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Spontaneous Late Dissociation of the Tibial Insert After High-Flex Posterior-Stabilized Genesis II Total Knee Arthroplasty

Authors
Lee, Dae-HeeLee, Tze GinPark, Sung-JoonHan, Seung-Beom
Issue Date
Feb-2013
Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
Keywords
dissociation; Genesis II; polyethylene insert; total knee arthroplasty
Citation
JOURNAL OF ARTHROPLASTY, v.28, no.2
Indexed
SCIE
SCOPUS
Journal Title
JOURNAL OF ARTHROPLASTY
Volume
28
Number
2
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/104079
DOI
10.1016/j.arth.2012.03.056
ISSN
0883-5403
Abstract
We report a rare complication of spontaneous late dissociation of the tibial insert 2 years after total knee arthroplasty using a high-flex posterior-stabilized Genesis II prosthesis (Smith & Nephew, Memphis, Tenn). It appears that 2 factors may have contributed to dissociation, namely, incomplete seating of the insert and the design of the prosthesis, which involves a shallow anterior tab snap-fit locking mechanism and thin dovetail lips. (C) 2013 Elsevier Inc. All rights reserved.
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