From 1991 to 1996, 953 cases of porous-coated anatomic modular knee prosthe
ses with all-polyethylene patellar components were implanted. Among them, 4
cases had breakage of the patellar component at the peg-button interfaces.
One had loosening of the patellar component by cutting out the patellar bo
ny bed. Heavy body weight, weakness of the pegs of the all-polyethylene pat
ellar component, and osteonecrosis of the patella were conceived as the cau
ses of failure.