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- W3208587802 abstract "Total knee arthroplasty (TKA) is one of the most successful orthopaedic procedures, with high patient satisfaction and excellent clinical outcomes. As the incidence of primary TKA continues to increase without any signs of slowing, it is expected that revision TKA will follow suit. While improvements in TKA design and instrumentation have greatly reduced the number of revisions required for polyethylene wear and osteolysis, patients still commonly undergo revision TKA for mechanical issues, such as aseptic loosening and instability, followed by infection. Although the overall annual failure rate after primary TKA is low, the rate of revision TKA worldwide is increasing with an overall annual rate estimated to be between 9 and 12%.[1] [2] [3] While there are various estimates for the different reasons for failure, aseptic loosening and infection dominate the cause of failure. Polyethylene wear had been a major cause of failure a decade ago, but modern polyethylene manufacturing techniques have produced materials with reduced wear characteristics and improved longevity. Most studies report aseptic loosening as the most frequent cause of failure, but other causes are stiffness, instability, and postoperative pain. When looking at early failure within the first 2 years of the primary TKA, infection and instability are typically, but not exclusively, the most common, while late failures are more commonly mechanical wear and loosening.[4] [5]" @default.
- W3208587802 created "2021-11-08" @default.
- W3208587802 creator A5040644375 @default.
- W3208587802 date "2021-10-31" @default.
- W3208587802 modified "2023-10-16" @default.
- W3208587802 title "Dealing with the Challenge of Revision Total Knee Arthroplasty" @default.
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- W3208587802 doi "https://doi.org/10.1055/s-0041-1735161" @default.
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