{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:31:35Z","timestamp":1787754695637,"version":"build-2784847793"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2016,9,14]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a case of catastrophic implant failure due to fatigue fracture of a well-functioning unicompartmental knee arthroplasty at 7 years in an active 55-year-old man, who presented with sudden onset of atraumatic knee pain and effusion. The patient underwent revision to total knee arthroplasty. Intraoperative findings included a metallic fragment fractured off the rim of the tibial base-plate and cement retained in the tibial tray.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Retained cement in the tibial tray resulted in increased tibial tray contact stresses and fatigue fracture of the rim of the tray, creating a free metallic loose body that produced symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.15.00131","type":"journal-article","created":{"date-parts":[[2016,9,14]],"date-time":"2016-09-14T23:03:54Z","timestamp":1473894234000},"page":"e73","source":"Crossref","is-referenced-by-count":3,"title":["Rim Fracture of a Tibial Base-Plate Due to Retained Cement as a Cause of Catastrophic Failure of Unicompartmental Knee Arthroplasty"],"prefix":"10.2106","volume":"6","author":[{"given":"Alexander B.","family":"Sawatzke","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Grand Rapids Medical Education Partners, Grand Rapids, Michigan"},{"name":"Department of Orthopaedic Surgery, College of Human Medicine, Michigan State University, Grand Rapids, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander J.","family":"Bollinger","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Grand Rapids Medical Education Partners, Grand Rapids, Michigan"},{"name":"Department of Orthopaedic Surgery, College of Human Medicine, Michigan State University, Grand Rapids, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul D.","family":"Butler","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Grand Rapids Medical Education Partners, Grand Rapids, Michigan"},{"name":"Department of Orthopaedic Surgery, College of Human Medicine, Michigan State University, Grand Rapids, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl C.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Grand Rapids Medical Education Partners, Grand Rapids, Michigan"},{"name":"Spectrum Health, Grand Rapids, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"1","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"9","DOI":"10.5435\/00124635-200801000-00003","article-title":"Unicompartmental knee arthroplasty","volume":"16","author":"Borus","year":"2008","journal-title":"J Am Acad Orthop Surg."},{"issue":"10","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"1968","DOI":"10.2106\/00004623-200310000-00016","article-title":"Unicompartmental knee arthroplasty in patients sixty years of age or younger","volume":"85","author":"Pennington","year":"2003","journal-title":"J Bone Joint Surg 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