{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:29:26Z","timestamp":1787754566151,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2015,12,9]]},"abstract":"<jats:sec>\n                    <jats:title>Update<\/jats:title>\n                    <jats:p>This article was updated on January 27, 2016. The byline, which had previously read \u201cM.G. Williams, MBChB, and J. Phillips, MBBS, FRCS,\u201d now reads \u201cM.G. Williams, MBChB, J. Phillips, MBBS, FRCS, and K. Eyres, MD, FRCS(Tr&amp;Orth).\u201d In addition, the name, address, and e-mail address for Dr. Eyres have been added to the address block at the end of the article.<\/jats:p>\n                    <jats:p>An erratum has been published: JBJS Case Connect. 2016 Mar 23;6(1):e22.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report the case of a patient with bilateral below-the-knee amputation who had a periprosthetic fracture around a total knee arthroplasty. The fracture was managed with a revision total knee arthroplasty. We discuss the rationale for revision surgery, the surgical techniques, and the postoperative rehabilitation. Follow-up at one year demonstrated maintenance of the pretrauma functional status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In selected patients with a periprosthetic fracture, we believe that revision of a total knee arthroplasty may be considered as an option rather than an above-the-knee amputation or an arthrodesis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.n.00238","type":"journal-article","created":{"date-parts":[[2015,12,9]],"date-time":"2015-12-09T21:54:15Z","timestamp":1449698055000},"page":"e107","source":"Crossref","is-referenced-by-count":4,"title":["Revision Total Knee Arthroplasty in a Patient with Bilateral Below-the-Knee Amputation"],"prefix":"10.2106","volume":"5","author":[{"given":"M.G.","family":"Williams","sequence":"first","affiliation":[{"name":"PEOC, Royal Devon and Exeter Hospital, Barrack Road, Exeter, Devon EX25DW, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Phillips","sequence":"additional","affiliation":[{"name":"PEOC, Royal Devon and Exeter Hospital, Barrack Road, Exeter, Devon EX25DW, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Eyres","sequence":"additional","affiliation":[{"name":"PEOC, Royal Devon and Exeter Hospital, Barrack Road, Exeter, Devon EX25DW, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib1-20231015","first-page":"150","article-title":"Total knee replacement in patients with below-knee amputation","volume":"30","author":"Karam","year":"2010","journal-title":"Iowa Orthop J."},{"issue":"3","key":"bib2-20231015","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/j.apmr.2007.11.005","article-title":"Estimating the prevalence of limb loss in the United States: 2005 to 2050","volume":"89","author":"Ziegler-Graham","year":"2008","journal-title":"Arch Phys Med Rehabil."},{"issue":"6","key":"bib3-20231015","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/S0003-9993(00)90118-7","article-title":"Total knee replacement in an amputee patient: a case report","volume":"81","author":"Pasquina","year":"2000","journal-title":"Arch Phys Med Rehabil."},{"issue":"5","key":"bib4-20231015","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1016\/S0883-5403(03)00209-2","article-title":"Total knee arthroplasty in a below-knee amputee","volume":"18","author":"Crawford","year":"2003","journal-title":"J Arthroplasty."},{"issue":"3","key":"bib5-20231015","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1136\/ard.37.3.252","article-title":"Bone and joint changes in lower limb amputees","volume":"37","author":"Burke","year":"1978","journal-title":"Ann Rheum Dis."},{"issue":"8","key":"bib6-20231015","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1007\/s00113-007-1366-8","article-title":"[Total knee replacement in a below-knee amputee. Technical reference points and possible solutions]","volume":"111","author":"Vanin","year":"2008","journal-title":"Unfallchirurg."},{"issue":"1","key":"bib7-20231015","first-page":"1","article-title":"Amputations below the knee","volume":"13","author":"Burgess","year":"1969","journal-title":"Artif Limbs."},{"issue":"1","key":"bib8-20231015","doi-asserted-by":"crossref","first-page":"42","DOI":"10.2106\/00004623-197658010-00007","article-title":"Energy cost of walking of amputees: the influence of level of amputation","volume":"58","author":"Waters","year":"1976","journal-title":"J Bone Joint Surg Am."},{"issue":"3","key":"bib9-20231015","first-page":"111","article-title":"Energy expenditure in below-knee amputees: correlation with stump length","volume":"55","author":"Gonzalez","year":"1974","journal-title":"Arch Phys Med Rehabil."},{"issue":"3","key":"bib10-20231015","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/0003-9993(86)90057-2","article-title":"Bilateral below-knee amputations: experience with 80 patients","volume":"67","author":"Thornhill","year":"1986","journal-title":"Arch Phys Med Rehabil."},{"issue":"9","key":"bib11-20231015","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1359\/jbmr.080402","article-title":"BMD and bone geometry in transtibial and transfemoral amputees","volume":"23","author":"Sherk","year":"2008","journal-title":"J Bone Miner Res."},{"issue":"2","key":"bib12-20231015","first-page":"78","article-title":"Total knee arthroplasty in elderly osteoporotic patients","volume":"23","author":"Spinarelli","year":"2011","journal-title":"Aging Clin Exp Res."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201505040-00024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:29:22Z","timestamp":1787750962000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201505040-00024"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2015,12,9]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.n.00238","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,9]]}}}