{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:41:32Z","timestamp":1777880492827,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2006,8,1]],"date-time":"2006-08-01T00:00:00Z","timestamp":1154390400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"},{"start":{"date-parts":[[2006,8,1]],"date-time":"2006-08-01T00:00:00Z","timestamp":1154390400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:p>Stress fracture of the tibia secondary to sports-related activities is relatively common, but rarely occurs secondary to osteoarthritis of the knee. Such fractures usually involve the proximal tibia. We report a 61-year-old woman with osteoarthritis and severe varus deformity of the knee who had a stress fracture of the distal tibial shaft. The patient had declined total knee replacement for severe osteoarthritis. She developed a stress fracture that subsequently malunited. The patient presented late and the diagnosis was not made for several months. The pathomechanics, diagnosis, and management options for this patient are discussed.<\/jats:p>","DOI":"10.1177\/230949900601400222","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"212-215","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Stress Fracture of the Distal Tibia Secondary to Severe Knee Osteoarthritis: A Case Report"],"prefix":"10.1177","volume":"14","author":[{"given":"IK","family":"Tey","sequence":"first","affiliation":[{"name":"Foot and Ankle Service, Department of Orthopaedic Surgery, Singapore General Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KW","family":"Chong","sequence":"additional","affiliation":[{"name":"Foot and Ankle Service, Department of Orthopaedic Surgery, Singapore General Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Singh","sequence":"additional","affiliation":[{"name":"Foot and Ankle Service, Department of Orthopaedic Surgery, Singapore General Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2006,8,1]]},"reference":[{"key":"bibr1-230949900601400222","first-page":"515","volume":"67","author":"Kopacz J","year":"2002","journal-title":"Chir Narzadow Ruchu Ortop Pol"},{"key":"bibr2-230949900601400222","first-page":"445","volume":"81","author":"Sy MH","year":"1995","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"bibr3-230949900601400222","first-page":"141","volume":"8","author":"Nabors ED","year":"1995","journal-title":"Am J Knee Surg"},{"key":"bibr4-230949900601400222","first-page":"228","volume":"10","author":"Seral BG","year":"1997","journal-title":"Am J Knee Surg"},{"key":"bibr5-230949900601400222","first-page":"307","volume":"36","author":"Cameron HU","year":"1993","journal-title":"Can J Surg"},{"key":"bibr6-230949900601400222","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/36.10.1130"},{"key":"bibr7-230949900601400222","first-page":"75","volume":"28","author":"Learmonth ID","year":"1990","journal-title":"S Afr J Surg"},{"key":"bibr8-230949900601400222","first-page":"209","volume":"76","author":"Gacon G","year":"1990","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"bibr9-230949900601400222","first-page":"216","volume":"60","author":"Molderez A","year":"1994","journal-title":"Acta Orthop Belg"},{"key":"bibr10-230949900601400222","first-page":"97","volume":"67","author":"Kelly JM","year":"1974","journal-title":"J Ir Med Assoc"},{"key":"bibr11-230949900601400222","first-page":"107","volume":"44","author":"Kobayashi T","year":"1998","journal-title":"Fukushima J Med Sci"},{"key":"bibr12-230949900601400222","volume-title":"Stress fractures","author":"Devas M","year":"1975"},{"key":"bibr13-230949900601400222","first-page":"303","volume":"70","author":"Haspl M","year":"2003","journal-title":"Acta Chir Orthop Traumatol Cech"},{"key":"bibr14-230949900601400222","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B2.3818767"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900601400222","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900601400222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:13:13Z","timestamp":1777594393000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949900601400222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,8]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2006,8]]}},"alternative-id":["10.1177\/230949900601400222"],"URL":"https:\/\/doi.org\/10.1177\/230949900601400222","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,8]]}}}