{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:29:14Z","timestamp":1760920154807,"version":"build-2065373602"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,10,31]],"date-time":"2008-10-31T00:00:00Z","timestamp":1225411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A retrospective study conducted to evaluate the possible occurrence of stress shielding with the use of long\u2010stem tibial prosthesis in total knee arthroplasty. Forty\u2010one patients were reviewed (twenty\u2010three standard prosthesis, eighteen long\u2010stem prosthesis) and forty\u2010one unoperated knee of the contralateral limb). Patients underwent bone mineral density assessment with a dual\u2010energy X\u2010ray absorptiometry (DEXA) bone densitometer for the hip and bilateral knees. The mean time interval between surgery and the DEXA assessment was 87.7\u00a0months. There was no significant statistical difference (<jats:italic>P<\/jats:italic> &gt; 0.05) in the bone mineral density patterns of the tibia with the use of either standard or long\u2010stem prosthesis. The utilization of the long\u2010stem prosthesis to off\u2010load the tibia is not associated with any significant bone mineral density changes or stress shielding.<\/jats:p>","DOI":"10.1007\/s00167-008-0649-0","type":"journal-article","created":{"date-parts":[[2008,10,30]],"date-time":"2008-10-30T14:56:06Z","timestamp":1225378566000},"page":"179-183","source":"Crossref","is-referenced-by-count":8,"title":["Does stress shielding occur with the use of long\u2010stem prosthesis in total knee arthroplasty?"],"prefix":"10.1002","volume":"17","author":[{"given":"Sathappan S.","family":"Sathappan","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Tan Tock Seng Hospital 11\u00a0Jalan Tan Tock Seng 308433 Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hee\u2010Nee","family":"Pang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Singapore General Hospital Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alikkal","family":"Manoj","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery National University Hospital Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thambayah","family":"Ashwin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery National University Hospital Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Satku","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery National University Hospital Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,10,31]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.88B5.16893"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.79B4.7410"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086\u2010200206000\u201000022"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199201000-00010"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198607000-00020"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274070-00007"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200010000-00007"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199707000-00009"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198911000-00003"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086\u2010200211000\u201000028"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198905183202006"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883\u20105403(97)90149\u20102"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198911000-00004"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365050-00006"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198264090-00006"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658060-00003"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197961020-00003"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2000.4639"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2001.25507"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2000.6617"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2001.16486"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B5.1894664"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200204000-00014"},{"key":"e_1_2_5_25_1","first-page":"429","volume-title":"Basic orthopaedic biomechanics","author":"Mow VC","year":"1997"},{"key":"e_1_2_5_26_1","first-page":"116","article-title":"Cemented long\u2010stem revision total knee arthroplasty","volume":"309","author":"Murray PB","year":"1994","journal-title":"Clin Orthop"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002239900270"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198612000-00003"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198205000-00042"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021\u20109290(87)90020\u20100"},{"key":"e_1_2_5_31_1","first-page":"614","article-title":"Total knee replacement after fractures about the knee","volume":"19","author":"Roffi RP","year":"1990","journal-title":"Orthop Rev"},{"issue":"5","key":"e_1_2_5_32_1","first-page":"1063","article-title":"Osteoporosis with low dose corticosteroids. 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