Analysis of Stem Tip Pain in Revision Total Knee Arthroplasty.

Kimpton, CI, Crocombe, AD, Bradley, WN and Gavin Huw Owen, B (2013) Analysis of Stem Tip Pain in Revision Total Knee Arthroplasty. J Arthroplasty, 28 (6). pp. 971-977.

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Abstract

Stem tip pain following revision total knee arthroplasty is a significant cause of patient dissatisfaction, which in the presence of an aseptic well-fixed component has no widely accepted surgical solution. A definitive cause of stem tip pain remains elusive, however it has been suggested that high stress concentrations within the region of the stem tip may play a role. This paper reports a finite element study of a novel clinical technique where a plate is attached to the tibia within the region of the stem tip to reduce stem tip pain. The results demonstrate that the plate reduces stress concentrations in the bone at the stem tip of the implant. The magnitude of stress reduction is dependent upon plate location, material and attachment method.

Item Type:	Article
Divisions :	Faculty of Engineering and Physical Sciences > Mechanical Engineering Sciences
Authors :	Authors Email ORCID Kimpton, CI UNSPECIFIED UNSPECIFIED Crocombe, AD UNSPECIFIED UNSPECIFIED Bradley, WN UNSPECIFIED UNSPECIFIED Gavin Huw Owen, B UNSPECIFIED UNSPECIFIED
Date :	21 March 2013
Identification Number :	https://doi.org/10.1016/j.arth.2012.10.007
Related URLs :	Author
Additional Information :	NOTICE: this is the author’s version of a work that was accepted for publication in J Arthroplasty. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in J Arthroplasty, 28(6), March 2013, DOI 10.1016/j.arth.2012.10.007.
Depositing User :	Symplectic Elements
Date Deposited :	10 Jul 2013 13:10
Last Modified :	23 Sep 2013 20:09
URI:	http://epubs.surrey.ac.uk/id/eprint/775892

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