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EFORT Open Rev. 2017 Apr 27;2(3):66-71. doi: 10.1302/2058-5241.2.160049. eCollection 2017 Mar.

The role of isolated polyethylene exchange in total knee arthroplasty.

Author information

1
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore and Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada.
2
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
3
Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada.

Abstract

The use of modular total knee arthroplasty (TKA) implants allows surgeons to perform isolated tibial polyethylene insert exchange (IPE) while retaining well-fixed and stable components.The purported advantages of IPE include preservation of bone stock, shorter operating time, less blood loss, faster rehabilitation and lower cost. However, the indications for IPE are limited.IPE for wear and osteolysis has moderate success in the medium term but should be avoided in cases of accelerated wear. In selected cases, debridement and IPE for early infection can result in low morbidity with high success rates in the short term. IPE for arthrofibrosis has poor results.IPE should be undertaken with caution and an institutional algorithm should be followed. Cite this article: EFORT Open Rev 2017;2:66-71 DOI: 10.1302/2058-5241.2.160049.

KEYWORDS:

isolated polyethylene exchange; revision; total knee arthroplasty

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