Unexpected high rate of revision of a modern cemented fixed bearing modular posterior-stabilized knee arthroplasty
The Bone & Joint Journal Jun 04, 2021
Lachiewicz PF, et al. - This study sought to develop early clinical results of a new total knee arthroplasty (TKA) tibial component introduced in 2013 and match it to other designs in use at the hospital during the same period. Researchers conducted a retrospective study including a total of 166 (154 patients) consecutive cemented, fixed bearing, posterior-stabilized (PS) TKAs (ATTUNE) at one hospital performed by five surgeons. In comparison with our reference cohort of TKAs, this new TKA design had an unexpectedly high early rate of revision. As per the findings, debonding of the tibial component was the most common reason for failure. There is a need for future longer-term follow-up studies of this specific component and techniques for implantation. The results showed that the version of the ATTUNE tibial component implanted in this study has undergone modifications by the manufacturer.
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