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Volume 4, Issue 2, Pages 153-157 (June 2018)
Two pegs are better than one: rare mode of femoral component failure in unicompartmental arthroplasty requiring revision to total knee arthroplasty Ryan Stancil, MD, Nathan Summers, PA-C, Douglas Van Citters, PhD, MS, Adam Sassoon, MD, MS Arthroplasty Today Volume 4, Issue 2, Pages (June 2018) DOI: /j.artd Copyright © 2017 The Authors Terms and Conditions
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Figure 1 Anteroposterior radiograph of right knee with no evidence of UKA failure. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions
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Figure 2 Lateral radiograph of a right knee with a medial UKA. Note the lucency posterior to the single femoral peg. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions
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Figure 3 Intraoperative photograph showing the clearly fractured and grossly loose femoral UKA component. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions
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Figure 4 (a) Anteroposterior and (b) lateral radiographs of final TKA components at 1 year postoperatively. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions
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Figure 5 Explanted Vanguard femoral UKA component.
Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions
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Figure 6 Close-up of fracture through femoral UKA component with evidence of fatigue striations. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions
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Figure 7 Close-up of the articular surface of the explanted femoral component with signs of scratching and burnishing. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions
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Figure 8 Electron microscopy revealing crack initiation and propagation sites. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions
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Figure 9 Electron microscopy showing crack around grain boundaries.
Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions
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Figure 10 Microstructure overview showing the presence of carbide precipitates within the grains as well as intermetallic phases along the grain boundaries. Arthroplasty Today 2018 4, DOI: ( /j.artd ) Copyright © 2017 The Authors Terms and Conditions
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