The Impact of Coronal Plane Alignment on Polyethylene Wear and Damage in Total Knee Arthroplasty: A Retrieval Study

Coronal plane alignment is one of the contributing factors to polyethylene wear in total knee arthroplasty. Based on 95 retrieved polyethylene inserts, wear and damage patterns were analyzed in relationship to the overall mechanical alignment and to the position of the tibial component. A progressio...

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Veröffentlicht in:	The Journal of arthroplasty Jg. 32; H. 6; S. 2012 - 2016
Hauptverfasser:	Vandekerckhove, Pieter-Jan T.K., Teeter, Matthew G., Naudie, Douglas D.R., Howard, James L., MacDonald, Steven J., Lanting, Brent A.
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States Elsevier Inc 01.06.2017
Schlagworte:	Aged Arthroplasty, Replacement, Knee - instrumentation Arthroplasty, Replacement, Knee - methods Body Mass Index coronal plane alignment Extremities Female Humans Knee Prosthesis Male Middle Aged Orthopedics Polyethylene - chemistry polyethylene wear Prosthesis Failure retrieval study Tibia - surgery total knee arthroplasty wear and damage coronal plane alignment total knee arthroplasty wear and damage retrieval study polyethylene wear
ISSN:	0883-5403, 1532-8406, 1532-8406
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Abstract	Coronal plane alignment is one of the contributing factors to polyethylene wear in total knee arthroplasty. Based on 95 retrieved polyethylene inserts, wear and damage patterns were analyzed in relationship to the overall mechanical alignment and to the position of the tibial component. A progression of wear was observed with progressively mechanical varus alignment. However, there was significantly more damage in the lateral compartment in the mild and moderate varus group compared to the valgus group. No difference in damage was seen between all groups for tibial component positioning in valgus or varus. Progressive wear was observed with progressively varus alignment with more damage at the lateral side. This observation is unique and might be explained by lateral condylar lift-off inducing impact and shear loading in the varus group.
AbstractList	Coronal plane alignment is one of the contributing factors to polyethylene wear in total knee arthroplasty. Based on 95 retrieved polyethylene inserts, wear and damage patterns were analyzed in relationship to the overall mechanical alignment and to the position of the tibial component. A progression of wear was observed with progressively mechanical varus alignment. However, there was significantly more damage in the lateral compartment in the mild and moderate varus group compared to the valgus group. No difference in damage was seen between all groups for tibial component positioning in valgus or varus. Progressive wear was observed with progressively varus alignment with more damage at the lateral side. This observation is unique and might be explained by lateral condylar lift-off inducing impact and shear loading in the varus group. Coronal plane alignment is one of the contributing factors to polyethylene wear in total knee arthroplasty.BACKGROUNDCoronal plane alignment is one of the contributing factors to polyethylene wear in total knee arthroplasty.Based on 95 retrieved polyethylene inserts, wear and damage patterns were analyzed in relationship to the overall mechanical alignment and to the position of the tibial component.METHODSBased on 95 retrieved polyethylene inserts, wear and damage patterns were analyzed in relationship to the overall mechanical alignment and to the position of the tibial component.A progression of wear was observed with progressively mechanical varus alignment. However, there was significantly more damage in the lateral compartment in the mild and moderate varus group compared to the valgus group. No difference in damage was seen between all groups for tibial component positioning in valgus or varus.RESULTSA progression of wear was observed with progressively mechanical varus alignment. However, there was significantly more damage in the lateral compartment in the mild and moderate varus group compared to the valgus group. No difference in damage was seen between all groups for tibial component positioning in valgus or varus.Progressive wear was observed with progressively varus alignment with more damage at the lateral side. This observation is unique and might be explained by lateral condylar lift-off inducing impact and shear loading in the varus group.CONCLUSIONProgressive wear was observed with progressively varus alignment with more damage at the lateral side. This observation is unique and might be explained by lateral condylar lift-off inducing impact and shear loading in the varus group. Abstract Background Coronal plane alignment is one of the contributing factors to polyethylene wear in total knee arthroplasty. Methods Based on 95 retrieved polyethylene inserts, wear and damage patterns were analyzed in relationship to the overall mechanical alignment and to the position of the tibial component. Results A progression of wear was observed with progressively mechanical varus alignment. However, there was significantly more damage in the lateral compartment in the mild and moderate varus group compared to the valgus group. No difference in damage was seen between all groups for tibial component positioning in valgus or varus. Conclusion Progressive wear was observed with progressively varus alignment with more damage at the lateral side. This observation is unique and might be explained by lateral condylar lift-off inducing impact and shear loading in the varus group.
Author	Naudie, Douglas D.R. MacDonald, Steven J. Teeter, Matthew G. Lanting, Brent A. Howard, James L. Vandekerckhove, Pieter-Jan T.K.
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CitedBy_id	crossref_primary_10_1016_j_arth_2018_07_020 crossref_primary_10_1016_j_knee_2018_08_019 crossref_primary_10_1007_s00167_018_4946_y crossref_primary_10_1002_ksa_12731 crossref_primary_10_1007_s00167_020_05925_6 crossref_primary_10_1016_j_knee_2023_08_006 crossref_primary_10_2106_JBJS_CC_23_00378 crossref_primary_10_1016_j_arth_2018_04_010 crossref_primary_10_1016_j_medengphy_2017_10_003 crossref_primary_10_1016_j_jbiomech_2020_110042 crossref_primary_10_1302_0301_620X_102B1_BJJ_2019_0674_R2 crossref_primary_10_3389_fbioe_2021_673275 crossref_primary_10_1016_j_knee_2023_10_003 crossref_primary_10_1002_jor_25734 crossref_primary_10_1016_j_jmbbm_2019_103386 crossref_primary_10_1016_j_otsr_2017_11_015 crossref_primary_10_1016_j_arth_2017_06_037 crossref_primary_10_1097_CORR_0000000000000399 crossref_primary_10_1016_j_arth_2025_02_044 crossref_primary_10_1016_j_artd_2019_06_001 crossref_primary_10_1016_j_jmbbm_2021_104845 crossref_primary_10_1007_s00402_024_05743_2 crossref_primary_10_1016_j_artd_2024_101479 crossref_primary_10_1097_CORR_0000000000001202
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Keywords	coronal plane alignment total knee arthroplasty wear and damage retrieval study polyethylene wear
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Snippet	Coronal plane alignment is one of the contributing factors to polyethylene wear in total knee arthroplasty. Based on 95 retrieved polyethylene inserts, wear... Abstract Background Coronal plane alignment is one of the contributing factors to polyethylene wear in total knee arthroplasty. Methods Based on 95 retrieved... Coronal plane alignment is one of the contributing factors to polyethylene wear in total knee arthroplasty.BACKGROUNDCoronal plane alignment is one of the...
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SubjectTerms	Aged Arthroplasty, Replacement, Knee - instrumentation Arthroplasty, Replacement, Knee - methods Body Mass Index coronal plane alignment Extremities Female Humans Knee Prosthesis Male Middle Aged Orthopedics Polyethylene - chemistry polyethylene wear Prosthesis Failure retrieval study Tibia - surgery total knee arthroplasty wear and damage
Title	The Impact of Coronal Plane Alignment on Polyethylene Wear and Damage in Total Knee Arthroplasty: A Retrieval Study
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