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Ceramic Femoral Prosthesis in TKA — Present and Future

  • Conference paper
Bioceramics and Alternative Bearings in Joint Arthroplasty

Part of the book series: Ceramics in Orthopaedics ((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].

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Seoul national University Hospital, 28 Yongon-dong, Jongno-gu, 110-744, Seoul, Korea

    Myung-Chul Lee M.D.

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  1. Myung-Chul Lee M.D.
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  2. J.-W. Ahn
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Editors and Affiliations

  1. Department of Orthopaedic Surgery Hangang Sacred Heart Hospital, Hallym University College of Medicine, Youngdungpo-dong 2-ga, Youngdungpo-gu, 150-719, Seoul, Korea

    Jun-Dong Chang M.D.

  2. Medical Products Division, CeramTec AG, Fabrikstrasse 23-29, 73207, Plochingen, Germany

    Karl Billau

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Lee, MC., Ahn, JW. (2007). Ceramic Femoral Prosthesis in TKA — Present and Future. In: Chang, JD., Billau, K. (eds) Bioceramics and Alternative Bearings in Joint Arthroplasty. Ceramics in Orthopaedics. Steinkopff. https://doi.org/10.1007/978-3-7985-1783-7_16

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  • DOI: https://doi.org/10.1007/978-3-7985-1783-7_16

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