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Volume 4, Issue 2, Pages (June 2018)

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Presentation on theme: "Volume 4, Issue 2, Pages (June 2018)"— Presentation transcript:

1 Volume 4, Issue 2, Pages 153-157 (June 2018)
Two pegs are better than one: rare mode of femoral component failure in unicompartmental arthroplasty requiring revision to total knee arthroplasty  Ryan Stancil, MD, Nathan Summers, PA-C, Douglas Van Citters, PhD, MS, Adam Sassoon, MD, MS  Arthroplasty Today  Volume 4, Issue 2, Pages (June 2018) DOI: /j.artd Copyright © 2017 The Authors Terms and Conditions

2 Figure 1 Anteroposterior radiograph of right knee with no evidence of UKA failure. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions

3 Figure 2 Lateral radiograph of a right knee with a medial UKA. Note the lucency posterior to the single femoral peg. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions

4 Figure 3 Intraoperative photograph showing the clearly fractured and grossly loose femoral UKA component. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions

5 Figure 4 (a) Anteroposterior and (b) lateral radiographs of final TKA components at 1 year postoperatively. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions

6 Figure 5 Explanted Vanguard femoral UKA component.
Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions

7 Figure 6 Close-up of fracture through femoral UKA component with evidence of fatigue striations. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions

8 Figure 7 Close-up of the articular surface of the explanted femoral component with signs of scratching and burnishing. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions

9 Figure 8 Electron microscopy revealing crack initiation and propagation sites. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions

10 Figure 9 Electron microscopy showing crack around grain boundaries.
Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions

11 Figure 10 Microstructure overview showing the presence of carbide precipitates within the grains as well as intermetallic phases along the grain boundaries. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions


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