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Knee radiographs had been gotten to judge the alignment and osseointegration or loosening regarding the MS. An overall total of 52 sleeves (27 tibial and 25 femoral) implanted in 27 RKAs (27 customers) were included. The mean follow-up period was 4.1 ± 1.8 (2-7.5) years. Postoperatively, the ROM enhanced from 89.3 ± 9.2 to 106.3 ± 11.4 ( 0.001). One client (3.7%) developed heterotopic ossification, and another one (3.7 per cent) had a stem-tip discomfort regarding the tibial sid