TY - JOUR
AU1 - Komistek, Richard D
AB - CLINICAL ORTHOPAEDICS AND RELATED RESEARCH Number 452, pp. 70–77 © 2006 Lippincott Williams & Wilkins Mobile-bearing Total Knee Arthroplasty Design Factors in Minimizing Wear *,†,‡ *,† Douglas A. Dennis, MD ; and Richard D. Komistek, PhD Premature polyethylene wear is a major cause of total knee rates have been minimized with improvements in surgical arthroplasty (TKA) failure. It has been attributed to numer- instrumentation and operative techniques (eg, intramedul- ous factors including poor surgical technique, reduced poly- lary alignment guides, ligamentous balancing techniques ethylene thickness, poor locking mechanisms of modular and a better understanding of ideal alignment parameters) fixed bearing tibial components, gamma irradiation steril- 19,25,61 and the use of lower conformity prosthetic devices. ization techniques in the presence of oxygen, and low con- However, low conformity TKA designs can result in re- formity implant designs. The incidence of implantation of duced polyethylene contact area and premature polyethyl- TKA into younger patients who have increased activity re- ene wear, with periprosthetic osteolysis as a predominant quirements and longevity expectations is increasing. This re- failure mode. The excellent 10 to 15 year TKA results of quires continued analysis of design features lessening poly- 13,14,19,61 some clinical reports have encouraged many 
TI - Mobile-bearing Total Knee Arthroplasty Design Factors in Minimizing Wear
JF - Clinical Orthopaedic and Related Research (CORR)
DO - 10.1097/01.blo.0000238776.27316.d6
DA - 2006-11-01
UR - https://www.deepdyve.com/lp/wolters-kluwer-health/mobile-bearing-total-knee-arthroplasty-design-factors-in-minimizing-tgf4pQFc9e
SP - 70
EP - 77
VL - 452
IS - 
DP - DeepDyve
ER -