Can Isolated Tibial Component Revision Be an Alternative to Isolated Aseptic Loosening of the Tibial Component in Total Knee Arthroplasty?

Document Type : In Brief


E. Carlos Rodriguez-Merchan, Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain


This article reviews the information on isolated tibial component revision for isolated aseptic loosening 
of the tibial component in total knee arthroplasty (TKA). It summarizes the results of recent major 
studies published in PubMed since the beginning of the search engine until 28 March 2023. Sixty -five 
articles were found, of which only five were analyzed because they were directly related to the title of 
this article. At 5-year follow-up isolated tibial revision and both-component (femoral and tibial) revision 
for aseptic loosening did not differ with regard to failures of the implant, adv erse events, and clinical 
 Level of evidence: III


Main Subjects

  1. Martin JR, Geary MB, Ransone M, Macknet D, Fehring K, Fehring T. Is a full component revision necessary for isolated tibial loosening? Bone Joint J.2020; 102-B (6_Supple_A):123-128. doi: 10.1302/0301-620X.102B6.BJJ-2019-1401.R1.
  2. Lee SS, Park JS, Lee YK, Moon YW. Comparison of the clinical and radiological outcomes between an isolated tibial component revision and total revision knee arthroplasty in aseptic loosening of an isolated tibial component. J Orthop Sci.2021; 26(3):435-440. doi: 10.1016/j.jos.2020.05.007.
  3. Tracey RW, Akram F, Della Valle CJ, Sporer SM, Berger RA, Gerlinger TL. Clinical outcomes in isolated tibial revision with cruciate retaining total knee arthroplasty. J Arthroplasty.2021; 36(7):2536-2540. doi: 10.1016/j.arth.2021.02.013.
  4. Howard LC, Day CW, Masri BA, Garbuz DS. Comparison of clinical and functional outcomes in one versus two component revision for total knee arthroplasty. J Arthroplasty.2023; 38(6S):S275-S280. doi: 10.1016/j.arth.2023.01.047.
  5. Apinyankul R, Hwang K, Segovia NA, et al. Isolated versus full component revision in total knee arthroplasty for aseptic loosening. J Arthroplasty.2023; 38(2):335-340. doi: 10.1016/j.arth.2022.09.006.