Evidence map›Paper›PMID 35330666›Full record

ArticleArthroplasty today2022

Catastrophic Failure of the Tibial Component After Total Knee Arthroplasty: Fracture and Dissociation Between the Baseplate and Stem.

Christopher A Worgul, Brandon Lentine, Quinten G Dicken, David M Freccero

Abstract readCase Reports
In one paragraph

Article in Arthroplasty today, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The Viability and Success of Noncemented Kinematic Total Knee Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Christopher A WorgulDepartment of Orthopaedic Surgery, Boston Medical Center, Boston, MA, USA.
Brandon LentineDepartment of Orthopaedic Surgery, Boston Medical Center, Boston, MA, USA.
Quinten G DickenDepartment of Orthopaedic Surgery, Boston Medical Center, Boston, MA, USA.
David M FrecceroDepartment of Orthopaedic Surgery, Boston Medical Center, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fracture of the tibial component can be a devastating complication after primary total knee arthroplasty. While fractures of the tibial baseplate have been reported, failure at the junction between the baseplate and stem has not been well-described. We present a 49-year-old male who developed progressively worsening left knee pain and an effusion 7-8 years after an index total knee arthroplasty. Radiographs revealed component subsidence and subtle asymmetry between the baseplate and stem. At the time of revision, the tibial component was found to be fractured at the junction of the baseplate and stem, with complete dissociation between the two pieces. Clinicians should maintain a high index of suspicion for catastrophic failure, as this rare phenomenon can be subtle on radiographs and requires close monitoring for signs of component subsidence.

Indexed as

Catastrophic failureOsteolysisTibial baseplateTotal knee arthroplastyTotal knee revision

Identifiers

PMID35330666
PMCPMC8938886

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.