1 145

Cited 13 times in

Femoral component fracture due to osteolysis after cemented mobile-bearing total knee arthroplasty.

Authors
 Chang Dong Han  ;  Chang Wook Han  ;  Ik Hwan Yang 
Citation
 JOURNAL OF ARTHROPLASTY, Vol.24(2) : 323-12, 2009 
Journal Title
 JOURNAL OF ARTHROPLASTY 
ISSN
 0883-5403 
Issue Date
2009
MeSH
Arthroplasty, Replacement, Knee/methods* ; Biomechanical Phenomena ; Bone Cements* ; Femoral Fractures/diagnosis* ; Femoral Fractures/diagnostic imaging ; Femoral Fractures/etiology* ; Humans ; Male ; Middle Aged ; Osteolysis/chemically induced ; Osteolysis/complications* ; Polyethylene/adverse effects ; Radiography ; Reoperation ; Stress, Mechanical
Keywords
knee joint ; osteolysis ; polyethylene wear ; fracture of femoral component ; mobile bearing ; total knee arthroplasty
Abstract
A 58-year-old man with osteoarthritis in the left knee underwent a total knee arthroplasty with a New Jersey anterior-posterior gliding low contact stress mobile-bearing implant. All femoral, tibial, and patellar components were implanted with bone cement. Pain developed at 43 months postsurgery, and plain radiography revealed a vertical crack in the femoral component and osteolysis at the medial femoral condyle. The femoral and tibial components were revised, and the bone defect at the medial femoral condyle was reconstructed using an allogeneic strut bone graft. Microscope examination identified polyethylene particles with foreign body granulomatous reaction, and scanning electron microscopy revealed fatigue failure of the femoral component. Osteolysis due to polyethylene particles can lead to fracture of the femoral component after cemented anterior-posterior gliding low contact stress mobile-bearing total knee arthroplasty
Full Text
http://www.sciencedirect.com/science/article/pii/S0883540308004257
DOI
10.1016/j.arth.2008.03.003
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Yang, Ick Hwan(양익환)
Han, Chang Dong(한창동)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103474
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse