Retrieval Study of Tibial Baseplate Fracture After Total Knee Arthroplasty

Chatterji, Urjit; Ashworth, Mark; Smith, Antony L.; Brewster, N; Lewis, Peter L.

doi:10.1016/j.arth.2004.09.033

Cited by 21 publications

(43 citation statements)

References 31 publications

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“…We identified another 7 cases in the literature [6, 15–18]. Among these cases, breakage of the MG II tibial tray has been reported in only one other case [5]. Our case is likely to be the second such case among those reported to date.…”

Section: Discussionmentioning

confidence: 74%

“…However, revision arthroplasty associated with knee arthroplasty failure has become a serious clinical problem. Polyethylene wear, osteolysis, and fatigue of the materials are the main problems that lead to implant failure [5, 11–13]. Fracture of the metallic tibial baseplate is a rare complication.…”

Section: Discussionmentioning

confidence: 99%

“…Failure of the metallic tibial component is even more rare and has been reported to occur in about 1-2% of case at 10 years of follow-up [14]. Chatterji et al [5] reported only 74 cases of tibial baseplate fracture, including 25 cases in their series, until 2005. We identified another 7 cases in the literature [6, 15–18].…”

Section: Discussionmentioning

confidence: 99%

“…Important factors implicated in tibial baseplate fractures are considered to include the design of the prostheses, surgical factors, poor tibial bone stock, obesity, and high activity [5, 6, 11, 12, 15–22]. Chatterji et al [5], Abernethy et al [19], and Flivik et al [20] have indicated that manufacturing errors and inherent deficiency of the implant itself are also relevant factors, prompting well-designed implants to be manufactured.…”

Section: Discussionmentioning

confidence: 99%

“…Of these, metal component fracture is a devastating complication that requires a highly complex revision arthroplasty procedure [4]. Fracture of the tibial baseplate is a relatively rare complication compared with fracture of the femoral component and Miller-Galante II (MG II) baseplate fracture is especially rare [5]. …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Fracture of the Tibial Baseplate 16 Years after Miller-Galante II Total Knee Arthroplasty

Mineta

Okada

Matsumoto³

et al. 2017

Case Reports in Orthopedics

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We report a rare case of tibial baseplate fracture of Miller-Galante II (MG II) prosthesis. We examine the factors that may cause such late fracture and review the literature on radiographic analysis and retrieval studies. A 76-year-old woman, who had undergone bilateral MG II total knee arthroplasty due to rheumatoid arthritis 16 years earlier, presented to our department with a 3-month history of left knee pain. Plain radiographs revealed severe distortion of the medial tibial component. During revision knee arthroplasty, we observed severe metallosis in the knee joint, polyethylene insert deformation, and posteromedial coronal baseplate fracture. After removal of the fractured tray, a bone deficit due to osteolysis was noted. The revision prosthesis (LCCK, Zimmer-Biomet) was implanted uneventfully. Four months after revision surgery, the patient was ambulating and had no complications. The implants on the right side had survived without complications for 17 years. We speculate that the primary causative factor of the fatigue fracture of the base plate due to loss of bony support most likely secondary to osteolysis was varus malalignment at primary implantation. This case highlights the importance of paying close attention to the correct alignment of each component at primary implantation.

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