Retrieval Analysis of Posterior Stabilized Polyethylene Tibial Inserts and Its Clinical Relevance

This was a retrieval analysis of 83 PS inserts to assess the effect of limb alignment, implant position and joint line position on the pattern of wear in posterior stabilized (PS) tibial inserts. The total damage score was significantly higher in knees with postoperative varus alignment more than 3°...

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Vydáno v:	The Journal of arthroplasty Ročník 29; číslo 2; s. 365 - 368
Hlavní autoři:	Pang, Hee-Nee, Jamieson, Paul, Teeter, Matthew G., McCalden, Richard W., Naudie, Douglas D.R., MacDonald, Steven J.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States Elsevier Inc 01.02.2014
Témata:	Aged Aged, 80 and over arthroplasty Arthroplasty, Replacement, Knee - adverse effects Arthroplasty, Replacement, Knee - instrumentation Biocompatible Materials Biomechanical Phenomena damage Device Removal Equipment Failure Analysis Female Humans knee Knee Joint - surgery Knee Prosthesis - adverse effects Male Middle Aged Orthopedics Polyethylene posterior stabilized Prosthesis Design Prosthesis Failure Radiography Reoperation Tibia - diagnostic imaging Tibia - surgery knee damage posterior stabilized arthroplasty
ISSN:	0883-5403, 1532-8406, 1532-8406
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Abstract	This was a retrieval analysis of 83 PS inserts to assess the effect of limb alignment, implant position and joint line position on the pattern of wear in posterior stabilized (PS) tibial inserts. The total damage score was significantly higher in knees with postoperative varus alignment more than 3° (P = 0.03). The total damage score to the post was significantly more in knees with joint line elevation more than 5 mm (9.7 ± 3.9, compared to 6.5 ± 3.7 in knees with less joint line elevation) (P = 0.05). Limb malalignment and joint line elevation resulted in more damage in PS inserts. An external rotation subluxation damage pattern was found in joint line elevation.
AbstractList	This was a retrieval analysis of 83 PS inserts to assess the effect of limb alignment, implant position and joint line position on the pattern of wear in posterior stabilized (PS) tibial inserts. The total damage score was significantly higher in knees with postoperative varus alignment more than 3° (P = 0.03). The total damage score to the post was significantly more in knees with joint line elevation more than 5 mm (9.7 ± 3.9, compared to 6.5 ± 3.7 in knees with less joint line elevation) (P = 0.05). Limb malalignment and joint line elevation resulted in more damage in PS inserts. An external rotation subluxation damage pattern was found in joint line elevation. Abstract This was a retrieval analysis of 83 PS inserts to assess the effect of limb alignment, implant position and joint line position on the pattern of wear in posterior stabilized (PS) tibial inserts. The total damage score was significantly higher in knees with postoperative varus alignment more than 3° ( P = 0.03). The total damage score to the post was significantly more in knees with joint line elevation more than 5 mm (9.7 ± 3.9, compared to 6.5 ± 3.7 in knees with less joint line elevation) ( P = 0.05). Limb malalignment and joint line elevation resulted in more damage in PS inserts. An external rotation subluxation damage pattern was found in joint line elevation. This was a retrieval analysis of 83 PS inserts to assess the effect of limb alignment, implant position and joint line position on the pattern of wear in posterior stabilized (PS) tibial inserts. The total damage score was significantly higher in knees with postoperative varus alignment more than 3° (P = 0.03). The total damage score to the post was significantly more in knees with joint line elevation more than 5 mm (9.7 ± 3.9, compared to 6.5 ± 3.7 in knees with less joint line elevation) (P = 0.05). Limb malalignment and joint line elevation resulted in more damage in PS inserts. An external rotation subluxation damage pattern was found in joint line elevation.This was a retrieval analysis of 83 PS inserts to assess the effect of limb alignment, implant position and joint line position on the pattern of wear in posterior stabilized (PS) tibial inserts. The total damage score was significantly higher in knees with postoperative varus alignment more than 3° (P = 0.03). The total damage score to the post was significantly more in knees with joint line elevation more than 5 mm (9.7 ± 3.9, compared to 6.5 ± 3.7 in knees with less joint line elevation) (P = 0.05). Limb malalignment and joint line elevation resulted in more damage in PS inserts. An external rotation subluxation damage pattern was found in joint line elevation.
Author	Naudie, Douglas D.R. Pang, Hee-Nee MacDonald, Steven J. Teeter, Matthew G. Jamieson, Paul McCalden, Richard W.
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BackLink	https://www.ncbi.nlm.nih.gov/pubmed/23809707$$D View this record in MEDLINE/PubMed
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Cites_doi	10.1097/00003086-200211000-00003 10.1097/00003086-199811000-00024 10.1097/00003086-199402000-00021 10.1016/j.knee.2011.11.003 10.1097/00003086-199402000-00008 10.1007/s00264-010-1134-1 10.1002/jbm.820170510 10.1007/s11999-010-1515-1 10.1097/00003086-199712000-00012 10.1016/j.arth.2009.04.034 10.2106/00004623-200103000-00011 10.2106/00004623-200210000-00017 10.2106/JBJS.J.01143 10.1097/00003086-200211000-00014 10.1007/s11999-008-0422-1 10.1007/s11999-012-2530-1 10.1016/S0883-5403(03)00192-X 10.1097/00003086-199402000-00005 10.2106/JBJS.F.00667 10.1097/00003086-199112000-00036 10.2106/JBJS.J.00772 10.3109/17453679408995475 10.2106/JBJS.I.01398 10.1016/j.knee.2012.10.026 10.1302/0301-620X.93B9.26573 10.1007/s11999-012-2387-3
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Keywords	knee damage posterior stabilized arthroplasty
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Snippet	This was a retrieval analysis of 83 PS inserts to assess the effect of limb alignment, implant position and joint line position on the pattern of wear in... Abstract This was a retrieval analysis of 83 PS inserts to assess the effect of limb alignment, implant position and joint line position on the pattern of wear...
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SubjectTerms	Aged Aged, 80 and over arthroplasty Arthroplasty, Replacement, Knee - adverse effects Arthroplasty, Replacement, Knee - instrumentation Biocompatible Materials Biomechanical Phenomena damage Device Removal Equipment Failure Analysis Female Humans knee Knee Joint - surgery Knee Prosthesis - adverse effects Male Middle Aged Orthopedics Polyethylene posterior stabilized Prosthesis Design Prosthesis Failure Radiography Reoperation Tibia - diagnostic imaging Tibia - surgery
Title	Retrieval Analysis of Posterior Stabilized Polyethylene Tibial Inserts and Its Clinical Relevance
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