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Published in: Clinical Orthopaedics and Related Research® 4/2009

01-04-2009 | Case Report

Case Reports: Tantalum Debris Dispersion During Revision of a Tibial Component for TKA

Authors: Jose Miguel Sanchez Marquez, MD, Nicolas Del Sel, MD, Alejandro Leali, MD, Alejandro González Della Valle, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 4/2009

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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.
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Metadata
Title
Case Reports: Tantalum Debris Dispersion During Revision of a Tibial Component for TKA
Authors
Jose Miguel Sanchez Marquez, MD
Nicolas Del Sel, MD
Alejandro Leali, MD
Alejandro González Della Valle, MD
Publication date
01-04-2009
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 4/2009
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-008-0586-8

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