{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:27Z","timestamp":1787755467028,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","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>A 59-year-old woman with a history of left knee pain exacerbated by lymphatic filariasis underwent successful total knee replacement (TKR) for advanced osteoarthritis. Postoperatively, diligent adherence to compression bandaging, physiotherapy, and lymphatic flow promotion resulted in no lymphedema progression. During the 5-year follow-up, the patient showed improved Knee injury and Osteoarthritis Outcome Score and stable implant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Currently, there are no established protocols or formulated guidelines for TKR in patients with chronic filariasis. The preoperative lymphedema prevention must be tailor-made for each patient in the context of advanced osteoarthritis based on the functional lymphatic vessel status.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00062","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T14:01:12Z","timestamp":1717768872000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Challenges and Solutions: Total Knee Replacement in Patients with Chronic Lymphatic Filariasis"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2842-3705","authenticated-orcid":false,"given":"Arunkumar","family":"C","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Aster MIMS, Calicut, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7850-037X","authenticated-orcid":false,"given":"Aebel","family":"Raju","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Apollo Adlux Hospital, Angamali, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7325-0068","authenticated-orcid":false,"given":"Jimmy Joseph","family":"Meleppuram","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Apollo Adlux Hospital, Angamali, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5957-7133","authenticated-orcid":false,"given":"Ayyappan V","family":"Nair","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Manipal Whitefield Hospital, Banglore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1199-5168","authenticated-orcid":false,"given":"Arun","family":"Mundakkal","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Aster MIMS, Calicut, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7139-042X","authenticated-orcid":false,"given":"Ajayakumar","family":"Thankappan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Apollo Adlux Hospital, Angamali, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8161-1257","authenticated-orcid":false,"given":"Prince Shanavas","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Apollo Adlux Hospital, Angamali, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4]]},"reference":[{"issue":"12","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"2815","DOI":"10.1007\/s00264-022-05575-y","article-title":"Five-year results after total knee arthroplasty in lymphoedema and lipoedema: encouraging functional and clinical outcomes and low rates of infection","volume":"46","author":"Granger","year":"2022","journal-title":"Int Orthop."},{"issue":"23","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"5600","DOI":"10.3390\/jcm10235600","article-title":"The association of body mass index with surgical time is mediated by comorbidity in patients undergoing total hip arthroplasty","volume":"10","author":"Cannata","year":"2021","journal-title":"J Clin Med."},{"issue":"6","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"e0004740","DOI":"10.1371\/journal.pntd.0004740","article-title":"Self-care for 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surgery","volume":"11","author":"Kasim","year":"2020","journal-title":"J Public Health Afr."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:43:22Z","timestamp":1787751802000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00062"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00062","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]}}}