Cw. Miller et R. Pettygrow, Long-term clinical and radiographic results of a pegged tibial baseplate in primary total knee arthroplasty, J ARTHROPLA, 16(1), 2001, pp. 70-75
Tibial baseplates of total knee arthroplasty components use stems, fins, an
d pegs to augment fixation. A pegged design without a stem offers flexibili
ty in tray orientation and ease of revision. These advantages would not be
important if stemless designs resulted in a higher rate of aseptic loosenin
g. This article presents an average 10.5-year follow-up of a system offerin
g a pegged tibial baseplate. Good or excellent results in 91% of patients a
re cited with a revision rate for aseptic loosening of 1%. A pegged design
may offer advantages without a higher rate of complications when compared w
ith stemmed implants.