Metal-backed and all-polyethylene tibial components in total knee replacement.

Abstract:

:One hundred seventy-five patients with 243 consecutive primary Press Fit Condylar cruciate-substituting total knee replacements were evaluated at a mean of 5.5 years. One hundred thirteen knees had modular metal-backed tibial components and 130 had all-polyethylene tibial components. The mean knee score and functional score for the patients with unrevised components was not significantly different. The incidence of osteolysis and synovitis was higher in patients in the modular metal-backed tibia group (5%; five patients, six knees). No patients in the all-polyethylene tibia group had osteolysis or synovitis. Five revision operations were necessary: four for osteolytic defects and one for synovitis, all in patients in the modular metal-backed tibia group. All of the retrieved polyethylene inserts had evident backside wear. The best case rate of survival of the all-polyethylene tibial components was 96%+/-0.8% at 7 years and for the modular metal-backed components it was 75%+/-10% at 7 years. Metal backing and modularity were added to the Press Fit Condylar total knee replacement design to improve fixation durability. However, the superiority of the modular metal-backed implants remains in question.

journal_name

Clin Orthop Relat Res

authors

Rodriguez JA,Baez N,Rasquinha V,Ranawat CS

doi

10.1097/00003086-200111000-00021

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

174-83

issue

392

eissn

0009-921X

issn

1528-1132

pub_type

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