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Stability of initial fixation of the tibial component in cementless total knee arthroplasty

 

作者: Hitoshi Shimagaki,   Joan E. Bechtold,   Robert E. Sherman,   Ramon B. Gustilo,  

 

期刊: Journal of Orthopaedic Research  (WILEY Available online 1990)
卷期: Volume 8, issue 1  

页码: 64-71

 

ISSN:0736-0266

 

年代: 1990

 

DOI:10.1002/jor.1100080108

 

出版商: Wiley Subscription Services, Inc., A Wiley Company

 

关键词: Cementless tibial component;Initial stability;Micromovement

 

数据来源: WILEY

 

摘要:

AbstractThis study measured the vertical displacement of three kinds of cementless tibial components [Porous Coated Anatomical (PCA), Tricon, and Whiteside], under eccentric loading up to 2,225 N. Displacement between the tibial tray and the proximal tibia was measured with linear variable differential transformers at the anterior and posterior side when anteriorly or posteriorly loaded, and at the medial and lateral side when medially or laterally loaded. The general pattern of motion was sinking at the loaded side and lift‐off at the opposite side and lift‐off at the opposite side. Lift‐off opposite the loaded side was fairly small for all components at all measurement sites. Among the three components, the Whiteside showed the smallest displacements. The Tricon (when anteriorly or posteriorly loaded), and the PCA (when medially or laterally loaded) showed sinking at the loaded side. Anterior screw fixation of the PCA was not effective in preventing anterior lift‐off. The tilting motion of the tibial components obseved in this study implies instability of the initial fixation, which could possibly compromise bony ingrowth. Furthermore, this tilting could cause uneven distribution of load, and potentially result in fracture of the underlyi

 

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