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Retrieval Analysis of Femoral Zirconium Components in Total Knee Arthroplasty : Preliminary Results
Authors:Thomas J. Heyse  Jack Davis  Steven B. Haas  Dan X. Chen  Timothy M. Wright  Richard S. Laskin
Affiliation:
  • * Department of Orthopedics and Rheumatology, University Hospital Marburg, Germany
  • Division of Arthroplasty, Hospital for Special Surgery, New York, New York
  • Department of Biomechanics, Hospital for Special Surgery, New York, New York
  • Abstract:
    Safety of oxidized zirconium (OxZr) in total knee arthroplasty (TKA) has been supported by biomechanical, clinical, and radiologic data. Retrieved OxZr femoral components and corresponding polyethylene (PE) inserts were examined to rule out patterns leading to early failure. Sixteen retrieved TKA with an OxZr femoral component were included. The PE inlays were analyzed applying an established scoring system for wear and surface damage. Femoral components were screened for scratching, pitting, delamination, and striations. The prostheses were in situ for 16.4 ± 11.9 months. The average wear and damage score for the tibial PE inserts was 36.0 ± 12.7. The average score in the visual analysis of the OxZr femoral components was 1.3 ± 1.3. The data presented in this study did not show major wear of the PE in TKA using OxZr components. In this cohort, there were no failures directly related to this implant.
    Keywords:total knee arthroplasty   oxidized zirconium   Oxinium   polyethylene   wear analysis   femoral component
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