirming the stability of a medial pivot design total knee arthroplasty","volume":"22","author":"Shimmin","year":"2015","journal-title":"Knee"},{"key":"10.1016\/j.jor.2025.12.007_bib58","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1051\/sicotj\/2025041","article-title":"The learning curve of novel implant total knee arthroplasty system in high-volume university center","volume":"11","author":"Messe","year":"2025","journal-title":"SICOT J"},{"issue":"18","key":"10.1016\/j.jor.2025.12.007_bib59","doi-asserted-by":"crossref","first-page":"339","DOI":"10.21037\/atm.2016.08.41","article-title":"Patient satisfaction at 2 months following total knee replacement using a second generation medial-pivot system: follow-up of 250 consecutive cases","volume":"4","author":"Van Overschelde","year":"2016","journal-title":"Ann Transl Med"},{"issue":"11","key":"10.1016\/j.jor.2025.12.007_bib60","doi-asserted-by":"crossref","first-page":"3437","DOI":"10.1007\/s00402-021-04210-6","article-title":"Clinical radiographic outcomes and survivorship of medial pivot design total knee arthroplasty: a systematic review of the literature","volume":"142","author":"Alessio-Mazzola","year":"2022","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.jor.2025.12.007_bib61","doi-asserted-by":"crossref","DOI":"10.1002\/ksa.12753","article-title":"Similar fixation of total knee arthroplasty components with medial congruent and cruciate retaining polyethylene inserts. A randomised double-blinded controlled radiostereometry trial with 24 months of follow-up","author":"Burvil","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"}],"container-title":["Journal of Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0972978X25004817?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0972978X25004817?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T14:08:55Z","timestamp":1789135735000},"score":1,"resource":{"primary":{"URL":"https:\/\/jortho.org\/impact-of-implant-generation-on-the-outcomes-in-medial-pivot-total-knee-arthroplasty-a-systematic-review\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":61,"alternative-id":["S0972978X25004817"],"URL":"https:\/\/doi.org\/10.1016\/j.jor.2025.12.007","relation":{},"ISSN":["0972-978X"],"issn-type":[{"value":"0972-978X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of implant generation on the outcomes in medial pivot total knee arthroplasty: a systematic review","name":"articletitle","label":"Article Title"},{"value":"Journal of Orthopaedics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jor.2025.12.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation.","name":"copyright","label":"Copyright"}]}}