title: Mid-term results of total knee arthroplasty with a porous tantalum monoblock tibial component.
abstract: BACKGROUND
  The objectives of the present study were to assess the mid-term results of cementless total knee arthroplasty (TKA) with the porous tantalum monoblock tibial component and to examine the time course of bone changes on plain radiographs.
  
  
  METHODS
  The subjects were 32 patients, 29 patients were available for follow-up. We investigated the mid-term results of TKA after a mean follow-up period of 7 years and 8 months. We also examined changes of the bone over time on plain radiographs.
  
  
  RESULTS
  The Knee Society Clinical Rating scores showed significant improvement. Bone changes around the tibial component were as follows: new bone formation and longitudinal trabecular thickening in 41.4% (Type A), only longitudinal trabecular thickening in 41.4% (Type B), and no changes in 17.2% (Type C). Type A and B changes were more frequent in patients with osteoarthritis, whereas Type C was only seen in patients with rheumatoid arthritis. Three knees had an initial gap, but this disappeared in all cases, and no new radiolucent lines were detected. Stress shielding was observed in seven knees (21.9%), but there was no implant loosening related to it. When we examined the relationship between the mechanical axis and the locations of the tips of the tibial pegs in patients with or without stress shielding, no significant differences were found.
  
  
  CONCLUSIONS
  The results of mid-term follow-up have demonstrated favorable bone ingrowth, suggesting that porous tantalum is a promising material for cementless TKA.
authors.affiliation: Department of Orthopedic Surgery, Fujita Health University School of Medicine, Toyoake, Aichi, Japan. Electronic address: hkazue@fujita-hu.ac.jp.
authors.forename: Kazue
authors.initials: K
authors.lastname: Hayakawa
authors.affiliation: Department of Orthopedic Surgery, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Date
authors.affiliation: Department of Orthopedic Surgery, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
authors.forename: Shunzo
authors.initials: S
authors.lastname: Tsujimura
authors.affiliation: Department of Orthopedic Surgery, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
authors.forename: Sho
authors.initials: S
authors.lastname: Nojiri
authors.affiliation: Department of Orthopedic Surgery, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
authors.forename: Harumoto
authors.initials: H
authors.lastname: Yamada
authors.affiliation: Department of Orthopedic Surgery, Nissin Orido Hospital, Nissin, Aichi, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakagawa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000601:surgery; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D016348:Osseointegration; D020370:Osteoarthritis, Knee / Q000601:surgery; D016062:Porosity; D011474:Prosthesis Design; D011859:Radiography; D013635:Tantalum; D013977:Tibia / Q000000981:diagnostic imaging
chemical_list: D013635:Tantalum
keywords: Cementless; Knee; Prosthesis; Total knee replacement; Trabecular metal