Clinical Evaluation of All Polyethylene Tibial Components in TKA -Review Paper
DOI:
https://doi.org/10.15438/rr.v1i1.6Abstract
This review summarizes published literature that reports on clinical studies and/or randomized controlled trials from 1989 to end 2009 regarding the clinical performance history of several designs / brands of an all-polyethylene (AP) Tibial component used as part of a primary cemented Total Knee System implanted using established Total Knee Arthroplasty procedures.
From the mid 1970’s knee systems for replacement of knees diagnosed with osteoarthritis, rheumatoid (inflammatory) arthritis, osteonecrosis, avascular necrosis and other degenerative joint conditions used a plastic tibial component articulating on a chrome - cobalt femoral component. Resurfacing of the patella if required also used a plastic artificial patella button attached surgically with PMMA bone cement.
Projections of increase in TKA of +600% increase in annual surgeries over the next 15 years has focused significant interest in reconsideration of using this style tibial component in the growing elderly population.
Key Words: Total Knee Arthroplasty, polyethylene, tibial component, clinical performance
References
GR Scuderi, JN Insall, RE Windsor, and MC Moran Survivorship of cemented knee replacements J Bone Joint Surg (Br), 1989 71-B: 798-803.
Dalury DF, Barrett WP, Mason JB, et al. Midterm survival of a contemporary modular total knee replacement: a multi-center study of 1970 knees. J Bone Joint Surg Br 2008 Dec; 90(12):1594-6.
Dalury DF, Pomeroy DL, Gonzales RA, Gruen TA, Adams M and Empson JA Midterm Results of All-Polyethylene Tibial Components in Primary Total Knee Arthroplasty Journ of Arthroplasty June 2009 ;Vol. 24 (4), 620-62
Gioe TJ, Glynn, J, Sembrano J, Suthers, K,. Santos, ERG and Singh, J Mobile and Fixed-Bearing (All-Polyethylene Tibial Component) Total Knee Arthroplasty Designs A Prospective Randomized Trial, J Bone Joint Surg (Am) 2009;91: 2104-2112.
Bettinson KA, Pinder IM, Chris G, Moran CG, Weir DJ and Lingard EA All-Polyethylene Compared with Metal-Backed Tibial Components in Total Knee Arthroplasty at Ten Years. A Prospective, Randomized Controlled Trial J. Bone Joint Surg. (Am)., Jul 2009; 91: 1587 - 1594.
Shen B, Yang J, Zhou Z, Kang P, Wang L, Pei F. Survivorship comparison of all-polyethylene and metal-backed tibial components in cruciate-substituting total knee arthroplasty-Chinese experience Int Orthop. 2009 Oct;33(5):1243-7.Epub 2008 Aug 8.
Ranawat, AS, Mohanty, SS , Goldsmith, SE, Rasquinha, VJ, Rodriguez, JA and. Ranawat, CS Experience With an All-Polyethylene Total Knee Arthroplasty in Younger, Active Patients With Follow-up From 2 to 11 Years. Journ of Arthroplasty, 2005, 20 ( 7 ) Suppl. 3; 7-11
Faris PM, Ritter MA, Keating EM,. Meding JB, and Harty LD The AGC All-Polyethylene Tibial Component: A Ten-Year Clinical Evaluation. J. Bone Joint Surg. (Am). 85: 489-493.
Muller SD, Deehan DJ, Holland JP, Outterside SE, Kirk LM, Gregg PJ, McCaskie AW Should we reconsider all-polyethylene tibial implants in total knee replacement? J Bone Joint Surg (Br). 2006 Dec;88 (12):1596-602.
Norgren B, Dalen T and Nilsson KG All-poly tibial component better than metal-backed: a randomized RSA study. Knee 11 (2004): 189-96.
Adalberth G,Nilsson K. G, Byström S, Kolstad K, Milbrink J. All-polyethylene versus metal-backed and stemmed tibial components in cemented total knee arthroplasty A Prospective, Randomized RSA Study J Bone Joint Surg [Br] 2001;83-B:825-31.
Ryd L, Albrektsson BEJ, Carlsson L, et al. Roentgen stereophotogrammetric analysis as a predictor of mechanical loosening of knee prostheses. J Bone Joint Surg [Br] 1995;77-B:377-83.
Gupta SK, Chu A,. Ranawat AS, Slamin J and Ranawat CS Review Article: Osteolysis After Total Knee Arthroplasty. Journ. of Arthroplasty, Sept 2007,.22,( 6), 787-799
Bartel DL. The effect of conformity, thickness, and material on stresses in ultra-high molecular weight components for total joint arthroplasty. J Bone Joint Surg (Am )1986;68:7.
von Schewelov T, Besjakov J, Sanzén L, Carlsson Å . A Clinical and Radiostereometric Study of the Cemented PFC-Sigma ProsthesiS A 5-Year Study of 29 Cases with a Fixed Bearing J Knee Surg. 2009;22:231-236.
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Copyright (c) 2014 Declan Brazil, PhD, Timothy McTighe, Dr. H.S. (hc), John Keggi, MD, Louis Keppler, MD, Robert Kennon, MD
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