Micromotion of Conventionally Cemented All-polyethylene Tibial Components in Total Knee Replacements. A Roentgen Stereophotogrammetric Analysis of Migration and Inducible Displacement

Overview

Journal Arch Orthop Trauma Surg (1978)

Specialty Orthopedics

Date 1987 Jan 1

PMID 3566511

Citations 5

Authors

L Ryd

A Lindstrand

R Rosenquist

G Selvik

Affiliations

Soon will be listed here.

Abstract

Micromotion of the tibial component in 27 knee arthroplasties for gonarthrosis, three of which were regarded as failures for reasons other than mechanical loosening, was studied using high-resolution roentgen stereophotogrammetric analysis (RSA). Migration over time was found in all cases, ranging from 0.2 to 2.1 mm. The majority of the cases showed migration during the first year only, while a minority migrated continuously during the period studied. The latter group showed more migration even after 1 year. All cases showed inducible displacement in response to external forces, ranging from 0.2 to 1.0 mm. The micromotion correlated with the age of the patient but not with other demographic parameters. Alignment or component position did not correlate with the micromotion. All cases but one had developed a radiolucent zone, and it was concluded that the micromotion occurred in the soft tissue interface between bone and cement. Such micromotion is a normal finding in cemented tibial components in knee arthroplasty.

Citing Articles

RSA migration of total knee replacements.

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Dynamic RSA for the evaluation of inducible micromotion of Oxford UKA during step-up and step-down motion.

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Prospective randomised clinical trial assessing subsidence and rotation, using radiostereometric analysis, of two modular cementless femoral stems (Global K2 and Apex).

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Early migration of tibial components is associated with late revision: a systematic review and meta-analysis of 21,000 knee arthroplasties.

Pijls B, Valstar E, Nouta K, Plevier J, Fiocco M, Middeldorp S Acta Orthop. 2012; 83(6):614-24.

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The influence of metal backing in unicompartmental tibial component fixation. An in vivo roentgen stereophotogrammetric analysis of micromotion.

Ryd L, Lindstrand A, Stenstrom A, Selvik G Arch Orthop Trauma Surg. 1992; 111(3):148-54.

PMID: 1586577 DOI: 10.1007/BF00388089.

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