PMC4775484_01
A) Fifty five year old patient with septic loosening of TKA performed at another service; B) Patient underwent implant removal with spacer placement and further review with hinge associated with rotating tibial basis; C) Patient suffered falling to the ground, breaking the polyethylene tibial base; D) Patient submitted to revision of the tibial component with a long shaft.
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Two patients had complications related to the implant integrity following trauma; one suffered a fall one year later and presented breach of the polyethylene rotatory tibial basis, requiring implant revision(Figure 3); another patient also suffered a fall three years later, progressing to breakage of the tibial component stem and needed revision surgery. (Table 2)