Is There A Difference in Bone Ingrowth in Modular Versus Monoblock Porous Tantalum Tibial Trays?
Contemporary total knee designs incorporating highly porous metallic surfaces have demonstrated promising clinical outcomes. However, stiffness differences between modular and monoblock porous tantalum tibial trays may affect bone ingrowth. This study investigated effect of implant design, spatial location and clinical factors on bone ingrowth. Three modular and twenty-one monoblock retrieved porous tantalum tibial trays were evaluated for bone ingrowth. Nonparametric statistical tests were used to investigate differences in bone ingrowth by implant design, tray spatial location, substrate depth and clinical factors. Modular trays (5.3 ± 3.2%) exhibited higher bone ingrowth than monoblock trays (1.6 ± 1.9%, P = 0.032). Bone ingrowth in both designs was highest in the initial 500 μm from the surface. Implantation time was positively correlated with bone ingrowth for monoblock trays.
Implant Research Center, Drexel University, 3401 Market Street, Suite 345, Philadelphia, Pennsylvania 19104.
Josa A
JA
Hanzlik
Implant Research Center, Drexel University, 3401 Market Street, Suite 345, Philadelphia, Pennsylvania 19104; Exponent, Inc., 3401 Market Street, Philadelphia, Pennsylvania 19104.
Judd S
JS
Day
Othopaedic Retrieval Analysis Laboratory, Case Western Reserve University, Cleveland, Ohio.
Clare M
CM
Rimnac
Implant Research Center, Drexel University, 3401 Market Street, Suite 345, Philadelphia, Pennsylvania 19104; Exponent, Inc., 3401 Market Street, Philadelphia, Pennsylvania 19104.
Steven M
SM
Kurtz
D000328:Adult; D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001846:Bone Development; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D016062:Porosity; D011474:Prosthesis Design / Q000379:methods*; D012086:Reoperation; D018709:Statistics, Nonparametric; D013635:Tantalum / Q000737:chemistry*; D013977:Tibia / Q000601:surgery*
D013635:Tantalum
aseptic loosening; bone ingrowth; porous tantalum; porous tantalum tibial trays; tibial tray design