{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T20:18:34Z","timestamp":1788985114585,"version":"build-2803163510"},"reference-count":24,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thekneejournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Knee"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.knee.2026.104530","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T11:59:17Z","timestamp":1781524757000},"page":"104530","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Soft tissue-based selection of alignment and implant strategy in total knee arthroplasty is associated with comparable patient-reported outcomes despite baseline differences"],"prefix":"10.1016","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4737-6481","authenticated-orcid":false,"given":"Hiroyasu","family":"Ogawa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuhiro","family":"Ichikawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Ota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruhiko","family":"Akiyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.knee.2026.104530_b0005","article-title":"Efficacy of functional alignment in total knee arthroplasty in restoring in vivo cruciate ligament forces and knee kinematics compared with mechanical alignment","author":"Kono","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.knee.2026.104530_b0010","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1055\/s-0039-1677846","article-title":"Kinematic alignment in cruciate retaining implants improves the biomechanical function in total knee arthroplasty during gait and deep knee bend","volume":"33","author":"Kang","year":"2020","journal-title":"J Knee Surg"},{"key":"10.1016\/j.knee.2026.104530_b0015","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1097\/01.blo.0000187060.19949.40","article-title":"The use of standard posterior stabilized implants in revision total knee arthroplasty","volume":"440","author":"Laskin","year":"2005","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.knee.2026.104530_b0020","doi-asserted-by":"crossref","first-page":"2072","DOI":"10.2106\/JBJS.J.01143","article-title":"Increased long-term survival of posterior cruciate-retaining versus posterior cruciate-stabilizing total knee replacements","volume":"93","author":"Abdel","year":"2011","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.knee.2026.104530_b0025","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.knee.2010.04.001","article-title":"Results of total knee replacement with a cruciate-retaining model for severe valgus deformity \u2013 A study of 48 patients followed for an average of 9 years","volume":"18","author":"Koskinen","year":"2011","journal-title":"Knee"},{"key":"10.1016\/j.knee.2026.104530_b0030","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1016\/j.arth.2004.03.009","article-title":"Total knee arthroplasty in patients with angular varus or valgus deformities of \u226520 degrees","volume":"19","author":"Ritter","year":"2004","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.knee.2026.104530_b0035","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/j.arth.2007.01.004","article-title":"Cruciate-retaining total knee arthroplasty in patients with at least fifteen degrees of coronal plane deformity","volume":"23","author":"Kubiak","year":"2008","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.knee.2026.104530_b0040","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.ocl.2023.07.001","article-title":"Intraoperative challenges of the kinematic knee","volume":"55","author":"Brown","year":"2024","journal-title":"Orthop Clin North Am"},{"key":"10.1016\/j.knee.2026.104530_b0045","doi-asserted-by":"crossref","first-page":"2491","DOI":"10.1016\/j.arth.2018.02.094","article-title":"Cruciate-retaining vs posterior-stabilized primary total arthroplasty. Clinical outcome comparison with a minimum follow-up of 10 years","volume":"33","author":"Serna-Berna","year":"2018","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.knee.2026.104530_b0050","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1002\/ksa.12019","article-title":"Restricted kinematically aligned total knee arthroplasty with an anatomically designed implant can restore constitutional coronal lower limb alignment","volume":"32","author":"Ogawa","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.knee.2026.104530_b0055","doi-asserted-by":"crossref","first-page":"3482","DOI":"10.1007\/s00167-018-4948-9","article-title":"Coronal tibiofemoral subluxation is correlated to correction angle in medial opening wedge high tibial osteotomy","volume":"26","author":"Ogawa","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.knee.2026.104530_b0060","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1016\/j.otsr.2019.05.003","article-title":"Effect of increased posterior tibial slope on the anterior cruciate ligament status in medial open wedge high tibial osteotomy in an uninjured ACL population","volume":"105","author":"Ogawa","year":"2019","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.knee.2026.104530_b0065","first-page":"2473","article-title":"WOMAC: a 20-year experiential review of a patient-centered self-reported health status questionnaire","volume":"29","author":"Bellamy","year":"2002","journal-title":"J Rheumatol"},{"key":"10.1016\/j.knee.2026.104530_b0070","article-title":"Smaller medial component gaps at deep flexion are associated with better patient-reported outcomes after robotic-assisted cruciate-retaining total knee arthroplasty using an anatomically designed implant","author":"Nakamura","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.knee.2026.104530_b0075","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1002\/ksa.12799","article-title":"Preoperative flexion contracture does not impair outcomes or early revision rates following robotic total knee arthroplasty with functional alignment","volume":"34","author":"Koutserimpas","year":"2026","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.knee.2026.104530_b0080","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1007\/s00167-021-06487-x","article-title":"Mild radiographic osteoarthritis is associated with increased pain and dissatisfaction following total knee arthroplasty when compared with severe osteoarthritis: a systematic review and meta-analysis","volume":"30","author":"Shohat","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.knee.2026.104530_b0085","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.knee.2022.11.001","article-title":"Kinematic alignment results in clinically similar outcomes to mechanical alignment: systematic review and meta-analysis","volume":"40","author":"Van Essen","year":"2023","journal-title":"Knee"},{"key":"10.1016\/j.knee.2026.104530_b0090","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1097\/CORR.0000000000003356","article-title":"Kinematic alignment does not result in clinically important improvements after TKA compared with mechanical alignment: a meta-analysis of randomized trials","volume":"483","author":"Nucci","year":"2025","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.knee.2026.104530_b0095","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1002\/ksa.12093","article-title":"Superiority of kinematic alignment over mechanical alignment in total knee arthroplasty during medium- to long-term follow-up: a meta-analysis and trial sequential analysis","volume":"32","author":"Wang","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.knee.2026.104530_b0100","doi-asserted-by":"crossref","first-page":"2234","DOI":"10.1016\/j.arth.2024.03.045","article-title":"Kinematic alignment technique outperforms mechanical alignment in simultaneous bilateral total knee arthroplasty: a randomized controlled trial","volume":"39","author":"Sarzaeem","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.knee.2026.104530_b0105","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.knee.2026.104530_b0110","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.rdc.2018.01.011","article-title":"Minimal clinically important difference: a review of outcome measure score interpretation","volume":"44","author":"Engel","year":"2018","journal-title":"Rheum Dis Clin North Am"},{"key":"10.1016\/j.knee.2026.104530_b0115","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1016\/j.knee.2019.01.002","article-title":"Kinematic alignment is bone and soft tissue preserving compared to mechanical alignment in total knee arthroplasty","volume":"26","author":"An","year":"2019","journal-title":"Knee"},{"key":"10.1016\/j.knee.2026.104530_b0120","doi-asserted-by":"crossref","first-page":"3155","DOI":"10.1016\/j.arth.2025.05.128","article-title":"Influence of total knee arthroplasty alignment on soft-tissue balance and pivot patterns: a randomized controlled trial of kinematic versus mechanical alignment","volume":"40","author":"Barroso Rosa","year":"2025","journal-title":"J Arthroplasty"}],"container-title":["The Knee"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0968016026002103?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0968016026002103?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T20:00:57Z","timestamp":1788984057000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0968016026002103"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":24,"alternative-id":["S0968016026002103"],"URL":"https:\/\/doi.org\/10.1016\/j.knee.2026.104530","relation":{},"ISSN":["0968-0160"],"issn-type":[{"value":"0968-0160","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Soft tissue-based selection of alignment and implant strategy in total knee arthroplasty is associated with comparable patient-reported outcomes despite baseline differences","name":"articletitle","label":"Article Title"},{"value":"The Knee","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.knee.2026.104530","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"104530"}}