{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T12:48:25Z","timestamp":1771073305480,"version":"3.50.1"},"reference-count":32,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"am","delay-in-days":358,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","arthroplastyjournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2024,8]]},"DOI":"10.1016\/j.arth.2024.02.047","type":"journal-article","created":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T16:56:23Z","timestamp":1708707383000},"page":"S174-S182","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"special_numbering":"S1","title":["Outcomes of Short and Long Tibial Stems for Primary Total Knee Arthroplasty in a Population of Obese Patients at Two-Year Follow-Up: A Clinical and Biomechanical Study"],"prefix":"10.1016","volume":"39","author":[{"given":"Julien","family":"Druel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nolwenn","family":"Gelin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthieu","family":"Ollivier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavy","family":"Roseren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Chabrand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christophe","family":"Jacquet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0879-7803","authenticated-orcid":false,"given":"Jean-Noel A.","family":"Argenson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2024.02.047_bib1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.metabol.2018.09.005","article-title":"The epidemiology of obesity","volume":"92","author":"Chooi","year":"2019","journal-title":"Metabolism"},{"key":"10.1016\/j.arth.2024.02.047_bib2","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1056\/NEJMoa1614362","article-title":"Health effects of overweight and obesity in 195 countries over 25 years","volume":"377","author":"GBD 2015 Obesity Collaborators","year":"2017","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.arth.2024.02.047_bib3","doi-asserted-by":"crossref","first-page":"517","DOI":"10.2106\/JBJS.20.00788","article-title":"Risk factors for aseptic loosening after total knee arthroplasty with a rotating-hinge implant: a case-control study","volume":"103","author":"Levent","year":"2021","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2024.02.047_bib4","first-page":"269","article-title":"Aseptic loosening after THA and TKA - do gender, tobacco use and BMI have an impact on implant survival time?","volume":"16","author":"Schiffner","year":"2019","journal-title":"J\u00a0Orthop"},{"key":"10.1016\/j.arth.2024.02.047_bib5","first-page":"3","article-title":"Magnitude of cement-device interfacial stresses with and without tibial stemming: impact of BMI","volume":"24","author":"Gopalakrishnan","year":"2011","journal-title":"J\u00a0Knee Surg"},{"key":"10.1016\/j.arth.2024.02.047_bib6","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1007\/s11999-016-4791-6","article-title":"Do stemmed tibial components in total knee arthroplasty improve outcomes in patients with obesity?","volume":"475","author":"Parratte","year":"2017","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2024.02.047_bib7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0059079","article-title":"Influence of body mass index (BMI) on functional improvements at 3 years following total knee replacement: a retrospective cohort study","volume":"8","author":"Baker","year":"2013","journal-title":"PLoS One"},{"key":"10.1016\/j.arth.2024.02.047_bib8","doi-asserted-by":"crossref","first-page":"2181","DOI":"10.1016\/j.arth.2015.06.057","article-title":"Increased aseptic tibial failures in patients with a BMI \u2265 35 and well-aligned total knee arthroplasties","volume":"30","author":"Abdel","year":"2015","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2024.02.047_bib9","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1016\/j.clinbiomech.2008.01.010","article-title":"Analysis of biomechanical effect of stem-end design in revision TKA using Digital Korean Model","volume":"23","author":"Kim","year":"2008","journal-title":"Clin Biomech"},{"key":"10.1016\/j.arth.2024.02.047_bib10","first-page":"137","article-title":"Stem pain after cementless revision total knee arthroplasty","volume":"24","author":"Mihalko","year":"2015","journal-title":"J\u00a0Surg Orthop Adv"},{"key":"10.1016\/j.arth.2024.02.047_bib11","doi-asserted-by":"crossref","first-page":"1310","DOI":"10.1016\/j.arth.2012.10.003","article-title":"Intra-operative periprosthetic fractures associated with press fit stems in revision total knee arthroplasty: incidence, management, and outcomes","volume":"28","author":"Cipriano","year":"2013","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2024.02.047_bib12","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1007\/s11999-011-2152-z","article-title":"Development of a new knee society scoring system","volume":"470","author":"Noble","year":"2012","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2024.02.047_bib13","first-page":"13","article-title":"Rationale of the Knee Society clinical rating system","author":"Insall","year":"1989","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2024.02.047_bib14","doi-asserted-by":"crossref","first-page":"2515","DOI":"10.1007\/s10439-013-0864-9","article-title":"A\u00a0robust 3D finite element simulation of human proximal femur progressive fracture under stance load with experimental validation","volume":"41","author":"Hambli","year":"2013","journal-title":"Ann Biomed Eng"},{"key":"10.1016\/j.arth.2024.02.047_bib15","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/S1350-4533(03)00081-X","article-title":"Comparison of in situ and in\u00a0vitro CT scan-based finite element model predictions of proximal femoral fracture load","volume":"25","author":"Keyak","year":"2003","journal-title":"Med Eng Phys"},{"key":"10.1016\/j.arth.2024.02.047_bib16","doi-asserted-by":"crossref","first-page":"2164","DOI":"10.1016\/j.jbiomech.2010.03.046","article-title":"Loading of the knee joint during activities of daily living measured in\u00a0vivo in five subjects","volume":"43","author":"Kutzner","year":"2010","journal-title":"J\u00a0Biomech"},{"key":"10.1016\/j.arth.2024.02.047_bib17","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.arth.2009.04.024","article-title":"Implant durability and knee function after total knee arthroplasty in the morbidly obese patient","volume":"24","author":"Dewan","year":"2009","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2024.02.047_bib18","doi-asserted-by":"crossref","DOI":"10.1016\/j.cmpb.2022.106976","article-title":"Comparison of joint load, motions and contact stress and bone-implant interface micromotion of three implant designs for total ankle arthroplasty","volume":"223","author":"Zhang","year":"2022","journal-title":"Comput Methods Programs Biomed"},{"key":"10.1016\/j.arth.2024.02.047_bib19","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1016\/j.jbiomech.2009.12.006","article-title":"Analysis of bone-prosthesis interface micromotion for cementless tibial prosthesis fixation and the influence of loading conditions","volume":"43","author":"Chong","year":"2010","journal-title":"J\u00a0Biomech"},{"key":"10.1016\/j.arth.2024.02.047_bib20","doi-asserted-by":"crossref","DOI":"10.1016\/j.compbiomed.2021.105142","article-title":"Polka dot cementless talar component in enhancing total ankle replacement fixation: a parametric study using the finite element analysis approach","volume":"141","author":"Mohd Moideen","year":"2022","journal-title":"Comput Biol Med"},{"key":"10.1016\/j.arth.2024.02.047_bib21","doi-asserted-by":"crossref","DOI":"10.1016\/j.compbiomed.2020.104006","article-title":"Biomechanical comparison between metal block and cement-screw techniques for the treatment of tibial bone defects in total knee arthroplasty based on finite element analysis","volume":"125","author":"Liu","year":"2020","journal-title":"Comput Biol Med"},{"key":"10.1016\/j.arth.2024.02.047_bib22","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1302\/0301-620X.90B3.19782","article-title":"The relationship between obesity and the age at which hip and knee replacement is undertaken","volume":"90","author":"Changulani","year":"2008","journal-title":"J\u00a0Bone Joint Surg Br"},{"key":"10.1016\/j.arth.2024.02.047_bib23","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.knee.2011.06.008","article-title":"Change in body mass index during middle age affects risk of total knee arthoplasty due to osteoarthritis: a 19-year prospective study of 1003 women","volume":"19","author":"Nicholls","year":"2012","journal-title":"Knee"},{"key":"10.1016\/j.arth.2024.02.047_bib24","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.2106\/JBJS.K.00820","article-title":"The influence of obesity on the complication rate and outcome of total knee arthroplasty: a meta-analysis and systematic literature review","volume":"94","author":"Kerkhoffs","year":"2012","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2024.02.047_bib25","first-page":"83","article-title":"The effects of obesity and morbid obesity on outcomes in TKA","volume":"26","author":"McElroy","year":"2013","journal-title":"J\u00a0Knee Surg"},{"key":"10.1016\/j.arth.2024.02.047_bib26","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1016\/j.jbiomech.2007.10.006","article-title":"Strain shielding in proximal tibia of stemmed knee prosthesis: experimental study","volume":"41","author":"Completo","year":"2008","journal-title":"J\u00a0Biomech"},{"key":"10.1016\/j.arth.2024.02.047_bib27","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/j.arth.2012.10.007","article-title":"Analysis of stem tip pain in revision total knee arthroplasty","volume":"28","author":"Kimpton","year":"2013","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2024.02.047_bib28","doi-asserted-by":"crossref","first-page":"S135","DOI":"10.1016\/j.otsr.2019.05.025","article-title":"Extraction of total knee arthroplasty intramedullary stem extensions","volume":"106","author":"Pasquier","year":"2020","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.arth.2024.02.047_bib29","first-page":"95","article-title":"The influence of tibial component intramedullary stems and implant-cortex contact on the strain distribution of the proximal tibia following total knee arthroplasty. An in\u00a0vitro study","author":"Bourne","year":"1986","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2024.02.047_bib30","doi-asserted-by":"crossref","first-page":"634","DOI":"10.3390\/medicina58050634","article-title":"Tibial stem extension versus standard configuration in total knee arthroplasty: a biomechanical assessment according to bone properties","volume":"58","author":"Filip","year":"2022","journal-title":"Medicina (Kaunas)"},{"key":"10.1016\/j.arth.2024.02.047_bib31","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1097\/01.blo.0000187340.10003.68","article-title":"Cancellous bone strains indicate efficacy of stem augmentation in constrained condylar knees","volume":"440","author":"Rawlinson","year":"2005","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2024.02.047_bib32","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.arth.2008.05.020","article-title":"Implant migration and failure in total knee arthroplasty is related to body mass index and tibial component size","volume":"23","author":"Berend","year":"2008","journal-title":"J\u00a0Arthroplasty"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540324001463?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540324001463?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T04:34:58Z","timestamp":1723523698000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540324001463"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":32,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["S0883540324001463"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2024.02.047","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2024,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Outcomes of Short and Long Tibial Stems for Primary Total Knee Arthroplasty in a Population of Obese Patients at Two-Year Follow-Up: A Clinical and Biomechanical Study","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2024.02.047","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}