Initial Stability of Cemented vs Cementless Tibial Components Under Cyclic Load.
Journal Article (Journal Article)
BACKGROUND: Cement fixation of total knee components remains the gold standard despite resurgence in cementless fixation with the goal of long-term durable fixation. Initial stability is paramount to achieve bony ingrowth of cementless components. METHODS: Twelve cemented and cementless tibial baseplates were implanted into sawbones and tested using a physiological medial-lateral load distribution for 10,000 cycles to represent 8 weeks of in vivo function. Micromotion was measured at 5 locations around the baseplate during loading. RESULTS: Cycling had a significant effect on the change in micromotion between maximum and minimum loads at the anterior, medial, lateral, posteromedial, and posterolateral tray edge locations. A significant effect of fixation technique was detected for the anterior (P < .001), medial (P = .002), and lateral (P = .0056) locations but not for the posteromedial (P = .36) or posterolateral (P = .82) locations. Differences in micromotion between cemented and cementless components did not exceed 150 μm at any tested location. CONCLUSION: The micromotion experienced by cementless tibial components in the present study may indicate a lower initial mechanical stability than the cemented group. However, this difference in initial stability may be subclinical because the differences between average cemented and cementless micromotion were <150 μm at all measured locations under the loading regime implemented.
Full Text
Duke Authors
Cited Authors
- Crook, PD; Owen, JR; Hess, SR; Al-Humadi, SM; Wayne, JS; Jiranek, WA
Published Date
- August 2017
Published In
Volume / Issue
- 32 / 8
Start / End Page
- 2556 - 2562
PubMed ID
- 28433426
Electronic International Standard Serial Number (EISSN)
- 1532-8406
Digital Object Identifier (DOI)
- 10.1016/j.arth.2017.03.039
Language
- eng
Conference Location
- United States