{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:17:40Z","timestamp":1787753860406,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","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 63-year-old woman presented with an infected left total knee arthroplasty (TKA) having pain, sinus, and cobblestone-like swelling due to elephantiasis nostras verrucosa (ENV). A two-stage revision was performed, with strict asepsis and wound management. At midterm 15-month follow-up, no infection or loosening was noted, and daily knee functions improved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>No established guidelines exist for revision TKA in ENV. In ENV with structural lymphatic obstruction, infection control and meticulous soft-tissue protocols are essential, and long-term surveillance remains necessary.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00440","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T19:01:27Z","timestamp":1766170887000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Two-Stage Revision for Pseudomonas-Infected TKA in a Patient With Elephantiasis Nostras Verrucosa"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7761-7789","authenticated-orcid":false,"given":"Sourav Lal","family":"Das","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Bharatratna Dr Babasaheb Ambedkar Memorial Hospital, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3652-2842","authenticated-orcid":false,"given":"Komalchand","family":"Gajbhiye","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Bharatratna Dr Babasaheb Ambedkar Memorial Hospital, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5038-1647","authenticated-orcid":false,"given":"Ayush","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Bharatratna Dr Babasaheb Ambedkar Memorial Hospital, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4806-161X","authenticated-orcid":false,"given":"Shubham","family":"Kadam","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Bharatratna Dr Babasaheb Ambedkar Memorial Hospital, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2928-3538","authenticated-orcid":false,"given":"Kallol","family":"Basak","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Bharatratna Dr Babasaheb Ambedkar Memorial Hospital, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"1","key":"bib1-20251219","doi-asserted-by":"crossref","first-page":"43","DOI":"10.3400\/avd.cr.22-00113","article-title":"Elephantiasis Nostras Verrucosa of the lower limb: a case report and literature review","volume":"17","author":"Kharroubi","year":"2024","journal-title":"Ann Vasc Dis."},{"key":"bib2-20251219","first-page":"ic14","article-title":"Elephantiasis nostras 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