The stability of the cemented tibial component of total knee arthroplasty: posterior cruciate-retaining versus posterior-stabilized design

J Arthroplasty. 2004 Sep;19(6):775-82. doi: 10.1016/j.arth.2004.01.013.

Abstract

Micromotion of the tibial component in 40 knee arthroplasties for gonarthrosis was studied using Roentgen stereophotogrammetric analysis. The stability of this component was assessed for 2 years' postoperatively. In all arthroplasties, an attempt was made to reconstruct the preoperative posterior slope. Posterior cruciate-retaining (CR) and posterior-stabilized (PS) components showed at 2 years a maximum total point motion of 0.6 +/- 0.4 mm and 0.7 +/- 0.5 mm, respectively. Whereas 92.5% of the implants were determined to be stable, 1 of the CR group and 2 of the PS group displayed migration between the first and the second year of at least 0.2 mm. A negative correlation between subsidence of the tibial component at 2 years of follow-up and the difference between preoperative and postoperative tibial slope was found. Consequently, we suggest that restoring the original posterior slope of the tibial plateau must be a goal of tibial component implantation.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Arthroplasty, Replacement, Knee / instrumentation*
  • Cementation
  • Female
  • Humans
  • Knee Prosthesis*
  • Male
  • Middle Aged
  • Osteoarthritis, Knee / surgery*
  • Photogrammetry
  • Prosthesis Design
  • Prosthesis Failure
  • Range of Motion, Articular
  • Statistics, Nonparametric
  • Tibia / surgery*
  • Treatment Outcome