alexa Early Loosening after Total Knee Arthroplasty with Minimal Incision Surgery: A Report of Two Cases and A Review of the Literature | OMICS International | Abstract
ISSN: 2161-0533

Orthopedic & Muscular System: Current Research
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Case Report

Early Loosening after Total Knee Arthroplasty with Minimal Incision Surgery: A Report of Two Cases and A Review of the Literature

Katsumasa Tei1*, Seiji Kubo2, Nao Shibanuma1, Tomoyuki Matsumoto2, Kiyonori Mizuno2, Kotaro Nishida2, Toshihiro Akisue2, Hiroomi Tateishi1, Masahiro Kurosaka2 and Ryosuke Kuroda2

1Kobe Kaisei Hospital / Department of Orthopaedic Surgery, Shinohara Kitamachi, Japan

2Kobe University Graduate School of Medicine / Department of Orthopaedic Surgery, Shinohara Kitamachi, Japan

*Corresponding Author:
Katsumasa Tei
Department of Orthopaedic Surgery
Kobe Kaisei Hospital 3-11-15
Shinohara Kitamachi
Nada-ku, Kobe, 657-0065, Japan
Tel: 81-78-871-5201
Fax: 81-78-871-5206
E-mail: [email protected]

Received Date: June 25, 2013; Accepted Date: September 16, 2013; Published Date: September 24, 2013

Citation: Tei K, Kubo S, Shibanuma N, Matsumoto T, Mizuno K, et al. (2013) Early Loosening after Total Knee Arthroplasty with Minimal Incision Surgery: A Report of Two Cases and A Review of the Literature. Orthop Muscul Syst 2: 129. doi: 10.4172/2161-0533.1000129

Copyright: © 2013 Tei K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Advances in surgical techniques and equipment have recently encouraged the use of minimal incision surgery (MIS) in total knee arthroplasty (TKA). However several complications have been reported following MIS, among which, early loosening is one of the most serious issues. We report two cases that experienced early loosening of the tibial component within three months of surgery, and received revision surgery within three years of primary MIS TKA. The cases were compared with 50 other cases which received MIS TKAs by the same technique, and it was hypothesized the failures in the two relatively young patients may have been caused by virus implantation of the tibiae component and a large bony cut in the proximal tibia, possibly as a result of limited working space during surgeries.


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