{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:02:58Z","timestamp":1790640178788,"version":"4.1.0"},"reference-count":18,"publisher":"Elsevier BV","issue":"10","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"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30AR076312"],"award-info":[{"award-number":["P30AR076312"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.arth.2026.05.003","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T23:33:48Z","timestamp":1782257628000},"page":"S412-S418","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"S1","title":["Classification and Outcomes of 214 Periprosthetic Patellar Fractures in Primary Total Knee Arthroplasty"],"prefix":"10.1016","volume":"41","author":[{"given":"Merrick T.","family":"Ducharme","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas A.","family":"Selemon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas A.","family":"Bedard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark J.","family":"Spangehl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan D.","family":"Springer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krystin A.","family":"Hidden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon J.","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Berry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew P.","family":"Abdel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1579-4953","authenticated-orcid":false,"given":"Charles P.","family":"Hannon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.05.003_bib1","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.2106\/JBJS.24.01407","article-title":"Three hundred periprosthetic tibial fractures around a total knee replacement: classification and outcomes from a single institution","volume":"107","author":"Dugdale","year":"2025","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2026.05.003_bib2","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.1016\/j.arth.2013.03.007","article-title":"Functional outcome of total knee arthroplasty after periprosthetic distal femoral fracture","volume":"28","author":"Lizaur-Utrilla","year":"2013","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.003_bib3","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1016\/j.arth.2020.10.035","article-title":"Periprosthetic tibial fractures after total knee arthroplasty: early and long-term clinical outcomes","volume":"36","author":"Pannu","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.003_bib4","doi-asserted-by":"crossref","first-page":"532","DOI":"10.2106\/00004623-200204000-00004","article-title":"Patellar fracture after total knee arthroplasty","volume":"84","author":"Ortiguera","year":"2002","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2026.05.003_bib5","doi-asserted-by":"crossref","first-page":"3367","DOI":"10.1016\/j.arth.2021.06.002","article-title":"Adjusted survival curves improve understanding of multivariable cox model results","volume":"36","author":"Lundgreen","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.003_bib6","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s43019-020-00054-3","article-title":"Intra-operative fractures in primary total knee arthroplasty-a systematic review","volume":"32","author":"Purudappa","year":"2020","journal-title":"Knee Surg Relat Res"},{"key":"10.1016\/j.arth.2026.05.003_bib7","doi-asserted-by":"crossref","first-page":"1622","DOI":"10.1016\/j.arth.2024.11.010","article-title":"Reoperations after operatively and non-operatively treated periprosthetic knee fractures: a nationwide study on 1,931 fractures after primary total knee arthroplasty","volume":"40","author":"Risager","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.003_bib8","first-page":"2285","article-title":"Periprosthetic patellar fractures","volume":"89a","author":"Sheth","year":"2007","journal-title":"JBone and Joint Surg Am"},{"key":"10.1016\/j.arth.2026.05.003_bib9","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1016\/j.injury.2007.02.054","article-title":"Management of periprosthetic patellar fractures - a systematic review of literature","volume":"38","author":"Chalidis","year":"2007","journal-title":"Injury"},{"key":"10.1016\/j.arth.2026.05.003_bib10","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/s42836-020-00050-8","article-title":"Peri-prosthetic trans-patellar fractures after total knee arthroplasty: a case series and review of literature","volume":"2","author":"Govil","year":"2020","journal-title":"Arthroplasty"},{"key":"10.1016\/j.arth.2026.05.003_bib11","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1097\/01.blo.0000218722.83601.18","article-title":"Periprosthetic patellar fractures","author":"Parvizi","year":"2006","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.05.003_bib12","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/j.ocl.2021.05.003","article-title":"Classification and management of periprosthetic patella fractures","volume":"52","author":"Deans","year":"2021","journal-title":"Orthop Clin North Am"},{"key":"10.1016\/j.arth.2026.05.003_bib13","doi-asserted-by":"crossref","first-page":"2765","DOI":"10.1007\/s00590-023-03535-9","article-title":"Periprosthetic patella fractures in total knee replacement and revision surgeries: how to diagnose and treat this rare but potentially devastating complication-a review of the current literature","volume":"33","author":"Masoni","year":"2023","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.arth.2026.05.003_bib14","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1002\/jor.20416","article-title":"Patellar blood flow during knee arthroplasty surgical exposure: intraoperative monitoring by laser doppler flowmetry","volume":"25","author":"Hempfing","year":"2007","journal-title":"Glob J Orthop Res"},{"key":"10.1016\/j.arth.2026.05.003_bib15","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1016\/j.knee.2014.03.005","article-title":"Vascular anatomy of the patella: implications for total knee arthroplasty surgical approaches","volume":"21","author":"Lazaro","year":"2014","journal-title":"Knee"},{"key":"10.1016\/j.arth.2026.05.003_bib16","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1016\/j.knee.2007.07.005","article-title":"Intraosseous blood flow of the everted or laterally-retracted patella during total knee arthroplasty","volume":"14","author":"Stoffel","year":"2007","journal-title":"Knee"},{"key":"10.1016\/j.arth.2026.05.003_bib17","doi-asserted-by":"crossref","DOI":"10.1016\/j.injury.2025.112784","article-title":"Operative management of periprosthetic patella fractures: a case series","volume":"56","author":"Blum","year":"2025","journal-title":"Injury"},{"key":"10.1016\/j.arth.2026.05.003_bib18","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1016\/j.arth.2025.09.046","article-title":"A prospective, single-center, randomized controlled study comparing non-resurfacing versus resurfacing in a cohort of 250 posterior-stabilized total knee arthroplasty with a minimum five-year follow-up","volume":"41","author":"Catteeuw","year":"2025","journal-title":"J Arthroplasty"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326004948?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326004948?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:34:51Z","timestamp":1790638491000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540326004948"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0883540326004948"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.05.003","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Classification and Outcomes of 214 Periprosthetic Patellar Fractures in Primary Total Knee Arthroplasty","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.05.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}