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Related Experiment Video

Updated: Sep 27, 2025

Biotribological Testing and Analysis of Articular Cartilage Sliding against Metal for Implants
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Total Knee Replacement with an Uncemented Porous Tantalum Tibia Component: A Failure Analysis.

Samo K Fokter1, Nenad Gubeljak2, Esther Punzón-Quijorna3

  • 1Department of Orthopaedics, University Medical Centre Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.

Materials (Basel, Switzerland)
|April 12, 2022
PubMed
Summary

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The Development and Implementation of New Recommendations for Perioperative Antibiotic Prophylaxis Duration in Elective Primary Hip and Knee Replacement Surgeries.

Journal of clinical medicine·2026
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Exodermal suberin contributes to ion homeostasis and growth in potato.

Journal of experimental botany·2026
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Two-Peg Cementless Trabecular Metal Modular Tibial Components in Total Knee Arthroplasty: A Single-Center Comparative Study with Cemented Counterparts.

Medicina (Kaunas, Lithuania)·2026
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Fluoride detoxification in tea plants depends on aluminum and localization in the epidermis.

Plant physiology·2026
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Comparison of mid-term survival of uncemented total knee arthroplasties with modular tibial components made of porous tantalum vs. cemented total knee arthroplasties.

Expert review of medical devices·2025
Same author

Rotational Projection Errors in Coronal Knee Alignment on Weight-Bearing Whole-Leg Radiographs: A 3D CT Reference Across CPAK Morphotypes.

Bioengineering (Basel, Switzerland)·2025

Modular porous tantalum tibia baseplates in total knee arthroplasty (TKA) can fracture due to fatigue. Metal debris and poor bone ingrowth may contribute to this failure, necessitating further investigation into implant longevity.

Area of Science:

  • Orthopaedic Surgery
  • Biomaterials Science
  • Materials Engineering

Background:

  • Porous tantalum is widely used in uncemented total knee arthroplasty (TKA) with earlier designs showing favorable outcomes.
  • Evolution to modular implants aimed to improve TKA performance.
  • This study investigates causes of medial tibia bone loss and subsequent modular porous tantalum tibia baseplate fracture after primary TKA.

Purpose of the Study:

  • To analyze the causes of extensive medial tibia bone loss and modular porous tantalum tibia baseplate fracture.
  • To investigate the role of metal debris and bone ingrowth in implant failure.

Main Methods:

  • Proton-Induced X-ray Emission (micro-PIXE) elemental analysis of retrieved tissue samples.
  • Stereomicroscopy for fractographic and microstructural analysis.
Keywords:
cementlesscementless baseplate fractureporous tantalumtibial componenttotal knee arthroplastytrabecular metaluncemented

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  • 3D finite-element modeling for stress-strain analysis of the tibial baseplate.
  • Main Results:

    • Histological examination revealed tantalum and titanium metal debris under the fractured baseplate.
    • Fractographic analysis indicated the tibial baseplate failure met criteria for fatigue fracture.
    • Bone ingrowth was observed on only 22.5% of the contact surface, particularly limited on the medial side.

    Conclusions:

    • Modular porous tantalum tibia baseplate fracture in TKA is likely due to fatigue.
    • The presence of metal debris and limited bone ingrowth, especially medially, may contribute to bone resorption and catastrophic failure.
    • Further research is required to confirm the link between metal debris, bone absorption, and tibial tray failure.