{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:56:16Z","timestamp":1789102576420,"version":"build-2803163510"},"reference-count":64,"publisher":"Bioscientifica","issue":"1","license":[{"start":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T00:00:00Z","timestamp":1781308800000},"content-version":"vor","delay-in-days":163,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1,1]]},"abstract":"<jats:p>Valgus accounts for 18.5% of patients undergoing a total knee arthroplasty (TKA). Following a mechanical alignment (MA) surgical technique, these patients have historically been more challenging than their varus counterparts. In valgus knees, conventional MA-TKA frequently distalizes and posteriorizes the lateral femoral condyle, increasing lateral patellar retinaculum tension and flexion space imbalance and instability. Personalized arthroplasty is gaining popularity for varus knees, but its value remains debated for valgus knees. This reluctance stems from outdated misconceptions about valgus knee anatomy and biomechanics and limited awareness of advancements in implant survivorship and outcomes. Patients with valgus HKA may present with various knee laxities. While medial collateral ligament (MCL) pseudo-laxity and generalized hyperlaxity are easy to manage, true MCL elongation requires careful evaluation and may necessitate surgical modifications. A surgical approach favoring patellar tracking and avoiding increasing medial compartment gaps is of paramount importance. Joint laxity assessment should guide surgical decisions, from tibial undercutting for mild laxity to soft tissue releases or constrained implants for severe instability. In the presence of a pathological patellofemoral joint, the surgical technique should be adapted with trochlear position\/orientation modifications, patellar resurfacing medializing the implant, lateral retinacular release, or a tibial tuberosity osteotomy. Long-term studies show high patient satisfaction with restricted kinematic alignment, TKA in valgus knees, with outcomes comparable to varus knees.<\/jats:p>","DOI":"10.1530\/eor-2025-0046","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T17:42:18Z","timestamp":1767980538000},"page":"34-45","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":5,"title":["Valgus knee deserves personalized total knee arthroplasty"],"prefix":"10.1530","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7519-4995","authenticated-orcid":true,"given":"Gautier","family":"Beckers","sequence":"first","affiliation":[{"name":"1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc-Olivier","family":"Kiss","sequence":"additional","affiliation":[{"name":"2"},{"name":"3"},{"name":"4"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Mass\u00e9","sequence":"additional","affiliation":[{"name":"2"},{"name":"3"},{"name":"4"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4652-6238","authenticated-orcid":true,"given":"Pascal-Andr\u00e9","family":"Vendittoli","sequence":"additional","affiliation":[{"name":"3"},{"name":"4"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"2026070713570466000_bib1","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.arth.2022.10.011","article-title":"Are 20% of patients actually dissatisfied following total knee arthroplasty? A systematic review of the literature","volume":"38","author":"DeFrance","year":"2023","journal-title":"J Arthroplast"},{"key":"2026070713570466000_bib2","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1002\/ksa.12107","article-title":"Neutrality, normality, abnormality and pathology in coronal knee alignment: why and how should we define it in the era of personalised medicine?","volume":"32","author":"Hirschmann","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib3","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.arth.2023.11.023","article-title":"Ten flaws of systematic mechanical alignment total knee arthroplasty","volume":"39","author":"Beckers","year":"2024","journal-title":"J Arthroplast"},{"key":"2026070713570466000_bib4","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1002\/ksa.12452","article-title":"Excellent results of restricted kinematic alignment total knee arthroplasty at a minimum of 10 years of follow-up","volume":"33","author":"Morcos","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib5","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.3390\/jcm13051302","article-title":"Why kinematic alignment makes little sense in valgus osteoarthritis of the knee: a narrative review","volume":"13","author":"Sterneder","year":"2024","journal-title":"J Clin Med"},{"key":"2026070713570466000_bib6","doi-asserted-by":"crossref","first-page":"2133","DOI":"10.1016\/j.arth.2017.02.028","article-title":"The impact of mechanical and restricted kinematic alignment on knee anatomy in total knee arthroplasty","volume":"32","author":"Almaawi","year":"2017","journal-title":"J Arthroplast"},{"key":"2026070713570466000_bib7","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1002\/ksa.12066","article-title":"Definition of normal, neutral, deviant and aberrant coronal knee alignment for total knee arthroplasty","volume":"32","author":"Hirschmann","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib8","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1016\/j.joca.2005.01.009","article-title":"Medial and lateral osteoarthritis of the knee is related to variations of hip and pelvic anatomy","volume":"13","author":"Weidow","year":"2005","journal-title":"Osteoarthr Cartil"},{"key":"2026070713570466000_bib9","doi-asserted-by":"crossref","DOI":"10.1016\/j.artd.2023.101265","article-title":"Optimal sequence of corrective surgeries for concomitant valgus knee and rigid pes planus deformities: the knee-first approach","volume":"24","author":"Pasquinelly","year":"2023","journal-title":"Arthroplast Today"},{"key":"2026070713570466000_bib10","doi-asserted-by":"crossref","first-page":"791","DOI":"10.5312\/wjo.v12.i10.791","article-title":"Alignment of the hindfoot following total knee arthroplasty: a systematic review","volume":"12","author":"Butler","year":"2021","journal-title":"World J Orthop"},{"key":"2026070713570466000_bib11","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1530\/EOR-23-0215","article-title":"Personalized total knee arthroplasty in patients with extra-articular deformities","volume":"9","author":"Beckers","year":"2024","journal-title":"EFORT Open Rev"},{"key":"2026070713570466000_bib12","doi-asserted-by":"crossref","first-page":"2642","DOI":"10.1016\/j.arthro.2024.08.009","article-title":"Anatomic risk factors for lateral patellar instability","volume":"40","author":"Only","year":"2024","journal-title":"Arthroscopy"},{"key":"2026070713570466000_bib13","doi-asserted-by":"crossref","first-page":"2320","DOI":"10.1177\/0363546510373887","article-title":"Anatomy of lateral patellar instability","volume":"38","author":"Balcarek","year":"2010","journal-title":"Am J Sports Med"},{"key":"2026070713570466000_bib14","doi-asserted-by":"crossref","first-page":"1671","DOI":"10.1016\/j.arth.2014.03.001","article-title":"Tibia Valga morphology in osteoarthritic knees: importance of preoperative full limb radiographs in total knee arthroplasty","volume":"29","author":"Alghamdi","year":"2014","journal-title":"J Arthroplast"},{"key":"2026070713570466000_bib15","doi-asserted-by":"crossref","first-page":"16","DOI":"10.5435\/00124635-200201000-00004","article-title":"Total knee arthroplasty in the valgus knee","volume":"10","author":"Favorito","year":"2002","journal-title":"J Am Acad Orthop Surg"},{"key":"2026070713570466000_bib16","doi-asserted-by":"crossref","DOI":"10.60118\/001c.68135","article-title":"The lateral femoral condyle is not hypoplastic relative to the medial condyle in 6829 magnetic resonance images irrespective of gender, age, or extent of arthritis","volume":"4","author":"Shah","year":"2023","journal-title":"J Orthopaedic Experience Innovation"},{"key":"2026070713570466000_bib17","doi-asserted-by":"crossref","first-page":"98","DOI":"10.2106\/JBJS.H.01566","article-title":"Assessment of the radii of the medial and lateral femoral condyles in varus and valgus knees with osteoarthritis","volume":"92","author":"Howell","year":"2010","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713570466000_bib18","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/BF01552649","article-title":"Factors of patellar instability: an anatomic radiographic study","volume":"2","author":"Dejour","year":"1994","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib19","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.knee.2024.09.007","article-title":"Patellar morphology is different in patellofemoral instability: an MRI comparative case-control study","volume":"51","author":"Thouvenin","year":"2024","journal-title":"Knee"},{"key":"2026070713570466000_bib20","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1302\/2058-5241.6.210042","article-title":"Specific case consideration for implanting TKA with the kinematic alignment technique","volume":"6","author":"Rivi\u00e8re","year":"2021","journal-title":"EFORT Open Rev"},{"key":"2026070713570466000_bib21","doi-asserted-by":"crossref","first-page":"1917","DOI":"10.1002\/ksa.12266","article-title":"Why we should use boundaries for personalised knee arthroplasty and the lack of evidence for unrestricted kinematic alignment","volume":"32","author":"Vendittoli","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib22","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.1002\/ksa.12544","article-title":"Preoperative quadriceps malalignment is associated with poor outcomes after knee replacement which are avoided by external rotation of the femoral component","volume":"33","author":"Talbot","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib23","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"},{"key":"2026070713570466000_bib24","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-642-59373-4","volume-title":"Principles of Deformity Correction","author":"Paley","year":"2002"},{"key":"2026070713570466000_bib25","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","volume":"103-B","author":"MacDessi","year":"2021","journal-title":"Bone Joint Lett J"},{"key":"2026070713570466000_bib26","first-page":"271","article-title":"Total knee arthroplasty for severe valgus deformity","volume":"87","author":"Ranawat","year":"2005","journal-title":"J Bone Joint Surg"},{"key":"2026070713570466000_bib27","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1055\/a-2395-6831","article-title":"No radiographic evidence of medial collateral ligament elongation in valgus osteoarthritic knees enables treatment with kinematically aligned total knee arthroplasty","volume":"38","author":"Nedopil","year":"2025","journal-title":"J Knee Surg"},{"key":"2026070713570466000_bib28","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.knee.2005.09.001","article-title":"A convex lateral tibial plateau for knee replacement","volume":"13","author":"Bar\u00e9","year":"2006","journal-title":"Knee"},{"key":"2026070713570466000_bib29","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.jor.2021.05.013","article-title":"Alignment evaluation using different distal reference points after total knee arthroplasty","volume":"25","author":"Ishii","year":"2021","journal-title":"J Orthop"},{"key":"2026070713570466000_bib30","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1007\/s00167-020-06060-y","article-title":"Hip-to-calcaneus alignment differs from hip-to-talus alignment in patients with genu varum deformity","volume":"29","author":"Kim","year":"2021","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib31","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1016\/j.knee.2017.05.015","article-title":"Radiographic analysis of the lower limbs using the hip\u2013calcaneus line in healthy individuals and in patients with varus knee osteoarthritis","volume":"24","author":"Tanaka","year":"2017","journal-title":"Knee"},{"key":"2026070713570466000_bib32","doi-asserted-by":"crossref","first-page":"333","DOI":"10.2106\/JBJS.M.01327","article-title":"Weight-bearing-line analysis in supramalleolar osteotomy for varus-type osteoarthritis of the ankle","volume":"97","author":"Haraguchi","year":"2015","journal-title":"J Bone Joint Surg"},{"key":"2026070713570466000_bib33","doi-asserted-by":"crossref","first-page":"193","DOI":"10.3390\/jpm14020193","article-title":"Only 26% of native knees show an identical coronal functional knee phenotype in the contralateral knee","volume":"14","author":"Sava","year":"2024","journal-title":"J Pers Med"},{"key":"2026070713570466000_bib34","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s00508-016-1096-4","article-title":"Gait disorders in adults and the elderly","volume":"129","author":"Pirker","year":"2017","journal-title":"Wien Klin Wochenschr"},{"key":"2026070713570466000_bib35","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1302\/0301-620X.97B10.36920","article-title":"The difficult primary total knee arthroplasty","volume":"97-B","author":"Baldini","year":"2015","journal-title":"Bone Joint Lett J"},{"key":"2026070713570466000_bib36","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1007\/s00167-020-05968-9","article-title":"A cruciate-retaining implant can treat both knees of most windswept deformities when performed with calipered kinematically aligned TKA","volume":"29","author":"Howell","year":"2021","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib37","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1016\/j.knee.2017.03.001","article-title":"Does standing limb alignment after total knee arthroplasty predict dynamic alignment and knee loading during gait?","volume":"24","author":"Rivi\u00e8re","year":"2017","journal-title":"Knee"},{"key":"2026070713570466000_bib38","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.gaitpost.2019.05.025","article-title":"Hip-knee-ankle (HKA) angle modification during gait in healthy subjects","volume":"72","author":"Cl\u00e9ment","year":"2019","journal-title":"Gait Posture"},{"key":"2026070713570466000_bib39","doi-asserted-by":"crossref","first-page":"2143","DOI":"10.2106\/JBJS.I.01398","article-title":"Effect of postoperative mechanical axis alignment on the fifteen-year survival of modern, cemented total knee replacements","volume":"92","author":"Parratte","year":"2010","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713570466000_bib40","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1080\/17453674.2019.1675126","article-title":"Less gap imbalance with restricted kinematic alignment than with mechanically aligned total knee arthroplasty: simulations on 3-D bone models created from CT-scans","volume":"90","author":"Blakeney","year":"2019","journal-title":"Acta Orthop"},{"key":"2026070713570466000_bib41","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2021.697020","article-title":"Restricted kinematic alignment, the fundamentals, and clinical applications","volume":"8","author":"Vendittoli","year":"2021","journal-title":"Front Surg"},{"key":"2026070713570466000_bib42","doi-asserted-by":"crossref","first-page":"1532","DOI":"10.1007\/s00167-019-05562-8","article-title":"Bone resection for mechanically aligned total knee arthroplasty creates frequent gap modifications and imbalances","volume":"28","author":"Blakeney","year":"2020","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib43","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s11999-011-1936-5","article-title":"The Chitranjan Ranawat award: is neutral mechanical alignment normal for all patients? The concept of constitutional varus","volume":"470","author":"Bellemans","year":"2012","journal-title":"Clin Orthop Relat Res"},{"key":"2026070713570466000_bib44","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/00003086-200111000-00022","article-title":"Stability after medial collateral ligament release in total knee arthroplasty","volume":"392","author":"Saeki","year":"2001","journal-title":"Clin Orthop Relat Res"},{"key":"2026070713570466000_bib45","doi-asserted-by":"crossref","first-page":"1528","DOI":"10.1016\/j.arth.2013.01.008","article-title":"Soft tissue releases affect the femoral component rotation necessary to create a balanced flexion gap during total knee arthroplasty","volume":"28","author":"Christensen","year":"2013","journal-title":"J Arthroplast"},{"key":"2026070713570466000_bib46","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/978-3-030-24243-5_22","volume-title":"Personalized Hip and Knee Joint Replacement","author":"Sappey-Marinier","year":"2020","edition":"C Rivi\u00e8re, PA V"},{"key":"2026070713570466000_bib47","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1302\/0301-620X.98B1.35692","article-title":"Morphometric analysis of the distal femur in total knee arthroplasty and native knees","volume":"98-B","author":"Bonnin","year":"2016","journal-title":"Bone Joint Lett J"},{"key":"2026070713570466000_bib48","first-page":"7","article-title":"Evolution of trochlear compartment geometry in total knee arthroplasty","volume":"4","author":"Saffarini","year":"2016","journal-title":"Ann Transl Med"},{"key":"2026070713570466000_bib49","doi-asserted-by":"crossref","first-page":"3116","DOI":"10.1007\/s00167-022-07251-5","article-title":"Mismatch between trochlear coronal alignment of arthritic knees and currently available prosthesis: a morphological analysis of 4116 knees and 45 implant designs","volume":"31","author":"Rosa","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib50","article-title":"How to optimize patellar tracking in knee arthroplasty?","volume":"109","author":"Lustig","year":"2023","journal-title":"Orthopaedics Traumatol Surg Res"},{"key":"2026070713570466000_bib51","doi-asserted-by":"crossref","first-page":"1724","DOI":"10.3390\/jpm12101724","article-title":"The trochlear groove of a femoral component designed for kinematic alignment is lateral to the quadriceps line of force and better laterally covers the anterior femoral resection than a mechanical alignment design","volume":"12","author":"Sappey-Marinier","year":"2022","journal-title":"J Pers Med"},{"key":"2026070713570466000_bib52","doi-asserted-by":"crossref","first-page":"3163","DOI":"10.1002\/ksa.12234","article-title":"Individualised compared to off-the-shelf total knee arthroplasty results in lower and less variable patellar tilt","volume":"32","author":"Beel","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib53","doi-asserted-by":"crossref","first-page":"2804","DOI":"10.1016\/j.arth.2018.04.020","article-title":"Morphometric tibial implant decreases posterior overhang rate and improves clinical outcomes: results of a prospective, matched controlled study","volume":"33","author":"Bizzozero","year":"2018","journal-title":"J Arthroplast"},{"key":"2026070713570466000_bib54","doi-asserted-by":"crossref","first-page":"2287","DOI":"10.1007\/s00402-021-04054-0","article-title":"An insert with less than spherical medial conformity causes a loss of passive internal rotation after calipered kinematically aligned TKA","volume":"141","author":"Nedopil","year":"2021","journal-title":"Arch Orthop Trauma Surg"},{"key":"2026070713570466000_bib55","doi-asserted-by":"crossref","first-page":"686","DOI":"10.2519\/jospt.2003.33.11.686","article-title":"The influence of tibial and femoral rotation on patellofemoral contact area and pressure","volume":"33","author":"Lee","year":"2003","journal-title":"J Orthop Sports Phys Ther"},{"key":"2026070713570466000_bib56","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1007\/s00167-004-0605-6","article-title":"Time dependent changes in patellar tracking with medial parapatellar and midvastus approaches","volume":"13","author":"Ozkoc","year":"2005","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib57","doi-asserted-by":"crossref","first-page":"2331","DOI":"10.1007\/s00167-012-2306-x","article-title":"Coronal alignment is a predictor of the rotational geometry of the distal femur in the osteo-arthritic knee","volume":"21","author":"Luyckx","year":"2013","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib58","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1302\/0301-620X.99B7.BJJ-2016-0717.R1","article-title":"External rotation of the femoral component increases asymmetry of the posterior condyles","volume":"99-B","author":"Bonnin","year":"2017","journal-title":"Bone Joint Lett J"},{"key":"2026070713570466000_bib59","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1097\/00003086-199110000-00008","article-title":"The lateral approach to the valgus knee. Surgical technique and analysis of 53 cases with over two-year follow-up evaluation","volume":"271","author":"Keblish","year":"1991","journal-title":"Clin Orthop Relat Res"},{"key":"2026070713570466000_bib60","doi-asserted-by":"crossref","first-page":"S209","DOI":"10.1016\/j.arth.2023.03.065","article-title":"A randomized controlled trial of kinematically and mechanically aligned total knee arthroplasties: long-term Follow-Up","volume":"38","author":"Dossett","year":"2023","journal-title":"J Arthroplast"},{"key":"2026070713570466000_bib61","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1007\/s00167-021-06473-3","article-title":"Reoperations are few and confined to the most valgus phenotypes 4 years after unrestricted calipered kinematically aligned TKA","volume":"30","author":"Howell","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713570466000_bib62","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/j.arth.2023.08.080","article-title":"Reoperation, implant survival, and clinical outcome after kinematically aligned total knee arthroplasty: a concise clinical follow-up at 16 years","volume":"39","author":"Howell","year":"2024","journal-title":"J Arthroplast"},{"key":"2026070713570466000_bib63","doi-asserted-by":"crossref","first-page":"152","DOI":"10.2106\/JBJS.24.00207","article-title":"Achieving better clinical outcomes after total knee arthroplasty in knees with valgus deformity","volume":"107","author":"Batailler","year":"2024","journal-title":"J Bone Joint Surg"},{"key":"2026070713570466000_bib64","doi-asserted-by":"crossref","first-page":"1808","DOI":"10.1016\/j.arth.2016.01.040","article-title":"Does kinematic alignment and flexion of a femoral component designed for mechanical alignment reduce the proximal and lateral reach of the trochlea?","volume":"31","author":"Brar","year":"2016","journal-title":"J Arthroplast"}],"container-title":["EFORT Open Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/eor.bioscientifica.com\/view\/journals\/eor\/11\/1\/EOR-2025-0046.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/eor.bioscientifica.com\/downloadpdf\/journals\/eor\/11\/1\/EOR-2025-0046.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/11\/1\/34\/502690\/eor-2025-0046.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/11\/1\/34\/502690\/eor-2025-0046.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:58:05Z","timestamp":1783447085000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article\/11\/1\/34\/75463\/Valgus-knee-deserves-personalized-total-knee"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,1]]},"references-count":64,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,9]]},"published-print":{"date-parts":[[2026,1,1]]}},"URL":"https:\/\/doi.org\/10.1530\/eor-2025-0046","relation":{},"ISSN":["2058-5241"],"issn-type":[{"value":"2058-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,1]]}}}