Evidence map›Paper›PMID 42376634›Full record

ArticleArthroplasty today2026

Incidental Discovery of Ochronosis During Total Knee Arthroplasty: A Case Report and Literature Review.

Augustin Demain, Etienne Willemart

Abstract readCase Reports
In one paragraph

Article in Arthroplasty today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Augustin DemainDepartment of Orthopaedic Surgery, CHIREC Delta, Auderghem, Brussels, Belgium.
Etienne WillemartDepartment of Orthopaedic Surgery, CHIREC Delta, Auderghem, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ochronosis is a rare disease that causes rapid and severe destruction of large joints, and joint replacement is often required in advanced stages. Due to the rarity and lack of awareness of this condition, diagnosis is often made during surgery. We present the case of a 54-year-old woman who underwent knee arthroplasty with the incidental discovery of a black knee. Concerned by this situation, we aimed to review the available literature to assess functional outcomes and implant survivorship in this rare condition. Despite the low level of evidence in the literature, it would appear that total knee arthroplasty in ochronosis leads to good results in terms of pain relief and functional scores, and most importantly implant survivorship is comparable to that of the general population.

Indexed as

AlkaptonuriaBlack cartilageOchronosisRare metabolic disorderTKA

Identifiers

PMID42376634
PMCPMC13311171

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.