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Titanium niobium nitride knee implants are not inferior to chrome cobalt components for primary total knee arthroplasty

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Thienpont, Emmanuel [UCL]

BACKGROUND: Metal allergy in total knee arthroplasty (TKA) is still a controversial topic. Oxinium, ceramic or titanium niobium nitride (TiNbN) coated implants are available for some knee systems. The hypothesis of this study was that the use of TiNbN-coated components would not lead to inferior results compared to conventional implants and that none of the allergic patients receiving TiNbN-coated implants would require revision for metal allergy. MATERIALS AND METHODS: This study was a retrospective, 2 to 1 matched pairs study with 40 titanium niobium nitride-coated TKA compared with 80 conventional cobalt chrome implants. No demographic differences between these groups were observed. The mean follow-up for this study was 2 years. RESULTS: No differences in clinical, radiological, or patient-reported outcome measurements were observed between the two groups. No patients have been revised at this short- to medium-term outcome evaluation. DISCUSSION: Metal allergy leading to contact or systemic dermatitis is especially linked to chrome and cobalt allergy. Nickel allergy because of knee implants rarely gives cutaneous symptoms, but could potentially lead to peri-prosthetic osteolysis and loosening. The use of titanium niobium nitride implants in case of a positive history of metal allergy could avoid this devastating complication. CONCLUSION: The use of titanium niobium nitride-coated implants for primary knee osteoarthritis shows similar clinical and radiological outcomes as conventional TKA without revision for loosening at short- to medium-term follow-up. Level of evidence Level IV study.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2015
Language Anglais
Journal information "Archives of Orthopaedic and Trauma Surgery" - Vol. 135, no.12, p. 1749-1754 (2015)
Peer reviewed yes
Publisher Springer Verlag ((Germany) Heidelberg)
issn 0936-8051
e-issn 1434-3916
Publication status Publié
Affiliations UCL - SSS/IREC/CARS - Computer Assisted Robotic Surgery
UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur
Links
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Bibliographic reference Thienpont, Emmanuel. Titanium niobium nitride knee implants are not inferior to chrome cobalt components for primary total knee arthroplasty. In: Archives of Orthopaedic and Trauma Surgery, Vol. 135, no.12, p. 1749-1754 (2015)
Permanent URL http://hdl.handle.net/2078.1/172236