{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T16:25:29Z","timestamp":1783441529356,"version":"3.54.6"},"reference-count":45,"publisher":"Bioscientifica","issue":"3","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":3270,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The use of modular total knee arthroplasty (TKA) implants allows surgeons to perform isolated tibial polyethylene insert exchange (IPE) while retaining well-fixed and stable components. The purported advantages of IPE include preservation of bone stock, shorter operating time, less blood loss, faster rehabilitation and lower cost. However, the indications for IPE are limited. IPE for wear and osteolysis has moderate success in the medium term but should be avoided in cases of accelerated wear. In selected cases, debridement and IPE for early infection can result in low morbidity with high success rates in the short term. IPE for arthrofibrosis has poor results. IPE should be undertaken with caution and an institutional algorithm should be followed.<\/jats:p>\n                  <jats:p>Cite this article: EFORT Open Rev 2017;2:66\u201371 DOI: 10.1302\/2058-5241.2.160049<\/jats:p>","DOI":"10.1302\/2058-5241.2.160049","type":"journal-article","created":{"date-parts":[[2017,3,14]],"date-time":"2017-03-14T20:30:24Z","timestamp":1489523424000},"page":"66-71","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":15,"title":["The role of isolated polyethylene exchange in total knee arthroplasty"],"prefix":"10.1530","volume":"2","author":[{"given":"Hee-Nee","family":"Pang","sequence":"first","affiliation":[{"name":"1Department of Orthopaedic Surgery, Singapore General Hospital, Singapore and Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamid Rahmatullah Bin","family":"Abd Razak","sequence":"additional","affiliation":[{"name":"2Department of Orthopaedic Surgery, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Petis","sequence":"additional","affiliation":[{"name":"3Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas D. R.","family":"Naudie","sequence":"additional","affiliation":[{"name":"3Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven J.","family":"MacDonald","sequence":"additional","affiliation":[{"name":"3Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2017,3,14]]},"reference":[{"key":"2026070711175747100_bibr1-2058-5241.2.160049","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1080\/000164700317411852","article-title":"Patient satisfaction after knee arthroplasty: a report on 27,372 knees operated on between 1981 and 1995 in Sweden","volume":"71","author":"Robertsson","year":"2000","journal-title":"Acta Orthop Scand"},{"key":"2026070711175747100_bibr2-2058-5241.2.160049","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/00003086-200211000-00003","article-title":"Insall Award paper. 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