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KNEETA                          R






                                                            Total Knee system



                                                            While instability is one

                                                            of the leading causes of

                                                            short-term failure

                                                            of knee implants, aseptic loosening and complications pertaining to
                                                            polyethylene wear are still the leading causes of long-term failure for
                                                            knee implants.   Many companies have attempted to address this
                                                                       1,2
                                                            through the use of alternate materials, such as highly crosslinked
                                                            polyethylene and/or the addition of vitamin E.  While these
                                                            technologies improve wear characteristics in total hip arthroplasty
                                                            where bearings are loaded in crossing shear vectors, the value of
                                                            highly crosslinked polyethylene in total knee arthroplasty is still

                                                            material as it relates to advanced wear characteristics vs. reduction of
                                                            mechanical properties and increase in osteolytic potential.

                                                            In general, wear can be characterized as the loss of material in
                                                            particulate form or deformation as a consequence of contact
                                                            between two moving surfaces.  3-5
                                                            predominant wear processes in total joint replacement. 3,5,6   FIGURE 1




















                                                                Abrasive Wear
                                                                                              Third-Body Wear

                                                                         Adhesive Wear  Fatigue Wear
                                                            FIGURE 1 | Common modes of wear in total knee arthroplasty

                                                            ABRASIVE WEAR

                                                            articulating surfaces that are in contact, resulting in the generation
                                                            of small debris particles.

                                                            ADHESIVE WEAR
                                                             The transfer of a softer material (polyethylene) to the surface of a

                                                            attaches to the metal and results in breakdown of
                                                            the polyethylene.

                                                                         SUNTEK

                                                                         Medical Devices
                                                                         and Electronic
      24                                                                 Products Trade Co.  KNEETA® Medial-Pivot Knee System
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