The all-polyethylene tibial component in primary total knee arthroplasty

The Journal of Bone and Joint Surgery. American Volume
Terence J Gioe, Aditya V Maheshwari

Abstract

Outcomes of total knee arthroplasties performed with modern all-polyethylene tibial components have been found to be comparable with or better than those of arthroplasties done with metal-backed modular components in numerous mid-to-long-term follow-up studies, radiostereometric analyses, and the few prospective randomized trials available. Advantages of an all-polyethylene tibial component over a metal-backed modular component include lower cost, avoidance of locking-mechanism issues and backside wear, and increased polyethylene thickness after identical bone resections. Disadvantages of an all-polyethylene tibial component compared with a metal-backed modular component include a lack of modularity, limiting intraoperative options; no option for liner removal in the setting of acute irrigation and débridement; and no option for late liner exchange. Primary total knee arthroplasty with a modern all-polyethylene design can be done in many patients, with substantial cost savings across the health-care system.

Associated Clinical Trials

References

Sep 1, 1992·The Journal of Arthroplasty·J L L'InsalataJ N Insall
Jan 1, 1992·The Journal of Bone and Joint Surgery. British Volume·G A EnghC K Hanes
Nov 1, 1989·The Journal of Bone and Joint Surgery. British Volume·G R ScuderiM C Moran
Jan 1, 1983·Journal of Biomechanics·K MuraseT S Chang
Jun 1, 1994·The Journal of Bone and Joint Surgery. American Volume·C R Clark
Jan 1, 1993·The Journal of Bone and Joint Surgery. American Volume·A TsaoT Wright
Feb 14, 1998·The Journal of Bone and Joint Surgery. British Volume·J DawsonA Carr
Jun 30, 1998·The Journal of Arthroplasty·R W Bassett
Oct 13, 1998·The Journal of Bone and Joint Surgery. British Volume·P A SchaiR D Scott
Jan 26, 1999·Clinical Orthopaedics and Related Research·G P DuffyJ A Rand
Oct 27, 1999·The Journal of Bone and Joint Surgery. American Volume·H SegawaR B Gustilo
Jan 11, 2000·Clinical Orthopaedics and Related Research·J B StiehlD A Dennis
Apr 13, 2000·The Journal of Bone and Joint Surgery. American Volume·G A EnghT R Pereles
Jun 29, 2000·The Journal of Bone and Joint Surgery. British Volume·S Ehrendorfer, A Reading
Nov 7, 2000·Clinical Orthopaedics and Related Research·T J Gioe, K R Bowman
Nov 7, 2000·Clinical Orthopaedics and Related Research·D L PomeroyJ I Curry
Sep 8, 2001·The Journal of Arthroplasty·P UdomkiatW Long
Nov 10, 2001·The Journal of Bone and Joint Surgery. American Volume·G A EnghM B Collier
Nov 22, 2001·Clinical Orthopaedics and Related Research·J A RodriguezC S Ranawat
Jan 17, 2002·The Journal of Bone and Joint Surgery. American Volume·George C BabisBernard F Morrey
Mar 12, 2002·The Journal of Bone and Joint Surgery. American Volume·William L HealyDavid W Lemos
Mar 12, 2002·The Journal of Bone and Joint Surgery. American Volume·S A EdwardsM L Grover
Oct 16, 2002·The Journal of Bone and Joint Surgery. American Volume·Anand R RaoSmain Lounici
Nov 20, 2002·Clinical Orthopaedics and Related Research·S LiJ N Insall
Nov 20, 2002·Clinical Orthopaedics and Related Research·Mauricio SilvaThomas P Schmalzried
Dec 13, 2002·The Journal of Arthroplasty·Andrew B WeberJacob Van Bowen
Feb 7, 2003·The Journal of Bone and Joint Surgery. American Volume·James A RandW Scott Harmsen
Mar 15, 2003·The Journal of Bone and Joint Surgery. American Volume·Philip M FarisLeesa D Harty
May 6, 2003·The Journal of Bone and Joint Surgery. British Volume·M S SiddiqueI M Pinder
May 29, 2003·Clinical Orthopaedics and Related Research·John M CucklerPreston Beck
Oct 16, 2003·The Journal of Arthroplasty·Brian D ShannonRobert T Trousdale
Feb 13, 2004·The Journal of Bone and Joint Surgery. American Volume·Michael A CondittPhilip C Noble
Feb 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Michael A CondittPhilip C Noble
Oct 22, 2005·Clinical Orthopaedics and Related Research·Joseph H SchwabMark W Pagnano
Nov 29, 2005·The Journal of Arthroplasty·Hon-Ming MaChun-Hsiung Huang

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Citations

Sep 2, 2011·International Orthopaedics·Klaas-Auke NoutaRob G H H Nelissen
Jun 12, 2013·Archives of Orthopaedic and Trauma Surgery·Sunil K PaiMartin H Stone
Jul 5, 2013·Orthopedics·J Wesley MeskoJianhua Shen
May 5, 2012·The Journal of Arthroplasty·Raju Vaishya
Jul 23, 2011·The Journal of Arthroplasty·Morteza MeftahChitranjan S Ranawat
Nov 6, 2015·Indian Journal of Orthopaedics·Harish BhendeV Shashidhar
Jan 24, 2015·The Journal of Arthroplasty·Long-Co L NguyenKevin J Bozic
May 25, 2016·Orthopedics·Monique C ChambersKhaled J Saleh
Nov 29, 2016·Knee Surgery & Related Research·Sanil Harji Ajwani, Charalambos P Charalambous
May 2, 2018·Acta Orthopaedica·Koen T Van HamersveldSören Toksvig-Larsen
Sep 14, 2012·Clinical Orthopaedics and Related Research·Klaas Auke NoutaRob G H H Nelissen
Jul 31, 2012·The Journal of Bone and Joint Surgery. British Volume·C E H Scott, L C Biant
Feb 23, 2019·World Journal of Orthopedics·Maristella F SaccomannoEnrico Pola
May 11, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jean BrihaultBernardo Innocenti
Jul 18, 2014·The Journal of Bone and Joint Surgery. American Volume·Hilal Maradit KremersDavid G Lewallen

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