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Why total knees fail-A modern perspective review
Historically, the most common mechanism of total knee arthroplasty (TKA) failures included aseptic loosening, instability and malalignment. As polyethylene production improved, modes of failure from polyethylene wear and subsequent osteolysis became less prevalent. Newer longitudinal studies report...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908984/ https://www.ncbi.nlm.nih.gov/pubmed/29686970 http://dx.doi.org/10.5312/wjo.v9.i4.60 |
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author | Lum, Zachary C Shieh, Alvin K Dorr, Lawrence D |
author_facet | Lum, Zachary C Shieh, Alvin K Dorr, Lawrence D |
author_sort | Lum, Zachary C |
collection | PubMed |
description | Historically, the most common mechanism of total knee arthroplasty (TKA) failures included aseptic loosening, instability and malalignment. As polyethylene production improved, modes of failure from polyethylene wear and subsequent osteolysis became less prevalent. Newer longitudinal studies report that infection has become the primary acute cause of failure with loosening and instability remaining as the overall greatest reasons for revision. Clinical database and worldwide national registries confirm these reports. With an increasing amount of TKA operations performed in the United States, and with focus on value-based healthcare, it is imperative to understand why total knees fail. |
format | Online Article Text |
id | pubmed-5908984 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-59089842018-04-23 Why total knees fail-A modern perspective review Lum, Zachary C Shieh, Alvin K Dorr, Lawrence D World J Orthop Minireviews Historically, the most common mechanism of total knee arthroplasty (TKA) failures included aseptic loosening, instability and malalignment. As polyethylene production improved, modes of failure from polyethylene wear and subsequent osteolysis became less prevalent. Newer longitudinal studies report that infection has become the primary acute cause of failure with loosening and instability remaining as the overall greatest reasons for revision. Clinical database and worldwide national registries confirm these reports. With an increasing amount of TKA operations performed in the United States, and with focus on value-based healthcare, it is imperative to understand why total knees fail. Baishideng Publishing Group Inc 2018-04-18 /pmc/articles/PMC5908984/ /pubmed/29686970 http://dx.doi.org/10.5312/wjo.v9.i4.60 Text en ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Minireviews Lum, Zachary C Shieh, Alvin K Dorr, Lawrence D Why total knees fail-A modern perspective review |
title | Why total knees fail-A modern perspective review |
title_full | Why total knees fail-A modern perspective review |
title_fullStr | Why total knees fail-A modern perspective review |
title_full_unstemmed | Why total knees fail-A modern perspective review |
title_short | Why total knees fail-A modern perspective review |
title_sort | why total knees fail-a modern perspective review |
topic | Minireviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908984/ https://www.ncbi.nlm.nih.gov/pubmed/29686970 http://dx.doi.org/10.5312/wjo.v9.i4.60 |
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