Tibial component fixation in total knee arthroplasty: a comparison of pegged and stemmed designs.

作者: Kim C. Bertin

DOI: 10.1016/J.ARTH.2006.07.004

关键词: Total knee arthroplastyRadiographyProsthesisTibial component fixationSurgeryOsteolysisIntramedullary rodArthroplastyImplantMedicine

摘要: This study compares midterm radiographic, functional, and quality-of-life outcomes in patients receiving a cemented tibial component that has either short intramedullary stem or one pegged component. A cohort of 181 received 225 NexGen cruciate-retaining implants (84 stemmed, 141 pegged) during total knee arthroplasty, with annual follow-up examinations for up to 7 years. Both types components were associated excellent radiographic clinical results no evidence implant loosening osteolysis. Clinical included improvement joint function patient function, as well quality life. Survival analysis showed 98% survival at years both implants. Pegged offered comparable stemmed components.

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