PMID: 8613440Mar 1, 1996Paper

The prosthesis-bone interface adjacent to tibial components inserted without cement. Clinical and radiographic follow-up at nine to twelve years

The Journal of Bone and Joint Surgery. American Volume
C SilvertonJorge O Galante

Abstract

We evaluated the radiographic and functional status of a one-piece composite tibial component, designed to be inserted without cement, that was developed and used only at our institution. Thirty-six patients (thirty-seven knees) were managed with the component between November 1981 and September 1983, and none were lost to follow-up. When they were last seen, thirty-four (92 per cent) of the thirty-seven knees had a well-fixed tibial component, both clinically and radiographically. Eight patients (eight knees; 22 per cent) died. Eleven patients (eleven knees; 30 per cent) had a revision at an average of sixty-five months (range, four to ninety-five months) postoperatively. The reason for the revision was failure of a metal-backed patellar component in three knees, excessive wear of the polyethylene of the tibial component in one, a hematogenous infection in four, aseptic loosening of the tibial component in two, and chronic synovitis in one. The remaining seventeen patients (eighteen knees; 49 per cent) were seen for clinical and radiographic follow-up at an average of eleven years (range, nine to twelve years) after the operation. With removal of the implant as the end point, the cumulative rate of survival was 83 per cent at ...Continue Reading

References

Sep 1, 1989·The Journal of Arthroplasty·A J DempseyJ C Millman
Jan 1, 1984·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·G M ConnellyJ A Manson

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Citations

Dec 24, 2004·The Journal of the American Academy of Orthopaedic Surgeons·Mark H Gonzalez, Anis O Mekhail
Mar 11, 2004·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·C T K KhooM Ali
Jul 30, 1999·Journal of Biomaterials Science. Polymer Edition·J KettunenP Rokkanen
Jan 8, 1998·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·D R YoungE Y Chao
Nov 18, 2015·Clinical Orthopaedics and Related Research·Seth S Leopold
Oct 19, 2001·The Journal of Arthroplasty·J BickelsM M Malawer

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