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Ceramic Femoral Prosthesis in TKA — Present and Future

  • Myung-Chul Lee
  • J.-W. Ahn
Part of the Ceramics in Orthopaedics book series (CIO)

Abstract

Total knee arthroplasty is a reliable procedure for the treatment of severely damaged knee joints in patients with osteoarthritis or rheumatoid arthritis. Despite good long-term results, the ultimate failure mode of TKA is osteolysis caused by wear debris from polyethylene. The osteolysis tends to cause aseptic loosening and instability of components, which leads to pain and revision [8,17]. Certainly, in case of elderly patients with lower activity levels, even total knee prostheses with conventional design and materials have achieved excellent long-term results. Over the past 10 years, however, greater demands are recently placed on total knee arthroplasties for younger, more active patients [24]. Therefore, in an attempt to minimize such PE wear, several modifications of the traditional approach to TKR have been introduced. Implant design and surgical instruments are continuously developing, including the use of more conforming articular surfaces [7]. Improvements in manufacturing quality, elimination of sterilization by gamma irradiation in air and cross-linking have reduced the PE wear [16,64]. However, wear and mechanical failures of gamma inert sterilized and highly cross-linked polyethylene have been observed [11,12].

Keywords

Total Knee Arthroplasty Femoral Component Total Knee Replacement Tibial Component Joint Arthroplasty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Steinkopff Verlag 2007

Authors and Affiliations

  • Myung-Chul Lee
    • 1
  • J.-W. Ahn
  1. 1.Department of Orthopedic SurgerySeoul national University HospitalSeoulKorea

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