16.12.2012 Views

cadera / hip - Active Congress.......

cadera / hip - Active Congress.......

cadera / hip - Active Congress.......

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

JUEVES / THURSDAY<br />

248<br />

- False.<br />

2) Improved function - Not accurate.<br />

3) Improved ROM - False.<br />

4) Improved long term survivors<strong>hip</strong> - unproven.<br />

5) Reduced polyethylene wear - not proven<br />

in in vivo studies.<br />

6) Improved patellofemoral tracking - inaccurate.<br />

7) “Surgical forgiveness” - actually more<br />

challenging.<br />

In addition, MB TKA may have additional<br />

complications not found in fi xed bearings<br />

such as bearing subluxations, dislocations,<br />

and insert fractures.<br />

Two recent clinical studies have suggested<br />

possible functional benefi t which may be implant<br />

design specifi c. Ball et al (2006) found<br />

with the Scorpio MB TKA, improved stair<br />

climbing ability. Delport et al (2006) with a<br />

kinematic analysis found Biomet performance<br />

MB TKA reproduces internal rotation of the<br />

tibia more closely during fl exion.<br />

MB TKA theoretical advantage possibly may<br />

be very design specifi c, but the majority of<br />

literature does not prove clinical benefi t associated<br />

with MB TKA. Based on current<br />

review MB TKA is not worth it.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!