Clinical Outcomes of Tibial Components with Modular Stems Used in Primary TKA

Due to the known potential for fretting and corrosion at modular junctions in orthopaedic implants, this retrospective study evaluated radiographic and clinical outcomes of 85 primary TKA patients implanted with modular stemmed tibial components and followed up for an average of 82 months. There was...

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Main Authors: Nicole Durig, Thomas Pace, Brandon Broome, Obi Osuji, Melinda K. Harman
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2014/651279
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author Nicole Durig
Thomas Pace
Brandon Broome
Obi Osuji
Melinda K. Harman
author_facet Nicole Durig
Thomas Pace
Brandon Broome
Obi Osuji
Melinda K. Harman
author_sort Nicole Durig
collection DOAJ
description Due to the known potential for fretting and corrosion at modular junctions in orthopaedic implants, this retrospective study evaluated radiographic and clinical outcomes of 85 primary TKA patients implanted with modular stemmed tibial components and followed up for an average of 82 months. There was low incidence of tibial radiolucent lines, excellent functional outcomes, and no complications associated with stem modularity. The findings were comparable to the historical control study involving 107 TKA with a nonmodular tibial stem design. When using surface cemented tibial components combined with a constrained polyethylene bearing, modular stems appear to be a viable option for primary TKA when adequate fixation and rotational stability are maintained.
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publishDate 2014-01-01
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series Advances in Orthopedics
spelling doaj-art-dcdfcc2f0e794d4481a1fa1d7da867a52025-08-20T02:21:38ZengWileyAdvances in Orthopedics2090-34642090-34722014-01-01201410.1155/2014/651279651279Clinical Outcomes of Tibial Components with Modular Stems Used in Primary TKANicole Durig0Thomas Pace1Brandon Broome2Obi Osuji3Melinda K. Harman4Department of Bioengineering, 301 Rhodes Engineering Research Center, Clemson University, Clemson, SC 29634, USAUniversity of South Carolina, School of Medicine Greenville, 607 Grove Road, Greenville, SC 29605, USASteadman Hawkins Clinic of the Carolinas, 200 Patewood Drive, Suite C100, Greenville, SC 29615, USASteadman Hawkins Clinic of the Carolinas, 200 Patewood Drive, Suite C100, Greenville, SC 29615, USADepartment of Bioengineering, 301 Rhodes Engineering Research Center, Clemson University, Clemson, SC 29634, USADue to the known potential for fretting and corrosion at modular junctions in orthopaedic implants, this retrospective study evaluated radiographic and clinical outcomes of 85 primary TKA patients implanted with modular stemmed tibial components and followed up for an average of 82 months. There was low incidence of tibial radiolucent lines, excellent functional outcomes, and no complications associated with stem modularity. The findings were comparable to the historical control study involving 107 TKA with a nonmodular tibial stem design. When using surface cemented tibial components combined with a constrained polyethylene bearing, modular stems appear to be a viable option for primary TKA when adequate fixation and rotational stability are maintained.http://dx.doi.org/10.1155/2014/651279
spellingShingle Nicole Durig
Thomas Pace
Brandon Broome
Obi Osuji
Melinda K. Harman
Clinical Outcomes of Tibial Components with Modular Stems Used in Primary TKA
Advances in Orthopedics
title Clinical Outcomes of Tibial Components with Modular Stems Used in Primary TKA
title_full Clinical Outcomes of Tibial Components with Modular Stems Used in Primary TKA
title_fullStr Clinical Outcomes of Tibial Components with Modular Stems Used in Primary TKA
title_full_unstemmed Clinical Outcomes of Tibial Components with Modular Stems Used in Primary TKA
title_short Clinical Outcomes of Tibial Components with Modular Stems Used in Primary TKA
title_sort clinical outcomes of tibial components with modular stems used in primary tka
url http://dx.doi.org/10.1155/2014/651279
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