{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:31Z","timestamp":1787755531930,"version":"build-2784847793"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 26-year-old woman with a complex sequelae of open distal femoral fracture at 4 years of age presented to the office with severe knee pain from posttraumatic osteoarthritis. Robotic arm-assisted total knee arthroplasty (RA-TKA) with the elevation of previous free-flap was performed because of the following: (1) anatomic deformity, (2) small femoral size, and (3) compromised soft-tissue envelope.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case highlights the complexity of planning and performing TKA in a young patient with these unique considerations. The successful outcome demonstrates the viability of RA-TKA techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00127","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T23:00:37Z","timestamp":1643670037000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Robotic Arm-Assisted Total Knee Arthroplasty in the Setting of Severely Deficient Distal Femoral Bone Stock"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8603-2366","authenticated-orcid":false,"given":"Christopher A.","family":"Rothfusz","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8421-7340","authenticated-orcid":false,"given":"Ahmed K.","family":"Emara","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3007-7538","authenticated-orcid":false,"given":"Nicolas S.","family":"Piuzzi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3290-8051","authenticated-orcid":false,"given":"Michael R.","family":"Bloomfield","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7]]},"reference":[{"issue":"8","key":"bib1-20240809","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1016\/j.arth.2007.08.001","article-title":"Meta-analysis of alignment outcomes in computer-assisted total knee arthroplasty surgery","volume":"22","author":"Mason","year":"2007","journal-title":"J Arthroplasty."},{"issue":"2","key":"bib2-20240809","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1007\/s11999.0000000000000012","article-title":"Femoral component varus malposition is associated with tibial aseptic loosening after TKA","volume":"476","author":"Lee","year":"2018","journal-title":"Clin Orthop Relat Res."},{"issue":"6 suppl","key":"bib3-20240809","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.arth.2009.04.034","article-title":"Coronal alignment in total knee arthroplasty. 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