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Tibial Osteolysis Associated with the Modular Tibial Tray of a Cemented Posterior Stabilized Total Knee Replacement A Case Report
Mark W. Pagnano, MD; Giles R. Scuderi, MD; John N. Insall, MD
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Investigation performed at the Insall-Scott-Kelly Institute for Orthopaedics and Sports Medicine, New York, NY
Mark W. Pagnano, MD
Department of Orthopaedic Surgery, Mayo Clinic and Mayo Foundation, 200 First Street S.W., Rochester, MN 55905. Please address requests for reprints to M.W. Pagnano.

Giles R. Scuderi, MD
Insall-Scott-Kelly Institute for Orthopaedics and Sports Medicine, 170 East End Avenue, New York, NY 10128

John N. Insall, MD
Deceased

One or more of the authors has received or will receive benefits for personal or professional use from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.

J Bone Joint Surg Am, 2001 Oct 01;83(10):1545-1548
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Extract

Osteolysis around total knee arthroplasty components has been described predominantly in association with posterior cruciate ligament-retaining knee designs1-4. Most of these implants had been inserted without bone cement and had relatively nonconforming articular surfaces and a thin tibial polyethylene insert5-9. In contrast, to our knowledge, neither clinically apparent wear of the polyethylene of the tibial component nor extensive osteolysis has been reported in association with the classic posterior stabilized total knee prosthesis (Insall-Burstein; Zimmer, Warsaw, Indiana)10,11.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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