{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T17:00:56Z","timestamp":1781456456832,"version":"3.54.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,14]]},"DOI":"10.7759\/cureus.110829","type":"journal-article","created":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T16:42:00Z","timestamp":1781455320000},"source":"Crossref","is-referenced-by-count":0,"title":["Functional Outcomes of Difficult Primary Total Knee Arthroplasty Assessed by the Bristol Knee Score at Six Months: A Tertiary Care Center Experience"],"prefix":"10.7759","author":[{"given":"Jeevan","family":"George","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Sonu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gokul","family":"Gopan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudhir","family":"R","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","article-title":"Arthritis and the aging population: projections of arthritis prevalence in Canada 1991 to 2031","volume":"25","author":"Badley EM","year":"1998","unstructured":"Badley EM, Wang PP. Arthritis and the aging population: projections of arthritis prevalence in Canada 1991 to 2031. J Rheumatol. 1998, 25:138-44.","journal-title":"J Rheumatol"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-005-0584-z","article-title":"The safety and efficacy of intraarticular hyaluronan with\/without corticosteroid in knee osteoarthritis: 1-year, single-blind, randomized study","volume":"26","author":"Ozturk C","year":"2006","unstructured":"Ozturk C, Atamaz F, Hepguler S, Argin M, Arkun R. The safety and efficacy of intraarticular hyaluronan with\/without corticosteroid in knee osteoarthritis: 1-year, single-blind, randomized study. Rheumatol Int. 2006, 26:314-9. 10.1007\/s00296-005-0584-z","journal-title":"Rheumatol Int"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v5.i3.351","article-title":"Intraarticular injections (corticosteroid, hyaluronic acid, platelet rich plasma) for the knee osteoarthritis","volume":"5","author":"Ayhan E","year":"2014","unstructured":"Ayhan E, Kesmezacar H, Akgun I. Intraarticular injections (corticosteroid, hyaluronic acid, platelet rich plasma) for the knee osteoarthritis. World J Orthop. 2014, 5:351-61. 10.5312\/wjo.v5.i3.351","journal-title":"World J Orthop"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/01.bor.0000171214.49876.38","article-title":"Exercise as a treatment for osteoarthritis","volume":"17","author":"Bennell K","year":"2005","unstructured":"Bennell K, Hinman R. Exercise as a treatment for osteoarthritis. Curr Opin Rheumatol. 2005, 17:634-40. 10.1097\/01.bor.0000171214.49876.38","journal-title":"Curr Opin Rheumatol"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004019.pub4","article-title":"Osteotomy for treating knee osteoarthritis","volume":"2014","author":"Brouwer RW","year":"2014","unstructured":"Brouwer RW, Huizinga MR, Duivenvoorden T, van Raaij TM, Verhagen AP, Bierma-Zeinstra SM, Verhaar JA. Osteotomy for treating knee osteoarthritis. Cochrane Database Syst Rev. 2014, 2014:CD004019. 10.1002\/14651858.CD004019.pub4","journal-title":"Cochrane Database Syst Rev"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kem119","article-title":"Severe knee osteoarthritis: a randomized controlled trial of acupuncture, physiotherapy (supervised exercise) and standard management for patients awaiting knee replacement","volume":"46","author":"Williamson L","year":"2007","unstructured":"Williamson L, Wyatt MR, Yein K, Melton JT. Severe knee osteoarthritis: a randomized controlled trial of acupuncture, physiotherapy (supervised exercise) and standard management for patients awaiting knee replacement. Rheumatology (Oxford). 2007, 46:1445-9. 10.1093\/rheumatology\/kem119","journal-title":"Rheumatology (Oxford)"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2003.06.001","article-title":"Knee scores in a 'normal' elderly population","volume":"11","author":"Bremner-Smith AT","year":"2004","unstructured":"Bremner-Smith AT, Ewings P, Weale AE. Knee scores in a 'normal' elderly population. Knee. 2004, 11:279-82. 10.1016\/j.knee.2003.06.001","journal-title":"Knee"},{"key":"ref8","article-title":"Severe varus and valgus deformities treated by total knee arthroplasty","volume":"76","author":"Karachalios T","year":"1994","unstructured":"Karachalios T, Sarangi PP, Newman JH. Severe varus and valgus deformities treated by total knee arthroplasty. J Bone Joint Surg Br. 1994, 76:938-42.","journal-title":"J Bone Joint Surg Br"},{"key":"ref9","article-title":"Duo-condylar knee arthroplasty: hospital for special surgery design","author":"Ranawat CS","year":"1976","unstructured":"Ranawat CS, Insall J, Shine J. Duo-condylar knee arthroplasty: hospital for special surgery design. Clin Orthop Relat Res. 1976, 76-82.","journal-title":"Clin Orthop Relat Res"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1571428","article-title":"Effect of age on postoperative outcomes following total knee arthroplasty","volume":"29","author":"Elmallah RD","year":"2016","unstructured":"Elmallah RD, Jauregui JJ, Cherian JJ, Pierce TP, Harwin SF, Mont MA. Effect of age on postoperative outcomes following total knee arthroplasty. J Knee Surg. 2016, 29:673-8. 10.1055\/s-0036-1571428","journal-title":"J Knee Surg"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2009.88","article-title":"Surgical options for patients with osteoarthritis of the knee","volume":"5","author":"L\u00fctzner J","year":"2009","unstructured":"L\u00fctzner J, Kasten P, G\u00fcnther KP, Kirschner S. Surgical options for patients with osteoarthritis of the knee. Nat Rev Rheumatol. 2009, 5:309-16. 10.1038\/nrrheum.2009.88","journal-title":"Nat Rev Rheumatol"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-1119-9","article-title":"Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?","volume":"468","author":"Bourne RB","year":"2010","unstructured":"Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?. Clin Orthop Relat Res. 2010, 468:57-63. 10.1007\/s11999-009-1119-9","journal-title":"Clin Orthop Relat Res"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2009.12.001","article-title":"Predictors of moderate-severe functional limitation after primary total knee arthroplasty (TKA): 4701 TKAs at 2-years and 2935 TKAs at 5-years","volume":"18","author":"Singh JA","year":"2010","unstructured":"Singh JA, O'Byrne M, Harmsen S, Lewallen D. Predictors of moderate-severe functional limitation after primary total knee arthroplasty (TKA): 4701 TKAs at 2-years and 2935 TKAs at 5-years. Osteoarthritis Cartilage. 2010, 18:515-21. 10.1016\/j.joca.2009.12.001","journal-title":"Osteoarthritis Cartilage"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1549023","article-title":"The effect of comorbidities on outcomes following total knee arthroplasty","volume":"28","author":"Elmallah RD","year":"2015","unstructured":"Elmallah RD, Cherian JJ, Robinson K, Harwin SF, Mont MA. The effect of comorbidities on outcomes following total knee arthroplasty. J Knee Surg. 2015, 28:411-6. 10.1055\/s-0035-1549023","journal-title":"J Knee Surg"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00820","article-title":"The influence of obesity on the complication rate and outcome of total knee arthroplasty: a meta-analysis and systematic literature review","volume":"94","author":"Kerkhoffs GM","year":"2012","unstructured":"Kerkhoffs GM, Servien E, Dunn W, Dahm D, Bramer JA, Haverkamp D. The influence of obesity on the complication rate and outcome of total knee arthroplasty: a meta-analysis and systematic literature review. J Bone Joint Surg Am. 2012, 94:1839-44. 10.2106\/JBJS.K.00820","journal-title":"J Bone Joint Surg Am"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200408000-00002","article-title":"The outcome of total knee arthroplasty in obese patients","volume":"86","author":"Foran JR","year":"2004","unstructured":"Foran JR, Mont MA, Etienne G, Jones LC, Hungerford DS. The outcome of total knee arthroplasty in obese patients. J Bone Joint Surg Am. 2004, 86:1609-15. 10.2106\/00004623-200408000-00002","journal-title":"J Bone Joint Surg Am"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00211","article-title":"Risk factors associated with deep surgical site infections after primary total knee arthroplasty: an analysis of 56,216 knees","volume":"95","author":"Namba RS","year":"2013","unstructured":"Namba RS, Inacio MC, Paxton EW. Risk factors associated with deep surgical site infections after primary total knee arthroplasty: an analysis of 56,216 knees. J Bone Joint Surg Am. 2013, 95:775-82. 10.2106\/JBJS.L.00211","journal-title":"J Bone Joint Surg Am"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-005-0130-2","article-title":"Prolonged operative time correlates with increased infection rate after total knee arthroplasty","volume":"2","author":"Peersman G","year":"2006","unstructured":"Peersman G, Laskin R, Davis J, Peterson MG, Richart T. Prolonged operative time correlates with increased infection rate after total knee arthroplasty. HSS J. 2006, 2:70-2. 10.1007\/s11420-005-0130-2","journal-title":"HSS J"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31817f2c1a","article-title":"Evidence-based surgical care and the evolution of fast-track surgery","volume":"248","author":"Kehlet H","year":"2008","unstructured":"Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg. 2008, 248:189-98. 10.1097\/SLA.0b013e31817f2c1a","journal-title":"Ann Surg"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1080\/17453670710014941","article-title":"Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients","volume":"79","author":"Husted H","year":"2008","unstructured":"Husted H, Holm G, Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients. Acta Orthop. 2008, 79:168-73. 10.1080\/17453670710014941","journal-title":"Acta Orthop"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/470756-functional-outcomes-of-difficult-primary-total-knee-arthroplasty-assessed-by-the-bristol-knee-score-at-six-months-a-tertiary-care-center-experience","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T16:42:02Z","timestamp":1781455322000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/470756-functional-outcomes-of-difficult-primary-total-knee-arthroplasty-assessed-by-the-bristol-knee-score-at-six-months-a-tertiary-care-center-experience"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,14]]},"references-count":20,"URL":"https:\/\/doi.org\/10.7759\/cureus.110829","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,14]]}}}