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All-Polyethylene Tibial Implant in Young, Active Patients: A Concise Follow-Up, 10 to 18 years


This is a long-term follow-up report of all-polyethylene tibial components in 60 years and younger, active patients. At the mean follow-up of 12.4 ± 2.7 (range, 10-18 years), no more patients were deceased or lost to follow-up, leaving 32 patients (44 knees) for final analysis. Good to excellent results were achieved in 96% of patients. The mean Western Ontario and McMaster Universities Osteoarthritis Index and Knee Society Score were 31 and 97, respectively. Sixty-two percent of patients were participating in sport activities such as running, gym exercises, and playing tennis or golf, with a mean UCLA score of 7.2. There were no cases of malalignment, aseptic loosening, excessive wear, or osteolysis. Seven patients (9 knees) had incomplete, nonprogressive demarcation at the zone 1 tibial interface. Kaplan-Meier survivorship at 10 years for revision due to mechanical reasons and for all failures was 97.7% and 95.5%, respectively.

The Journal of Arthroplasty

Volume 27, Issue 1, January 2012, Pages 10-14

Morteza Meftah MD, Amar S. RanawatMD, Arjun B. Sood BS, Jose A.Rodriguez MD, Chitranjan S. Ranawat MD

Hospital for Special Surgery, New York, New YorkAlbany Medical College, Albany, New YorkLenox Hill Hospital, New York, New York

Received 14 December 2010, Accepted 15 May 2011, Available online 20 July 2011.