Case reports: Tantalum debris dispersion during revision of a tibial component for TKA. uri icon

Overview

abstract

  • Porous tantalum nonmodular tibial components for TKA were introduced in 1999. We revised three well-fixed tantalum tibial trays. For removal, we used osteotomes and revision oscillating saw blades. Removal of the components was laborious and resulted in generation of abundant tantalum debris that seeded the periarticular soft tissues despite meticulous protection with gauze. The retained metallic debris that is visible on postoperative radiographs has the potential for generation of third-body wear. We alert the orthopaedic community about this phenomenon and recommend minimizing the use of motorized revision instruments for removal of trabecular metal implants.

publication date

  • October 22, 2008

Research

keywords

  • Arthroplasty, Replacement, Knee
  • Device Removal
  • Knee
  • Tantalum
  • Tibia

Identity

PubMed Central ID

  • PMC2650048

Scopus Document Identifier

  • 62449086884

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2004.02.025

PubMed ID

  • 18941849

Additional Document Info

volume

  • 467

issue

  • 4