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Long-term results of a cementless knee prosthesis with a metal-backed patellar component: clinical and radiological follow-up with histology from retrieved components
Örebro University, Department of Health Sciences. Örebro University, Department of Clinical Medicine.
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2003 (English)In: Journal of long-term effects of medical implants, ISSN 1050-6934, E-ISSN 1940-4379, Vol. 13, no 4, p. 341-354Article in journal (Refereed) Published
Abstract [en]

Aseptic loosening of cemented knee arthroplasties has encouraged development of uncemented fixation. The Miller-Galante I (MG I) prosthesis was designed to achieve permanent stability through ingrowth into a titanium fiber mesh. Thirty-five knees in 30 patients with MG I knee replacements have been followed clinically and radiologically with a mean follow-up of 12 years. Twenty knees were revised with a mean follow-up of 5 years. Patellofemoral problems, especially avulsion of the polyethylene from the metal-backed patella and in some cases severe metallosis, have been the main reason for revision. Metal-backed patellar component should be avoided. In addition, instability has been a problem. However, the fixation of the components has been excellent, with a high degree of osseous ingrowth displayed at histological analysis of retrieved components. The clinical and radiological results after revision are in most cases good, despite the femoral component having been left in situ.

Place, publisher, year, edition, pages
2003. Vol. 13, no 4, p. 341-354
National Category
Medical and Health Sciences
Research subject
Medicine
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URN: urn:nbn:se:oru:diva-4341DOI: 10.1615/JLongTermEffMedImplants.v13.i4.70OAI: oai:DiVA.org:oru-4341DiVA, id: diva2:138640
Available from: 2008-02-19 Created: 2008-02-19 Last updated: 2017-12-14Bibliographically approved

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Johansson, Carina B.

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