Bone and Joint Institute

Title

The Impact of Wear and Lift-Off on Coronal Plane Alignment in TKA and Implications to Future Constrained Revision: A Retrieval Study

Document Type

Article

Publication Date

11-1-2015

Journal

Journal of Arthroplasty

Volume

30

Issue

11

First Page

2017

Last Page

2020

URL with Digital Object Identifier

10.1016/j.arth.2015.05.048

Abstract

© 2015 Elsevier Inc.. Current discussion exists whether to position a total knee arthroplasty (TKA) in slight undercorrection in varus osteoarthritis. The goal of this study was to analyse the effect of wear and lateral lift-off in primary TKA on coronal plane alignment and the implication to future constrained revision TKA. Seventy-six retrieved tibial inserts were analysed for the ratio of wear (RW), lateral lift-off and implications for future constrained revision surgery according to the coronal plane alignment. The RW significantly affects the coronal plane alignment in TKA. Progressive wear and lateral lift-off were seen with progressive varus alignment. However, there was no difference in constrained revision between mild varus and moderate varus aligned TKAs.

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