{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T04:22:30Z","timestamp":1788582150729,"version":"build-2803163510"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>The patient is a 62-year-old man with early tibial baseplate failure involving fracture and subsidence of the posteromedial metal implant, only 3 years after primary total knee replacement. Although this mode of failure is frequently observed secondary to polyethylene wear and osteolysis, this case was likely because of suboptimal tibial baseplate size and positioning with lack of cortical support that underwent accelerated fatigue, given the high activity level of the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case demonstrates rare sequelae of inadequate tibial coverage and cortical structural support of the baseplate. Tibial coverage is influenced by implant sizing, implant positioning, and variations in patient anthropometrics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00109","type":"journal-article","created":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T10:07:41Z","timestamp":1598263661000},"page":"e20.00109-e20.00109","source":"Crossref","is-referenced-by-count":5,"title":["Short-Term Tibial Baseplate Fracture After Total Knee Arthroplasty in the Absence of Osteolysis and Implant Loosening"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7875-1531","authenticated-orcid":false,"given":"Aresh","family":"Sepehri","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, University of British Columbia, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6362-2120","authenticated-orcid":false,"given":"Bassam A","family":"Masri","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of British Columbia, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"1","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.arth.2004.09.033","article-title":"Retrieval study of tibial baseplate fracture after total knee arthroplasty","volume":"20","author":"Chatterji","year":"2005","journal-title":"J Arthroplasty."},{"issue":"5","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"860","DOI":"10.3928\/0147-7447-19840501-12","article-title":"Breakage of the metal tray in total knee replacement","volume":"7","author":"Mendes","year":"1984","journal-title":"Orthopedics."},{"issue":"8","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"2262","DOI":"10.1007\/s11999-011-1872-4","article-title":"History and systematic review of wear and osteolysis outcomes for first-generation highly crosslinked polyethylene","volume":"469","author":"Kurtz","year":"2011","journal-title":"Clin Orthop Relat Res."},{"key":"bib4-20230720","first-page":"4080816","article-title":"Fracture of the tibial baseplate 16 years after Miller-Galante II total knee arthroplasty","volume":"2017","author":"Mineta","year":"2017","journal-title":"Case Rep Orthop."},{"issue":"2","key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.artd.2017.12.005","article-title":"Tibial tray fracture in a modern prosthesis with retrieval analysis","volume":"4","author":"Callaghan","year":"2018","journal-title":"Arthroplasty Today."},{"issue":"309","key":"bib6-20230720","first-page":"2","article-title":"Analysis of the bone surface area in resected tibia. 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