{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:34:37Z","timestamp":1787754877148,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n The usual mechanism of failure of a total knee arthroplasty is aseptic loosening of the tibial component. We present a case of an atraumatic late failure by fracture of the femoral component in an active 83-year-old and review the very small number of similar cases within the literature.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Although it is difficult to draw firm conclusions on such a rare presentation, it appears the heavy-set, active man may be at risk of a femoral component fracture in the long-term. This case also raises an important question about diligence in cementing techniques for the femoral component.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00362","type":"journal-article","created":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T14:24:33Z","timestamp":1603376673000},"page":"e19.00362-e19.00362","source":"Crossref","is-referenced-by-count":1,"title":["Failure of the Femoral Component in a Cemented Total Knee Replacement"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4645-393X","authenticated-orcid":false,"given":"Anna","family":"Kropelnicki","sequence":"first","affiliation":[{"name":"ST8 Trauma and Orthopaedics, Hillingdon Hospital, Uxbridge, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.J.","family":"Platt","sequence":"additional","affiliation":[{"name":"Hillingdon Hospital, Uxbridge, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"3","key":"bib2-20230719","first-page":"242","article-title":"Fatigue fractures of total knee prostheses: a cause of knee pain","volume":"72","author":"Sarraf","year":"2014","journal-title":"Bull Hosp Joint Dis."},{"key":"bib3-20230719","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1007\/s002640050118","article-title":"Stress fracture of the femoral component in total knee replacement: a report of 3 cases","volume":"21","author":"Wada","year":"1997","journal-title":"Int Orthop."},{"issue":"3","key":"bib4-20230719","doi-asserted-by":"crossref","first-page":"688","DOI":"10.4055\/jkoa.1998.33.3.688","article-title":"Fracture of the femoral component in total knee arthroplasty using Whiteside Ortholoc prosthesis with cement: metallurgical study by SEM and EDS","volume":"33","author":"Chun","year":"1998","journal-title":"J Korean Orthop Assoc."},{"issue":"7","key":"bib5-20230719","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1016\/j.arth.2005.10.024","article-title":"Fracture of femoral component in a resurfacing total knee arthroplasty","volume":"21","author":"Michos","year":"2006","journal-title":"J Arthroplasty."},{"key":"bib6-20230719","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1007\/s00167-006-0210-y","article-title":"A rare cause for knee pain: fracture of the femoral component after TKR. 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