Massive femoral osteolytic lesion secondary to disengagement of a total knee tibial locking pin: case report.

Sathappan, Sathappan S; Capeci, Craig; Teicher, Matthew; Di Cesare, Paul E · J Knee Surg · 2007

case_report · Level V

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Abstract

The Anatomic Modular Knee (AMK; Depuy, Warsaw, Ind) was one of the first designs to incorporate a modular locking mechanism for the tibial insert; fixation was secured using a screw-in tibial tray-locking pin. This case report describes a patient who presented with instability and worsening knee pain 15 years following a primary total knee arthroplasty using the AMK prosthesis. Radiographs and intraoperative assessment revealed proximal migration of the tibial tray-locking pin into the medial femoral condyle resulting in a large osteolytic defect.

Medical subject headings

Anatomy