{"id":"https://openalex.org/W2020787266","doi":"https://doi.org/10.1155/2015/891904","title":"Apparent Skin Discoloration about the Knee Joint: A Rare Sequela of Metallosis after Total Knee Replacement","display_name":"Apparent Skin Discoloration about the Knee Joint: A Rare Sequela of Metallosis after Total Knee Replacement","publication_year":2015,"publication_date":"2015-01-01","ids":{"openalex":"https://openalex.org/W2020787266","doi":"https://doi.org/10.1155/2015/891904","mag":"2020787266","pmid":"https://pubmed.ncbi.nlm.nih.gov/25878914","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4387939"},"language":"en","primary_location":{"id":"doi:10.1155/2015/891904","doi":"https://doi.org/10.1155/2015/891904","is_oa":true,"landing_page_url":"https://doi.org/10.1155/2015/891904","pdf_url":"https://downloads.hindawi.com/journals/crior/2015/891904.pdf","source":{"id":"https://openalex.org/S2764806175","display_name":"Case Reports in Orthopedics","issn_l":"2090-6757","issn":["2090-6757","2090-6749"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Orthopedics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://downloads.hindawi.com/journals/crior/2015/891904.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5080487734","display_name":"Narlaka Jayasekera","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801242002","display_name":"Royal Devon and Exeter Hospital","ror":"https://ror.org/03jrh3t05","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801242002"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Narlaka Jayasekera","raw_affiliation_strings":["Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 50W, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 50W, UK","institution_ids":["https://openalex.org/I2801242002"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087006173","display_name":"Conor Gouk","orcid":"https://orcid.org/0000-0003-4794-0553","observed_orcids":["https://orcid.org/0000-0003-4794-0553"]},"institutions":[{"id":"https://openalex.org/I2800311529","display_name":"University Hospital of North Durham","ror":"https://ror.org/04qgcgz06","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800136903","https://openalex.org/I2800311529"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Conor Gouk","raw_affiliation_strings":["University Hospital North Durham, North Road, Durham, DH1 5TW, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital North Durham, North Road, Durham, DH1 5TW, UK","institution_ids":["https://openalex.org/I2800311529"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108026073","display_name":"Amit D. Patel","orcid":"https://orcid.org/0009-0000-2493-392X","observed_orcids":["https://orcid.org/0009-0000-2493-392X"]},"institutions":[{"id":"https://openalex.org/I2801242002","display_name":"Royal Devon and Exeter Hospital","ror":"https://ror.org/03jrh3t05","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801242002"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Amit Patel","raw_affiliation_strings":["Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 50W, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 50W, UK","institution_ids":["https://openalex.org/I2801242002"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5112467021","display_name":"Keith S. Eyres","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801242002","display_name":"Royal Devon and Exeter Hospital","ror":"https://ror.org/03jrh3t05","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801242002"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Keith Eyres","raw_affiliation_strings":["Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 50W, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Devon and Exeter Hospital, Barrack Road, Exeter EX2 50W, UK","institution_ids":["https://openalex.org/I2801242002"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5087006173"],"corresponding_institution_ids":["https://openalex.org/I2800311529"],"apc_list":{"value":790,"currency":"USD","value_usd":790},"apc_paid":{"value":790,"currency":"USD","value_usd":790},"fwci":0.9249,"has_fulltext":true,"cited_by_count":7,"citation_normalized_percentile":{"value":0.72012362,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":95},"biblio":{"volume":"2015","issue":null,"first_page":"1","last_page":"2"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.9980000257492065,"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/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.9980000257492065,"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/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.000699999975040555,"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/T11293","display_name":"Orthopedic Infections and Treatments","score":0.000699999975040555,"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/metallosis","display_name":"metallosis","score":0.9980000257492065},{"id":"https://openalex.org/keywords/total-knee-arthroplasty","display_name":"total knee arthroplasty","score":0.9860000014305115},{"id":"https://openalex.org/keywords/patellar-resurfacing","display_name":"patellar resurfacing","score":0.8500000238418579},{"id":"https://openalex.org/keywords/skin-discoloration","display_name":"skin discoloration","score":0.7459999918937683},{"id":"https://openalex.org/keywords/metallic-debris","display_name":"metal debris","score":0.6449999809265137},{"id":"https://openalex.org/keywords/implant-loosening","display_name":"implant loosening","score":0.6200000047683716},{"id":"https://openalex.org/keywords/revision-arthroplasty","display_name":"revision arthroplasty","score":0.7239999771118164},{"id":"https://openalex.org/keywords/soft-tissue-debridement","display_name":"soft tissue debridement","score":0.8809999823570251}],"concepts":[{"id":"https://openalex.org/C2779726759","wikidata":"https://www.wikidata.org/wiki/Q15431667","display_name":"Metallosis","level":3,"score":0.9900766611099243},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9513145685195923},{"id":"https://openalex.org/C136948725","wikidata":"https://www.wikidata.org/wiki/Q1458306","display_name":"Soft tissue","level":2,"score":0.6607869863510132},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6190053820610046},{"id":"https://openalex.org/C2780368125","wikidata":"https://www.wikidata.org/wiki/Q229081","display_name":"Patella","level":2,"score":0.5894770622253418},{"id":"https://openalex.org/C2778715743","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis","level":2,"score":0.5635883808135986},{"id":"https://openalex.org/C2781411149","wikidata":"https://www.wikidata.org/wiki/Q486975","display_name":"Implant","level":2,"score":0.5485478639602661},{"id":"https://openalex.org/C2779279471","wikidata":"https://www.wikidata.org/wiki/Q6421876","display_name":"Knee pain","level":4,"score":0.5012156963348389},{"id":"https://openalex.org/C2778104916","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Knee replacement","level":3,"score":0.48205646872520447},{"id":"https://openalex.org/C2777609351","wikidata":"https://www.wikidata.org/wiki/Q3089469","display_name":"Sequela","level":2,"score":0.43598663806915283},{"id":"https://openalex.org/C2777438270","wikidata":"https://www.wikidata.org/wiki/Q5248564","display_name":"Debridement (dental)","level":2,"score":0.4347997009754181},{"id":"https://openalex.org/C2778120723","wikidata":"https://www.wikidata.org/wiki/Q16872681","display_name":"Periprosthetic","level":3,"score":0.4115258455276489},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.369417279958725},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.3676586449146271},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":7,"locations":[{"id":"doi:10.1155/2015/891904","doi":"https://doi.org/10.1155/2015/891904","is_oa":true,"landing_page_url":"https://doi.org/10.1155/2015/891904","pdf_url":"https://downloads.hindawi.com/journals/crior/2015/891904.pdf","source":{"id":"https://openalex.org/S2764806175","display_name":"Case Reports in Orthopedics","issn_l":"2090-6757","issn":["2090-6757","2090-6749"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Orthopedics","raw_type":"journal-article"},{"id":"pmid:25878914","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25878914","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":"Case reports in orthopedics","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:4387939","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4387939/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Rep Orthop","raw_type":"Text"},{"id":"pmh:oai:CiteSeerX.psu:10.1.1.804.9224","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.804.9224","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"ftp://ftp.ncbi.nlm.nih.gov/pub/pmc/0f/96/CRIOR2015-891904.PMC4387939.pdf","raw_type":"text"},{"id":"pmh:oai:doaj.org/article:8bb7fb02058a4294b65f120dc9ee0b4d","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/8bb7fb02058a4294b65f120dc9ee0b4d","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Case Reports in Orthopedics, Vol 2015 (2015)","raw_type":"article"},{"id":"pmh:oai:rde.openrepository.com:11287/594044","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/11287/594044","pdf_url":null,"source":{"id":"https://openalex.org/S4306401891","display_name":"Royal Devon and Exeter Research Repository (Royal Devon and Exeter)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2801242002","host_organization_name":"Royal Devon and Exeter Hospital","host_organization_lineage":["https://openalex.org/I2801242002"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Journal Article"},{"id":"pmh:oai:research-repository.griffith.edu.au:10072/398599","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10072/398599","pdf_url":null,"source":{"id":"https://openalex.org/S7407064376","display_name":"Griffith Research Online","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Journal article"}],"best_oa_location":{"id":"doi:10.1155/2015/891904","doi":"https://doi.org/10.1155/2015/891904","is_oa":true,"landing_page_url":"https://doi.org/10.1155/2015/891904","pdf_url":"https://downloads.hindawi.com/journals/crior/2015/891904.pdf","source":{"id":"https://openalex.org/S2764806175","display_name":"Case Reports in Orthopedics","issn_l":"2090-6757","issn":["2090-6757","2090-6749"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","vabb-shw"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Orthopedics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2020787266.pdf","grobid_xml":"https://content.openalex.org/works/W2020787266.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W2031654393","https://openalex.org/W2033376594","https://openalex.org/W2063863822","https://openalex.org/W2083490270","https://openalex.org/W2254721406"],"related_works":["https://openalex.org/W7100635086","https://openalex.org/W2950011724","https://openalex.org/W2434474755","https://openalex.org/W2891853407","https://openalex.org/W2083490270","https://openalex.org/W2936213886","https://openalex.org/W2469690355","https://openalex.org/W2098471580","https://openalex.org/W51583630","https://openalex.org/W2563451626"],"abstract_inverted_index":{"Introduction.":[0],"Metallosis":[1,146,171],"is":[2,27],"a":[3,95,101],"phenomenon":[4],"most":[5],"commonly":[6],"associated":[7,82],"with":[8,83,100,188],"hip":[9],"replacement.":[10],"However":[11],"it":[12],"can":[13,192],"occur":[14],"in":[15,29,148,168],"any":[16],"metallic":[17,149],"implant":[18,46],"subject":[19],"to":[20,36,72],"wear.":[21],"Wear":[22],"creates":[23],"metal":[24,59,102],"debris,":[25],"which":[26,151],"deposited":[28],"the":[30,52,57,88,92,114,123,128,136,158,163,169],"surrounding":[31],"soft":[32,130,159],"tissue.":[33],"This":[34],"leads":[35],"many":[37],"local":[38],"adverse":[39],"reactions":[40],"including,":[41],"but":[42,165],"not":[43],"limited":[44],"to,":[45],"loosening/osteolysis,":[47],"pain,":[48,174],"and":[49,85,132,176,190],"effusion.":[50],"In":[51],"deeper":[53],"joints,":[54],"for":[55],"example,":[56],"hip,":[58,164],"deposits":[60],"are":[61],"mostly":[62],"only":[63],"seen":[64],"intraoperatively.":[65],"Case":[66],"Study.":[67],"A":[68,108,117],"74-year-old":[69],"lady":[70],"represented":[71],"orthopaedic":[73],"outpatient":[74],"clinic.":[75],"Her":[76],"principle":[77],"complaint":[78],"was":[79,121],"skin":[80],"discolouration,":[81],"pain":[84],"swelling":[86],"over":[87],"left":[89],"knee,":[90],"on":[91],"background":[93],"of":[94,113,119,127,135,162,180,183],"previous":[96],"total":[97],"knee":[98],"replacement":[99],"backed":[103],"patella":[104],"resurfacing":[105],"six":[106],"years.":[107],"plain":[109],"radiograph":[110],"revealed":[111],"loosening":[112],"patellar":[115],"prosthesis.":[116,137],"diagnosis":[118],"metallosis":[120],"made;":[122],"patient":[124],"underwent":[125],"debridement":[126,191],"stained":[129],"tissue":[131,153,160],"primary":[133],"revision":[134,189],"She":[138],"remained":[139],"symptom-free":[140],"five":[141],"years":[142],"after":[143],"revision.":[144],"Discussion.":[145],"results":[147],"debris":[150],"causes":[152],"staining,":[154],"often":[155],"hidden":[156],"within":[157],"envelope":[161],"more":[166],"apparent":[167],"knee.":[170],"may":[172],"cause":[173],"effusion,":[175],"systemic":[177],"symptoms":[178],"because":[179],"raised":[181],"levels":[182],"serum-metal":[184],"ions.":[185],"Surgical":[186],"intervention":[187],"have":[193],"good":[194],"functional":[195],"results.":[196]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2016-06-24T00:00:00"}