{"id":"https://openalex.org/W2008999989","doi":"https://doi.org/10.1007/s00167-004-0508-6","title":"Patellar resection during total knee arthroplasty: effect on bone strain and fracture risk","display_name":"Patellar resection during total knee arthroplasty: effect on bone strain and fracture risk","publication_year":2004,"publication_date":"2004-05-03","ids":{"openalex":"https://openalex.org/W2008999989","doi":"https://doi.org/10.1007/s00167-004-0508-6","mag":"2008999989","pmid":"https://pubmed.ncbi.nlm.nih.gov/15127185"},"language":"en","primary_location":{"id":"doi:10.1007/s00167-004-0508-6","doi":"https://doi.org/10.1007/s00167-004-0508-6","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s00167-004-0508-6","pdf_url":null,"source":{"id":"https://openalex.org/S51654951","display_name":"Knee Surgery Sports Traumatology Arthroscopy","issn_l":"0942-2056","issn":["0942-2056","1433-7347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee Surgery, Sports Traumatology, Arthroscopy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028423385","display_name":"Denny T T Lie","orcid":"https://orcid.org/0000-0002-3638-6625","observed_orcids":["https://orcid.org/0000-0002-3638-6625"]},"institutions":[{"id":"https://openalex.org/I2251586001","display_name":"Singapore General Hospital","ror":"https://ror.org/036j6sg82","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2251586001"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"D. T. T. Lie","raw_affiliation_strings":["Department of Orthopaedic Surgery; Singapore General Hospital; Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery; Singapore General Hospital; Singapore","institution_ids":["https://openalex.org/I2251586001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019330702","display_name":"N. Gloria","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2251586001","display_name":"Singapore General Hospital","ror":"https://ror.org/036j6sg82","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2251586001"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"N. Gloria","raw_affiliation_strings":["Department of Orthopaedic Surgery; Singapore General Hospital; Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery; Singapore General Hospital; Singapore","institution_ids":["https://openalex.org/I2251586001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060343018","display_name":"Andrew A. Amis","orcid":"https://orcid.org/0000-0002-4489-1381","observed_orcids":["https://orcid.org/0000-0002-4489-1381"]},"institutions":[{"id":"https://openalex.org/I172675005","display_name":"Nanyang Technological University","ror":"https://ror.org/02e7b5302","country_code":"SG","type":"education","lineage":["https://openalex.org/I172675005"]},{"id":"https://openalex.org/I47508984","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10","country_code":"GB","type":"education","lineage":["https://openalex.org/I47508984"]}],"countries":["GB","SG"],"is_corresponding":true,"raw_author_name":"A. A. Amis","raw_affiliation_strings":["Biomechanics Section Mechanical Engineering Department Imperial College SW7 2BX London UK","Mechanical and Production Engineering Department, Nanyang Technological University, Singapore","Biomechanics Section, Mechanical Engineering Department, Imperial College, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Biomechanics Section Mechanical Engineering Department Imperial College SW7 2BX London UK","institution_ids":["https://openalex.org/I47508984"]},{"raw_affiliation_string":"Mechanical and Production Engineering Department, Nanyang Technological University, Singapore","institution_ids":["https://openalex.org/I172675005"]},{"raw_affiliation_string":"Biomechanics Section, Mechanical Engineering Department, Imperial College, London, UK","institution_ids":["https://openalex.org/I47508984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038791021","display_name":"B. P. H. Lee","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2251586001","display_name":"Singapore General Hospital","ror":"https://ror.org/036j6sg82","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2251586001"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"B. P. H. Lee","raw_affiliation_strings":["Department of Orthopaedic Surgery; Singapore General Hospital; Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery; Singapore General Hospital; Singapore","institution_ids":["https://openalex.org/I2251586001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113650567","display_name":"S. J. Yeo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2251586001","display_name":"Singapore General Hospital","ror":"https://ror.org/036j6sg82","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2251586001"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"S. J. Yeo","raw_affiliation_strings":["Department of Orthopaedic Surgery; Singapore General Hospital; Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery; Singapore General Hospital; Singapore","institution_ids":["https://openalex.org/I2251586001"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5005695797","display_name":"Siaw Meng Chou","orcid":"https://orcid.org/0000-0003-3081-0699","observed_orcids":["https://orcid.org/0000-0003-3081-0699"]},"institutions":[{"id":"https://openalex.org/I172675005","display_name":"Nanyang Technological University","ror":"https://ror.org/02e7b5302","country_code":"SG","type":"education","lineage":["https://openalex.org/I172675005"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"S. M. Chou","raw_affiliation_strings":["Mechanical and Production Engineering Department, Nanyang Technological University, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mechanical and Production Engineering Department, Nanyang Technological University, Singapore","institution_ids":["https://openalex.org/I172675005"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5060343018"],"corresponding_institution_ids":["https://openalex.org/I172675005","https://openalex.org/I47508984"],"apc_list":{"value":4300,"currency":"USD","value_usd":4300},"apc_paid":null,"fwci":0.7135,"has_fulltext":false,"cited_by_count":41,"citation_normalized_percentile":{"value":0.71482933,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"13","issue":"3","first_page":"203","last_page":"208"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9810000061988831,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9810000061988831,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.013100000098347664,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/total-knee-arthroplasty","display_name":"total knee arthroplasty","score":0.9980000257492065},{"id":"https://openalex.org/keywords/bone-strain","display_name":"bone strain","score":0.9319999814033508},{"id":"https://openalex.org/keywords/knee-flexion","display_name":"knee flexion","score":0.921999990940094}],"concepts":[{"id":"https://openalex.org/C2780498440","wikidata":"https://www.wikidata.org/wiki/Q1680525","display_name":"Patella fracture","level":3,"score":0.7437226176261902},{"id":"https://openalex.org/C2780368125","wikidata":"https://www.wikidata.org/wiki/Q229081","display_name":"Patella","level":2,"score":0.7357873916625977},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7133904695510864},{"id":"https://openalex.org/C2778022156","wikidata":"https://www.wikidata.org/wiki/Q576145","display_name":"Strain (injury)","level":2,"score":0.6357676386833191},{"id":"https://openalex.org/C91762617","wikidata":"https://www.wikidata.org/wiki/Q48422","display_name":"Cadaver","level":2,"score":0.5551474094390869},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.4727528989315033},{"id":"https://openalex.org/C112950240","wikidata":"https://www.wikidata.org/wiki/Q76005","display_name":"Ultimate tensile strength","level":2,"score":0.46919935941696167},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.43785709142684937},{"id":"https://openalex.org/C3017871827","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Total knee arthroplasty","level":2,"score":0.43179571628570557},{"id":"https://openalex.org/C186068551","wikidata":"https://www.wikidata.org/wiki/Q13255585","display_name":"Tension (geology)","level":3,"score":0.4303455948829651},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.42034468054771423},{"id":"https://openalex.org/C43369102","wikidata":"https://www.wikidata.org/wiki/Q2307625","display_name":"Fracture (geology)","level":2,"score":0.4169151186943054},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.41665130853652954},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.383344829082489},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3691367208957672},{"id":"https://openalex.org/C192562407","wikidata":"https://www.wikidata.org/wiki/Q228736","display_name":"Materials science","level":0,"score":0.3629482686519623},{"id":"https://openalex.org/C159985019","wikidata":"https://www.wikidata.org/wiki/Q181790","display_name":"Composite material","level":1,"score":0.08927392959594727}],"mesh":[{"descriptor_ui":"D002102","descriptor_name":"Cadaver","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007720","descriptor_name":"Knee Prosthesis","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D010329","descriptor_name":"Patella","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":true},{"descriptor_ui":"D010329","descriptor_name":"Patella","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012846","descriptor_name":"Singapore","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019645","descriptor_name":"Arthroplasty, Replacement, Knee","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D019645","descriptor_name":"Arthroplasty, Replacement, Knee","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D050723","descriptor_name":"Fractures, Bone","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1007/s00167-004-0508-6","doi":"https://doi.org/10.1007/s00167-004-0508-6","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s00167-004-0508-6","pdf_url":null,"source":{"id":"https://openalex.org/S51654951","display_name":"Knee Surgery Sports Traumatology Arthroscopy","issn_l":"0942-2056","issn":["0942-2056","1433-7347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee Surgery, Sports Traumatology, Arthroscopy","raw_type":"journal-article"},{"id":"pmid:15127185","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/15127185","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320309007","display_name":"Zimmer","ror":"https://ror.org/02bn55144"},{"id":"https://openalex.org/F4320320761","display_name":"Singapore General Hospital","ror":"https://ror.org/036j6sg82"},{"id":"https://openalex.org/F4320320766","display_name":"Nanyang Technological University","ror":"https://ror.org/02e7b5302"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":34,"referenced_works":["https://openalex.org/W13300466","https://openalex.org/W103632693","https://openalex.org/W1912883007","https://openalex.org/W1973191336","https://openalex.org/W1977531961","https://openalex.org/W1979710612","https://openalex.org/W1984783158","https://openalex.org/W1990316850","https://openalex.org/W2001806013","https://openalex.org/W2008778741","https://openalex.org/W2018781160","https://openalex.org/W2025047552","https://openalex.org/W2028654419","https://openalex.org/W2030544371","https://openalex.org/W2036318670","https://openalex.org/W2046996055","https://openalex.org/W2048337602","https://openalex.org/W2053034593","https://openalex.org/W2063857462","https://openalex.org/W2064842065","https://openalex.org/W2066536060","https://openalex.org/W2069675353","https://openalex.org/W2076822266","https://openalex.org/W2082826332","https://openalex.org/W2087205172","https://openalex.org/W2098954998","https://openalex.org/W2104962565","https://openalex.org/W2126355728","https://openalex.org/W2133543986","https://openalex.org/W2136693247","https://openalex.org/W4235851306","https://openalex.org/W4290357082","https://openalex.org/W4293192501","https://openalex.org/W4301221835"],"related_works":["https://openalex.org/W2013215261","https://openalex.org/W2008778741","https://openalex.org/W2099720452","https://openalex.org/W2064842065","https://openalex.org/W3028841457","https://openalex.org/W2589130203","https://openalex.org/W2183529678","https://openalex.org/W4205618778","https://openalex.org/W2624954797","https://openalex.org/W1982611310"],"abstract_inverted_index":{"Patellae":[0],"in":[1,38,91,129],"small":[2],"knees,":[3],"or":[4],"after":[5,14,56],"severe":[6],"patellar":[7,19,33],"erosion,":[8],"may":[9,21,177],"be":[10,22,178],"vulnerable":[11],"to":[12,47,58,111,165,173],"fracture":[13,160,182],"resection":[15,122,164],"during":[16],"arthroplasty.":[17],"The":[18],"remnant":[20],"thin,":[23],"while":[24],"the":[25,43,52,108,130,138,155],"polyethylene":[26,70],"component":[27],"has":[28],"a":[29,149,162],"standard":[30],"thickness.":[31],"Anterior":[32],"bone":[34,118],"strain":[35],"was":[36],"measured":[37],"cadaver":[39],"knees":[40],"loaded":[41],"via":[42],"quadriceps,":[44],"from":[45,88,148],"0":[46],"90":[48],"degrees":[49,102],"flexion,":[50,105],"with":[51,75,78,115,133,161,183],"patella":[53,156,171],"intact,":[54],"and":[55,61,65,94,96],"resections":[57],"16,":[59],"13":[60],"11":[62,174],"mm":[63,167,175],"thick":[64],"replacement":[66],"by":[67],"an":[68],"8-mm-thick":[69],"component.":[71],"Strain":[72],"increased":[73],"significantly":[74],"knee":[76,92],"flexion":[77,93],"constant":[79],"500":[80],"N":[81],"quadriceps":[82,153],"tension.":[83],"Resection":[84],"caused":[85,107,123],"significant":[86,98],"changes":[87],"intact":[89],"values":[90],"extension":[95],"no":[97],"effect":[99],"at":[100,179],"30":[101],"flexion.":[103],"In":[104,120],"bending":[106,128],"anterior":[109,125],"surface":[110],"become":[112],"more":[113],"convex,":[114],"high":[116],"tensile":[117,135],"strains.":[119],"extension,":[121],"negative":[124],"strains,":[126],"representing":[127],"opposite":[131],"direction,":[132],"large":[134],"strains":[136],"on":[137],"cut":[139],"posterior":[140],"surface.":[141],"For":[142],"normal":[143],"activities,":[144],"such":[145],"as":[146],"rising":[147],"chair":[150],"(1.8":[151],"kN":[152],"tension)":[154],"appears":[157],"safe":[158],"against":[159],"minimal":[163],"16":[166],"thick.":[168],"An":[169],"eroded":[170],"resected":[172],"thickness":[176],"risk":[180],"of":[181],"that":[184],"loading.":[185]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":2},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}