{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:26Z","timestamp":1787755406796,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>An 81-year-old man presented with severe atraumatic knee pain. Sixteen years before, he had undergone a primary cemented total knee arthroplasty (TKA). A radiological study showed osteolysis and loosening of the femoral component. Intraoperatively, a medial femoral condyle fracture was found. A rotating-hinge revision TKA with cemented stems was implanted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Femoral component fracture is extremely rare. Surgeons should remain vigilant with younger and heavier patients with severe unexplained pain. Early revision TKA using cemented, stemmed, and more constrained implants is usually necessary. Full and stable metal-to-bone contact through perfect cuts and a careful cementing technique avoiding debonded areas are recommended to prevent this complication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00641","type":"journal-article","created":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T14:00:57Z","timestamp":1677074457000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Atraumatic Fracture of the Femoral Component of a Cemented Total Knee Arthroplasty"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4760-2730","authenticated-orcid":false,"given":"Oriol","family":"Pujol","sequence":"first","affiliation":[{"name":"Knee Surgery Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Barcelona, Spain; Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9212-7188","authenticated-orcid":false,"given":"Merc\u00e8","family":"Revert\u00e9","sequence":"additional","affiliation":[{"name":"Knee Surgery Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Barcelona, Spain; Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8158-7426","authenticated-orcid":false,"given":"Joan","family":"Pijoan","sequence":"additional","affiliation":[{"name":"Knee Surgery Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Barcelona, Spain; Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2067-4518","authenticated-orcid":false,"given":"Joan","family":"Minguell","sequence":"additional","affiliation":[{"name":"Knee Surgery Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Barcelona, Spain; Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8525-4485","authenticated-orcid":false,"given":"Nayana","family":"Joshi-Jubert","sequence":"additional","affiliation":[{"name":"Knee Surgery Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Barcelona, Spain; Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6338-3676","authenticated-orcid":false,"given":"Enric","family":"Castellet","sequence":"additional","affiliation":[{"name":"Knee Surgery Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Barcelona, Spain; Universitat Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1]]},"reference":[{"issue":"4","key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"e19.00362","DOI":"10.2106\/JBJS.CC.19.00362","article-title":"Failure of the femoral component in a cemented total knee replacement: a case report","volume":"10","author":"Kropelnicki","year":"2020","journal-title":"JBJS Case Connect."},{"key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.artd.2021.03.006","article-title":"Atraumatic fracture of the medial femoral condyle of a total knee arthroplasty","volume":"8","author":"Ocampo","year":"2021","journal-title":"Arthroplasty Today."},{"issue":"3","key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1016\/j.artd.2020.06.001","article-title":"Bilateral femoral component fractures after primary total knee arthroplasty with cruciate-retaining femoral component","volume":"6","author":"Nezwek","year":"2020","journal-title":"Arthroplasty Today."},{"issue":"5","key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"1439","DOI":"10.1016\/j.knee.2020.06.009","article-title":"Fatigue fracture of the femoral component in total knee replacement","volume":"27","author":"Chithartha","year":"2020","journal-title":"Knee."},{"issue":"3","key":"bib5-20240731","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 Jt Dis (2013)."},{"issue":"3","key":"bib6-20240731","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/S0883-5403(99)90066-9","article-title":"Fracture of the femoral component associated with polyethylene wear and osteolysis after total knee arthroplasty","volume":"14","author":"Huang","year":"1999","journal-title":"J Arthroplasty."},{"issue":"7","key":"bib7-20240731","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."},{"issue":"6","key":"bib8-20240731","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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