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The young osteoarthritic knee: dilemmas in management

Overview of attention for article published in BMC Medicine, January 2013
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About this Attention Score

  • Good Attention Score compared to outputs of the same age (70th percentile)

Mentioned by

6 tweeters


30 Dimensions

Readers on

100 Mendeley
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The young osteoarthritic knee: dilemmas in management
Published in
BMC Medicine, January 2013
DOI 10.1186/1741-7015-11-14
Pubmed ID

Paul M Sutton, Edward S Holloway


As a result of increasing life expectancies, continuing physical careers, lifestyles into later life and rising obesity levels, the number of younger patients presenting with osteoarthritis (OA) of the knee is increasing. When conservative management options have been exhausted, the challenge for the orthopedic surgeon is to offer a procedure that will relieve symptoms and allow a return to a high level of function but not compromise future surgery that may be required as disease progresses or prostheses fail and require revision. We discuss the options available to this group of patients and the relative benefits and potential negative points of each. Total knee replacement (TKR) in the young patient is associated with high risk of early failure and the need for future revision surgery. After TKR, most surgeons advise limitation of sporting activities. If osteoarthritis is limited to only one compartment in the knee there may be surgical options other than TKR. Osteotomy above or below the knee may be considered and works by redirecting the load passing through the joint into the relatively unaffected compartment. A unicompartmental knee replacement (UKR) or patella-femoral joint (PFJ) replacement only replaces the articular surfaces in the affected compartment, leaving the unaffected compartments untouched with better preservation of the soft tissues. Which of these options is best for a particular patient depends upon the patient's symptoms, precise pathology, lifestyle, and expectations.

Twitter Demographics

The data shown below were collected from the profiles of 6 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 100 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 100 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 14%
Student > Ph. D. Student 14 14%
Researcher 13 13%
Student > Bachelor 11 11%
Other 10 10%
Other 24 24%
Unknown 14 14%
Readers by discipline Count As %
Medicine and Dentistry 50 50%
Agricultural and Biological Sciences 6 6%
Engineering 5 5%
Nursing and Health Professions 5 5%
Psychology 3 3%
Other 8 8%
Unknown 23 23%

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 October 2013.
All research outputs
of 16,120,797 outputs
Outputs from BMC Medicine
of 2,519 outputs
Outputs of similar age
of 255,069 outputs
Outputs of similar age from BMC Medicine
of 1 outputs
Altmetric has tracked 16,120,797 research outputs across all sources so far. This one has received more attention than most of these and is in the 68th percentile.
So far Altmetric has tracked 2,519 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 37.6. This one is in the 22nd percentile – i.e., 22% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 255,069 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 70% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them