Toggle Main Menu Toggle Search

Open Access padlockePrints

Role of abrasion of the femoral component in revision knee arthroplasty

Lookup NU author(s): Dr Shahid Siddique, Professor David Deehan, Ian Pinder

Downloads

Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Abstract

We carried out 60 revision procedures for failed porous coated anatomic total knee replacements in 54 patients, which were divided into two groups. The 14 knees in group I had a well-fixed femoral component at surgery which was retained, and in the 46 knees in group II both tibial and femoral components were loose and were revised using a variety of implants. Our review comprised clinical and radiological assessment. A total of 13 knees required a second revision. Six (42%) in group I failed very early (mean 2.1 years) when compared with seven (15%) in group II (mean 6.8 years). Failure was due to wear of the polyethylene insert by the abraded, retained femoral component (crude odds ratio 4.07; 95% CI 1.07 to 15.5). We recommend a complete change of primary bearing surfaces at the time of revision of an uncemented total knee replacement in order to prevent early wear of polyethylene.


Publication metadata

Author(s): Siddique MS, Rao MC, Deehan DJ, Pinder IM

Publication type: Article

Publication status: Published

Journal: Journal of Bone and Joint Surgery: British Volume

Year: 2003

Volume: 85B

Issue: 3

Pages: 393-398

ISSN (print): 0301-620X

ISSN (electronic):

Publisher: British Editorial Society of Bone and Joint Surgery

URL: http://dx.doi.org/10.1302/0301-620X.85B3.13041

DOI: 10.1302/0301-620X.85B3.13041


Altmetrics

Altmetrics provided by Altmetric


Share