Early aseptic loosening of a mobile-bearing total knee replacement

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Early aseptic loosening of a mobile-bearing total knee replacement

Background and purpose - Registry-based studies have reported an increased risk of aseptic tibial loosening for the cemented Low Contact Stress (LCS) total knee replacement compared with other cemented designs; however, the reasons for this have not been established. We made a retrieval analysis with the aim of identifying the failure mechanism. Patients and methods - We collected implants, cem...

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Stemmed revision arthroplasty for aseptic loosening of total knee replacement.

Fifty-three failed knee replacements were revised using minimally constrained implants with smooth uncemented intramedullary stems and metal-backed tibial components. Polymethylmethacrylate was used only to replace lost bone near the surface of the implant. Excluding four knees which had serious postoperative complications, 91% had successful relief of pain, 84% had over 90 degrees of movement ...

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Mobile- vs. fixed-bearing total knee replacement

BACKGROUND AND PURPOSE It is unclear whether mobile-bearing (MB) total knee arthroplasties reduce the risk of tibial component loosening compared to fixed-bearing (FB) designs. This randomized study investigated implant migration, periprosthetic bone mineral density (BMD), and patient-reported outcomes (Oxford knee score)-all at 2 years-for the P.F.C. Sigma Cruciate Retaining total knee arthrop...

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Increased risk of aseptic loosening for 43,525 rotating-platform vs. fixed-bearing total knee replacements

Background and purpose - Given similar functional outcomes with mobile and fixed bearings, a difference in survivorship may favor either. This study investigated the risk of aseptic loosening for the most used subtypes of mobile-bearing rotating-platform knees, in Norway and Australia. Patients and methods - Primary TKRs reported to the Norwegian and Australian joint registries, between 2003 an...

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Early mechanical complications of a multidirectional mobile-bearing total knee replacement.

Between April 2004 and July 2007, we performed 241 primary total knee replacements in 204 patients using the e.motion posterior cruciate-retaining, multidirectional mobile-bearing prosthesis. Of these, 100 were carried out using an image-free navigation system, and the remaining 141 with the conventional technique. We conducted a retrospective study from the prospectively collected data of thes...

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ژورنال

عنوان ژورنال: Acta Orthopaedica

سال: 2017

ISSN: 1745-3674,1745-3682

DOI: 10.1080/17453674.2017.1398012