{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T04:02:24Z","timestamp":1793160144443,"version":"4.5.0"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thekneejournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Knee"],"published-print":{"date-parts":[[2021,10]]},"DOI":"10.1016\/j.knee.2021.08.019","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T20:04:25Z","timestamp":1631217865000},"page":"201-210","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["Proximal tibial bone loss in the first 2\u00a0years after unicondylar knee arthroplasty: Anatomical pattern, predictors and clinical correlation"],"prefix":"10.1016","volume":"32","author":[{"given":"Qunn Jid","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wai Yip Daniel","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yee Ling","family":"Yau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wai Yee Esther","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiu Chung","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.knee.2021.08.019_b0005","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/S0883-5403(03)00330-9","article-title":"Tibial plateau stress fracture: a complication of unicompartmental knee arthroplasty using 4 guide pinholes","volume":"18","author":"Brumby","year":"2003","journal-title":"J Arthroplasty"},{"issue":"6","key":"10.1016\/j.knee.2021.08.019_b0010","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/S0883-5403(03)00332-2","article-title":"Stress fracture of the medial tibial plateau after minimally invasive unicompartmental knee arthroplasty: a report of 2 cases","volume":"18","author":"Yang","year":"2003","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.knee.2021.08.019_b0015","series-title":"Outcome after medial unicopartmental knee replacement","author":"Gulati","year":"2013"},{"issue":"2","key":"10.1016\/j.knee.2021.08.019_b0020","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1302\/0301-620X.95B2.30411","article-title":"Cementless fixation in Oxford unicompartmental knee replacement: A multicentre study of 1000 knees","volume":"95-B","author":"Liddle","year":"2013","journal-title":"Bone Joint J"},{"issue":"9","key":"10.1016\/j.knee.2021.08.019_b0025","doi-asserted-by":"crossref","first-page":"1990","DOI":"10.1097\/CORR.0000000000001169","article-title":"Does unicondylar knee arthroplasty affect tibial bone strain? A paired cadaveric comparison of fixed- and mobile-bearing designs","volume":"478","author":"Peersman","year":"2020","journal-title":"Clin Orthop Relat Res"},{"issue":"5","key":"10.1016\/j.knee.2021.08.019_b0030","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1002\/jor.22283","article-title":"Evaluation of factors affecting tibial bone strain after unicompartmental knee replacement","volume":"31","author":"Pegg","year":"2013","journal-title":"J Orthop Res"},{"issue":"10","key":"10.1016\/j.knee.2021.08.019_b0035","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1016\/j.medengphy.2011.05.007","article-title":"Biomechanical evaluation of proximal tibial behavior following unicondylar knee arthroplasty: Modified resected surface with corresponding surgical technique","volume":"33","author":"Chang","year":"2011","journal-title":"Med Eng Phys"},{"issue":"2","key":"10.1016\/j.knee.2021.08.019_b0040","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1016\/j.knee.2019.12.011","article-title":"Tibial tray thickness does not significantly increase medial tibial bone resorption: Using tibial bone density as an objective measurement method","volume":"27","author":"Wong","year":"2020","journal-title":"Knee"},{"issue":"2","key":"10.1016\/j.knee.2021.08.019_b0045","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1080\/17453674.2019.1566510","article-title":"Superior fixation and less periprosthetic stress-shielding of tibial components with a finned stem versus an I-beam block stem: A randomized RSA and DXA study with minimum 5 years' follow-up","volume":"90","author":"Stilling","year":"2019","journal-title":"Acta Orthop"},{"issue":"9","key":"10.1016\/j.knee.2021.08.019_b0050","doi-asserted-by":"crossref","first-page":"2835","DOI":"10.1016\/j.arth.2018.04.025","article-title":"Medial tibial periprosthetic bone resorption and its effect on clinical outcomes after total knee arthroplasty: Cobalt\u2013chromium vs titanium implants","volume":"33","author":"Yoon","year":"2018","journal-title":"J Arthroplasty"},{"issue":"7","key":"10.1016\/j.knee.2021.08.019_b0055","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1302\/0301-620X.95B7.30537","article-title":"Changes in tibial bone density measured from standard radiographs in cemented and uncemented total knee replacements after ten years' follow-up","volume":"95-B","author":"Small","year":"2013","journal-title":"Bone Joint J"},{"issue":"3","key":"10.1016\/j.knee.2021.08.019_b0060","doi-asserted-by":"crossref","first-page":"268","DOI":"10.3109\/17453674.2016.1173982","article-title":"Periprosthetic tibial bone mineral density changes after total knee arthroplasty","volume":"87","author":"Jaroma","year":"2016","journal-title":"Acta orthop"},{"issue":"2","key":"10.1016\/j.knee.2021.08.019_b0065","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1016\/j.arth.2016.07.027","article-title":"Medial tibial stress shielding: A limitation of cobalt chromium tibial baseplates","volume":"32","author":"Martin","year":"2017","journal-title":"J Arthroplasty"},{"issue":"1","key":"10.1016\/j.knee.2021.08.019_b0070","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.arth.2016.06.007","article-title":"Tibial tray thickness significantly increases medial tibial bone resorption in cobalt\u2013chromium total knee arthroplasty implants","volume":"32","author":"Martin","year":"2017","journal-title":"J Arthroplasty"},{"issue":"2","key":"10.1016\/j.knee.2021.08.019_b0075","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.artd.2017.10.005","article-title":"Proximal tibial resorption in a modern total knee prosthesis","volume":"4","author":"Deen","year":"2018","journal-title":"Arthrop Today"},{"issue":"1","key":"10.1016\/j.knee.2021.08.019_b0080","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.knee.2013.03.004","article-title":"Changes in bone mineral density of the distal femur after total knee arthroplasty: A 7-year DEXA follow-up comparing results between obese and nonobese patients","volume":"21","author":"J\u00e4rvenp\u00e4\u00e4","year":"2014","journal-title":"Knee"},{"issue":"6","key":"10.1016\/j.knee.2021.08.019_b0085","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.1016\/j.jbiomech.2006.05.020","article-title":"Contribution of loading conditions and material properties to stress shielding near the tibial component of total knee replacements","volume":"40","author":"Au","year":"2007","journal-title":"J Biomech"},{"issue":"2","key":"10.1016\/j.knee.2021.08.019_b0090","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.medengphy.2004.09.010","article-title":"A parametric analysis of fixation post shape in tibial knee prostheses","volume":"27","author":"Au","year":"2005","journal-title":"Med Eng Phy"},{"issue":"12","key":"10.1016\/j.knee.2021.08.019_b0095","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1016\/j.medengphy.2016.09.018","article-title":"Stress shielding in periprosthetic bone following a total knee replacement: Effects of implant material, design and alignment","volume":"38","author":"Zhang","year":"2016","journal-title":"Med Eng Phys"},{"issue":"2","key":"10.1016\/j.knee.2021.08.019_b0100","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.knee.2012.10.004","article-title":"Periprosthetic bone mineral density changes after unicondylar knee arthroplasty","volume":"20","author":"Soininvaara","year":"2013","journal-title":"Knee"},{"issue":"8","key":"10.1016\/j.knee.2021.08.019_b0105","doi-asserted-by":"crossref","first-page":"2230","DOI":"10.1007\/s00167-014-3014-5","article-title":"Variable bone mineral density reductions post-unicompartmental knee arthroplasty","volume":"23","author":"Tuncer","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"10.1016\/j.knee.2021.08.019_b0110","doi-asserted-by":"crossref","first-page":"145","DOI":"10.2106\/00004623-198971010-00023","article-title":"Unicondylar knee arthroplasty","volume":"71","author":"Kozinn","year":"1989","journal-title":"J Bone and Joint Surg Am"},{"issue":"6","key":"10.1016\/j.knee.2021.08.019_b0115","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1080\/17453670510045381","article-title":"Measurement of bone mineral density is possible with standard radiographs: a study involving total knee replacement","volume":"76","author":"Hernandez-vaquero","year":"2005","journal-title":"Acta Orthop"},{"issue":"4","key":"10.1016\/j.knee.2021.08.019_b0120","doi-asserted-by":"crossref","first-page":"439","DOI":"10.3109\/17453678909149314","article-title":"Temperature elevation during knee arthroplasty","volume":"60","author":"Larsen","year":"1989","journal-title":"Acta Orthop Scand"},{"issue":"4","key":"10.1016\/j.knee.2021.08.019_b0125","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1007\/s12018-018-9256-x","article-title":"Bone fracture acute phase response\u2014A unifying theory of fracture repair: clinical and scientific implications","volume":"16","author":"Baker","year":"2018","journal-title":"Clin Rev Bone Min Met"},{"issue":"4","key":"10.1016\/j.knee.2021.08.019_b0130","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/s12018-018-9253-0","article-title":"Systemic bone loss after fracture","volume":"16","author":"Osipov","year":"2018","journal-title":"Clin Rev Bone Min Met"},{"key":"10.1016\/j.knee.2021.08.019_b0135","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s11657-019-0572-7","article-title":"Changes in femoral bone mineral density after total knee arthroplasty: a systematic review and meta-analysis","volume":"14","author":"Prince","year":"2019","journal-title":"Arch Osteop"},{"issue":"7","key":"10.1016\/j.knee.2021.08.019_b0140","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1302\/0301-620X.91B7.21914","article-title":"The incidence of physiological radiolucency following Oxford unicompartmental knee replacement and its relationship to outcome","volume":"91-B","author":"Gulati","year":"2009","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.knee.2021.08.019_b0145","first-page":"1","article-title":"Factors related to stress fracture after unicompartmental knee arthroplasty","volume":"15","author":"Yokoyama","year":"2019","journal-title":"Asia-Pac J Sports Med Arthrop Rehab Tech"},{"issue":"7","key":"10.1016\/j.knee.2021.08.019_b0150","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1302\/0301-620X.102B7.BJJ-2019-1754.R1","article-title":"Tibial shape and size predicts the risk of tibial plateau fracture after cementless unicompartmental knee arthroplasty in Japanese patients","volume":"102-B","author":"Hiranaka","year":"2020","journal-title":"Bone Joint J"}],"container-title":["The Knee"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0968016021002039?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0968016021002039?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T21:52:49Z","timestamp":1760824369000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0968016021002039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":30,"alternative-id":["S0968016021002039"],"URL":"https:\/\/doi.org\/10.1016\/j.knee.2021.08.019","relation":{},"ISSN":["0968-0160"],"issn-type":[{"value":"0968-0160","type":"print"}],"subject":[],"published":{"date-parts":[[2021,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Proximal tibial bone loss in the first 2\u00a0years after unicondylar knee arthroplasty: Anatomical pattern, predictors and clinical correlation","name":"articletitle","label":"Article Title"},{"value":"The Knee","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.knee.2021.08.019","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}