The all-polyethylene tibial component in primary total knee arthroplasty

Journal of Bone and Joint Surgery

Volumn 92, Issue 2, 2010, Pages 478-487

  Gioe, Terence J ^a   Maheshwari, Aditya V ^b  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

POLYETHYLENE;

BIOMECHANICS; COST CONTROL; DEBRIDEMENT; FOLLOW UP; HEALTH CARE SYSTEM; HUMAN; ORTHOPEDIC SURGERY; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PROSTHESIS; REVIEW; STEREOMETRY; THICKNESS; TIBIA; TOTAL KNEE REPLACEMENT; WOUND IRRIGATION; ECONOMICS; FINITE ELEMENT ANALYSIS; KNEE ARTHROPLASTY; KNEE PROSTHESIS; OSTEOLYSIS; PROSTHESIS FAILURE; TREATMENT OUTCOME;

ARTHROPLASTY, REPLACEMENT, KNEE; BIOMECHANICS; FINITE ELEMENT ANALYSIS; HUMANS; KNEE PROSTHESIS; OSTEOLYSIS; POLYETHYLENE; PROSTHESIS DESIGN; PROSTHESIS FAILURE; TIBIA; TREATMENT OUTCOME;

EID: 77950513440     PISSN: 00219355     EISSN: 15351386     Source Type: Journal    
DOI: 10.2106/JBJS.I.00842     Document Type: Review

References (109)

1. Gill GS, Joshi AB, Mills DM. Total condylar knee arthroplasty. 16- to 21-year results. Clin Orthop Relat Res. 1999;367:210-5.
2. Ranawat CS, Flynn WF Jr, Saddler S, Hansraj KK, Maynard MJ. Long-term results of the total condylar knee arthroplasty. A 15-year survivorship study. Clin Orthop Relat Res. 1993;286:94-102.
3. Rodriguez JA, Bhende H, Ranawat CS. Total condylar knee replacement: a 20-year followup study. Clin Orthop Relat Res. 2001;388:10-7.
4. Scuderi GR, Insall JN, Windsor RE, Moran MC. Survivorship of cemented knee replacements. J Bone Joint Surg Br. 1989;71:798-803.
5. Vince KG, Insall JN. Long-term results of cemented total knee arthroplasty. Orthop Clin North Am. 1988;19:575-80.
6. Font-Rodriguez DE, Scuderi GR, Insall JN. Survivorship of cemented total knee arthroplasty. Clin Orthop Relat Res. 1997;345:79-86. (Pubitemid 28007489)
7. Ranawat CS, Boachie-Adjei O. Survivorship analysis and results of total condylar knee arthroplasty. Eight- to 11-year follow-up period. Clin Orthop Relat Res. 1988;226:6-13.
8. Apel DM, Tozzi JM, Dorr LD. Clinical comparison of all-polyethylene and metalbacked tibial components in total knee arthroplasty. Clin Orthop Relat Res. 1991;273:243-52.
9. Ducheyne P, Kagan A 2nd, Lacey JA. Failure of total knee arthroplasty due to loosening and deformation of the tibial component. J Bone Joint Surg Am. 1978;60:384-91.
10. Evanski PM, Waugh TR, Orofino CF, Anzel SH. UCI knee replacement. Clin Orthop Relat Res. 1976;120:33-8.
11. Faris PM, Ritter MA, Keating EM, Meding JB, Harty LD. The AGC all-polyethylene tibial component: a ten-year clinical evaluation. J Bone Joint Surg Am. 2003;85:489-93.
12. Hyldahl H, Regnér L, Carlsson L, Kärrholm J, Weidenhielm L. All-polyethylene vs. metal-backed tibial component in total knee arthroplasty - a randomized RSA study comparing early fixation of horizontally and completely cemented tibial components: part 1. Horizontally cemented components: AP better fixated thanMB. Acta Orthop. 2005;76:769-77.
13. Ritter MA. The cemented all-poly tibia. Orthopedics. 1994;17:841.
14. Udomkiat P, Dorr LD, Long W. Matched-pair analysis of all-polyethylene versus metal-backed tibial components. J Arthroplasty. 2001;16:689-96. (Pubitemid 32803635)
15. Hamilton LR. UCI total knee replacement. A follow-up study. J Bone Joint Surg Am. 1982;64:740-4.
16. Rasquinha VJ, Ranawat CS, Cervieri CL, Rodriguez JA. The press-fit condylar modular total knee system with a posterior cruciate-substituting design. A concise follow-up of a previous report. J Bone Joint Surg Am. 2006;88:1006-10.
17. Rand JA, Ilstrup DM. Survivorship analysis of total knee arthroplasty. Cumulative rates of survival of 9200 total knee arthroplasties. J Bone Joint Surg Am. 1991;73:397-409.
18. Dixon MC, Brown RR, Parsch D, Scott RD. Modular fixed-bearing total knee arthroplasty with retention of the posterior cruciate ligament. A study of patients followed for a minimum of fifteen years. J Bone Joint Surg Am. 2005;87:598-603.
19. Engh GA, Dwyer KA, Hanes CK. Polyethylene wear of metal-backed tibial components in total and unicompartmental knee prostheses. J Bone Joint Surg Br. 1992;74:9-17.
20. Tsao A, Mintz L, McRae CR, Stulberg SD, Wright T. Failure of the porous-coated anatomic prosthesis in total knee arthroplasty due to severe polyethylene wear. J Bone Joint Surg Am. 1993;75:19-26.
21. Wright TM, Rimnac CM, Stulberg SD, Mintz L, Tsao AK, Klein RW, McCrae C. Wear of polyethylene in total joint replacements. Observations from retrieved PCA knee implants. Clin Orthop Relat Res. 1992;276:126-34.
22. Conditt MA, Thompson MT, Usrey MM, Ismaily SK, Noble PC. Backside wear of polyethylene tibial inserts: mechanism and magnitude of material loss. J Bone Joint Surg Am. 2005;87:326-31.
23. Conditt MA, Stein JA, Noble PC. Factors affecting the severity of backside wear of modular tibial inserts. J Bone Joint Surg Am. 2004;86:305-11.
24. Engh GA, Lounici S, Rao AR, Collier MB. In vivo deterioration of tibial baseplate locking mechanisms in contemporary modular total knee components. J Bone Joint Surg Am. 2001;83:1660-5.
25. Parks NL, Engh GA, Topoleski LD, Emperado J. Modular tibial insert micromotion. A concern with contemporary knee implants. Clin Orthop Relat Res. 1998;356:10-5.
26. Rodriguez JA, Baez N, Rasquinha V, Ranawat CS. Metal-backed and all-polyethylene tibial components in total knee replacement. Clin Orthop Relat Res. 2001;392:174-83.
27. Wasielewski RC, Parks N, Williams I, Surprenant H, Collier JP, Engh G. Tibial insert undersurface as a contributing source of polyethylene wear debris. Clin Orthop Relat Res. 1997;345:53-9.
28. Gioe TJ, Sinner P, Mehle S, Ma W, Killeen KK. Excellent survival of all-polyethylene tibial components in a community joint registry. Clin Orthop Relat Res. 2007;464:88-92.
29. Muller SD, Deehan DJ, Holland JP, Outterside SE, Kirk LM, Gregg PJ, McCaskie AW. Should we reconsider all-polyethylene tibial implants in total knee replacement? J Bone Joint Surg Br. 2006;88:1596-602.
30. Bargren JH, Blaha JD, Freeman MA. Alignment in total knee arthroplasty. Correlated biomechanical and clinical observations. Clin Orthop Relat Res. 1983;173:178-83.
31. Bartel DL, Burstein AH, Santavicca EA, Insall JN. Performance of the tibial component in total knee replacement. J Bone Joint Surg Am. 1982;64:1026-33.
32. Bartel DL, Rawlinson JJ, Burstein AH, Ranawat CS, Flynn WF Jr. Stresses in polyethylene components of contemporary total knee replacements. Clin Orthop Relat Res. 1995;317:76-82.
33. Lewis JL, Askew MJ, Jaycox DP. A comparative evaluation of tibial component designs of total knee prostheses. J Bone Joint Surg Am. 1982;64:129-35.
34. Lotke PA, Ecker ML. Influence of positioning of prosthesis in total knee replacement. J Bone Joint Surg Am. 1977;59:77-9.
35. Reilly D, Walker PS, Ben-Dov M, Ewald FC. Effects of tibial components on load transfer in the upper tibia. Clin Orthop Relat Res. 1982;165:273-82.
36. Taylor M, Tanner KE, Freeman MA. Finite element analysis of the implanted proximal tibia: a relationship between the initial cancellous bone stresses and implant migration. J Biomech. 1998;31:303-10.
37. Walker PS, Greene D, Reilly D, Thatcher J, Ben-Dov M, Ewald FC. Fixation of tibial components of knee prostheses. J Bone Joint Surg Am. 1981;63:258-67.
38. Huiskes R. Some fundamental aspects of human joint replacement. Analyses of stresses and heat conduction in bone-prosthesis structures. Acta Orthop Scand Suppl. 1980;185:1-208.
39. National Joint Registry for England and Wales. 2nd annual report. September 2005. http://www.njrcentre.org.uk/NjrCentre/Portals/0/Documents/ England/Reports/NJR-AR-2.pdf. Accessed 2009 Jun 2.
40. Gioe TJ, Killeen KK, Mehle S, Grimm K. Implementation and application of a community total joint registry: a twelve-year history. J Bone Joint Surg Am. 2006;88:1399-404.
41. Mendenhall S. Hospital resources and implant cost management - a 2008 update. Orthop Network News. 2009;20:13-9.
42. Babis GC, Trousdale RT, Morrey BF. The effectiveness of isolated tibial insert exchange in revision total knee arthroplasty. J Bone Joint Surg Am. 2002;84:64-8.
43. Engh GA, Koralewicz LM, Pereles TR. Clinical results of modular polyethylene insert exchange with retention of total knee arthroplasty components. J Bone Joint Surg Am. 2000;82:516-23.
44. Siddique MS, Rao MC, Deehan DJ, Pinder IM. Role of abrasion of the femoral component in revision knee arthroplasty. J Bone Joint Surg Br. 2003;85:393-8.
45. Bert JM, Reuben J, Kelly F, Gross M, Elting J. The incidence of modular tibial polyethylene insert exchange in total knee arthroplasty when polyethylene failure occurs. J Arthroplasty. 1998;13:609-14.
46. Callaghan JJ, Reynolds E, Lovell ME, Liu SS, Taylor SG, Goetz DD, Clohisy JC. Liner exchange and bone grafting for osteolysis and wear following total knee arthroplasty. Read at the Annual Meeting of the American Academy of Orthopaedic Surgeons; 2009 Feb 25-27; Las Vegas, NV.
47. Griffin WL, Scott RD, Dalury DF, Mahoney OM, Chiavetta JB, Odum SM. Modular insert exchange in knee arthroplasty for treatment of wear and osteolysis. Clin Orthop Relat Res. 2007;464:132-7.
48. Gioe TJ, Bowman KR. A randomized comparison of all-polyethylene and metal-backed tibial components. Clin Orthop Relat Res. 2000;380:108-15.
49. Gioe TJ, Stroemer ES, Santos ER. All-polyethylene and metal-backed tibias have similar outcomes at 10 years: a randomized level I [corrected] evidence study. Clin Orthop Relat Res. 2007;455:212-8. Erratum in: Clin Orthop Relat Res. 2007;458:249.
50. Burstein AH, Wright TM. Fundamentals of orthopaedic biomechanics. Baltimore: Williams and Wilkins; 1994. p 203-10.
51. Rao AR, Engh GA, Collier MB, Lounici S. Tibial interface wear in retrieved total knee components and correlations with modular insert motion. J Bone Joint Surg Am. 2002;84:1849-55.
52. Jayabalan P, Furman BD, Cottrell JM, Wright TM. Backside wear in modern total knee designs. HSS J. 2007;3:30-4.
53. Li S, Scuderi G, Furman BD, Bhattacharyya S, Schmieg JJ, Insall JN. Assessment of backside wear from the analysis of 55 retrieved tibial inserts. Clin Orthop Relat Res. 2002;404:75-82. (Pubitemid 35351052)
54. Cuckler JM, Lemons J, Tamarapalli JR, Beck P. Polyethylene damage on the nonarticular surface of modular total knee prostheses. Clin Orthop Relat Res. 2003;410:248-53. (Pubitemid 36538568)
55. Ritter MA, Meneghini RM. Twenty-year survivorship of cementless anatomic graduated component total knee arthroplasty. J Arthroplasty. 2009 May 6 [Epub ahead of print].
56. Weber AB, Worland RL, Keenan J, Van Bowen J. A study of polyethylene and modularity issues in >1000 posterior cruciate-retaining knees at 5 to 11 years. J Arthroplasty. 2002;17:987-91. (Pubitemid 35462939)
57. Himanen AK, Belt EA, Lehto MU, Hämäläinen MM. A comparison of survival of moulded monoblock and modular tibial components of 751 AGC total knee replacements in the treatment of rheumatoid arthritis. J Bone Joint Surg Br. 2007;89:609-14.
58. Brassard MF, Insall JN, Scuderi GR, Colizza W. Does modularity affect clinical success? A comparison with a minimum 10-year followup. Clin Orthop Relat Res. 2001;388:26-32. (Pubitemid 32595003)
59. Schwab JH, Haidukewych GJ, Hanssen AD, Jacofsky DJ, Pagnano MW. Flexion instability without dislocation after posterior stabilized total knees. Clin Orthop Relat Res. 2005;440:96-100.
60. Shannon BD, Klassen JF, Rand JA, Berry DJ, Trousdale RT. Revision total knee arthroplasty with cemented components and uncemented intramedullary stems. J Arthroplasty. 2003;18(7 Suppl 1):27-32. (Pubitemid 37259662)
61. Parratte S, Pagnano MW. Instability after total knee arthroplasty. Instr Course Lect. 2008;57:295-304.
62. Segawa H, Tsukayama DT, Kyle RF, Becker DA, Gustilo RB. Infection after total knee arthroplasty. A retrospective study of the treatment of eighty-one infections. J Bone Joint Surg Am. 1999;81:1434-45.
63. Marculescu CE, Berbari EF, Hanssen AD, Steckelberg JM, Harmsen SW, Mandrekar JN, Osmon DR. Outcome of prosthetic joint infections treated with debridement and retention of components. Clin Infect Dis. 2006;42:471-8.
64. Deirmengian C, Greenbaum J, Lotke PA, Booth RE Jr, Lonner JH. Limited success with open debridement and retention of components in the treatment of acute Staphylococcus aureus infections after total knee arthroplasty. J Arthroplasty. 2003;18(7 Suppl 1):22-6.
65. Silva M, Tharani R, Schmalzried TP. Results of direct exchange or debridement of the infected total knee arthroplasty. Clin Orthop Relat Res. 2002;404:125-31.
66. Bartel DL, Bicknell VL, Wright TM. The effect of conformity, thickness, and material on stresses in ultra-high molecular weight components for total joint replacement. J Bone Joint Surg Am. 1986;68:1041-51.
67. Wright TM, Fukubayashi T, Burstein AH. The effect of carbon fiber reinforcement on contact area, contact pressure, and time-dependent deformation in polyethylene tibial components. J Biomed Mater Res. 1981;15:719-30.
68. Edwards SA, Pandit HG, Ramos JL, Grover ML. Analysis of polyethylene thickness of tibial components in total knee replacement. J Bone Joint Surg Am. 2002;84:369-71.
69. Schai PA, Thornhill TS, Scott RD. Total knee arthroplasty with the PFC system. Results at a minimum of ten years and survivorship analysis. J Bone Joint Surg Br. 1998;80:850-8.
70. Murase K, Crowninshield RD, Pedersen DR, Chang TS. An analysis of tibial component design in total knee arthroplasty. J Biomech. 1983;16:13-22. (Pubitemid 13125810)
71. Nilsson KG, Kärrholm J. RSA in the assessment of aseptic loosening. J Bone Joint Surg Br. 1996;78:1-3.
72. Ryd L, Albrektsson BE, Carlsson L, Dansgård F, Herberts P, Lindstrand A, Regnér L, Toksvig-Larsen S. Roentgen stereophotogrammetric analysis as a predictor of mechanical loosening of knee prostheses. J Bone Joint Surg Br. 1995;77:377-83.
73. Adalberth G, Nilsson KG, Byström S, Kolstad K, Mallmin H, Milbrink J. Stability assessment of a moderately conforming all-polyethylene tibial component in total knee arthroplasty: a prospective RSA study with 2 years of follow-up of the Kinemax Plus design. Am J Knee Surg. 1999;12:233-40.
74. Adalberth G, Nilsson KG, Byström S, Kolstad K, Milbrink J. All-polyethylene versus metal-backed and stemmed tibial components in cemented total knee arthroplasty. A prospective, randomised RSA study. J Bone Joint Surg Br. 2001;83:825-31.
75. Adalberth G, Nilsson KG, Byström S, Kolstad K, Milbrink J. Low-conforming all-polyethylene tibial component not inferior to metal-backed component in cemented total knee arthroplasty: prospective, randomized radiostereometric analysis study of the AGC total knee prosthesis. J Arthroplasty. 2000;15:783-92.
76. Norgren B, Dalén T, Nilsson KG. All-poly tibial component better than metalbacked: a randomized RSA study. Knee. 2004;11:189-96.
77. Hyldahl H, Regnér L, Carlsson L, Kärrholm J, Weidenhielm L. All-polyethylene vs. metal-backed tibial component in total knee arthroplasty - a randomized RSA study comparing early fixation of horizontally and completely cemented tibial components: part 2. Completely cemented components: MB not superior to AP components. Acta Orthop. 2005;76:778-84.
78. Hyldahl HC, Regnér L, Carlsson L, Kärrholm J, Weidenhielm L. Does metal backing improve fixation of tibial component in unicondylar knee arthroplasty? A randomized radiostereometric analysis. J Arthroplasty. 2001;16:174-9.
79. Basset RW. Results of 1,000 Performance knees: cementless versus cemented fixation. J Arthroplasty. 1998;13:409-13.
80. Duffy GP, Berry DJ, Rand JA. Cement versus cementless fixation in total knee arthroplasty. Clin Orthop Relat Res. 1998;356:66-72.
81. Baker PN, Khaw FM, Kirk LM, Esler CN, Gregg PJ. A randomized controlled trial of cemented versus cementless press-fit condylar total knee replacement: 15-year survival analysis. J Bone Joint Surg Br. 2007;89:1608-14.
82. Swedish Knee Arthroplasty Register. http://www.knee.nko.se/english/ online/thePages/publication.php. Accessed 2009 Jun 2.
83. Rand JA, Trousdale RT, Ilstrup DM, Harmsen WS. Factors affecting the durability of primary total knee prostheses. J Bone Joint Surg Am. 2003;85:259-65.
84. Gioe TJ, Killeen KK, Grimm K, Mehle S, Scheltema K. Why are total knee replacements revised? Analysis of early revision in a community knee implant registry. Clin Orthop Relat Res. 2004;428:100-6. (Pubitemid 39506159)
85. Gioe TJ, Novak C, Sinner P, Ma W, Mehle S. Knee arthroplasty in the young patient: survival in a community registry. Clin Orthop Relat Res. 2007;464:83-7. (Pubitemid 350059950)
86. Sharkey PF, Sethuraman V, Hozack WJ, Rothman RH, Stiehl JB. Factors influencing choice of implants in total hip arthroplasty and total knee arthroplasty: perspectives of surgeons and patients. J Arthroplasty. 1999;14:281-7. (Pubitemid 29172242)
87. Clark CR. Cost containment: total joint implants. J Bone Joint Surg Am. 1994;76:799-800.
88. American Academy of Orthopaedic Surgeons. Position statement. Value driven use of orthopaedic implants. http://www.aaos.org/about/papers/position/ 1104.asp. Accessed 2009 Jun 2.
89. Containing the cost of orthopaedic implants. Am Acad Orthop Surg Bull. 1996;44:23.
90. Healy WL, Iorio R, Ko J, Appleby D, Lemos DW. Impact of cost reduction programs on short-term patient outcome and hospital cost of total knee arthroplasty. J Bone Joint Surg Am. 2002;84:348-53.
91. Najibi S, Iorio R, Surdam JW, Whang W, Appleby D, Healy WL. All-polyethylene and metal-backed tibial components in total knee arthroplasty: a matched pair analysis of functional outcome. J Arthroplasty. 2003;18(7 Suppl 1):9-15. (Pubitemid 37259659)
92. Pomeroy DL, Schaper LA, Badenhausen WE, Suthers KE, Smith MW, Empson JA, Curry JI. Results of all-polyethylene tibial components as a cost-saving technique. Clin Orthop Relat Res. 2000;380:140-3.
93. Pagnano MW, Levy BA, Berry DJ. Cemented all polyethylene tibial components in patients age 75 years and older. Clin Orthop Relat Res. 1999;367:73-80.
94. Wilson NA, Schneller ES, Montgomery K, Bozic KJ. Hip and knee implants: current trends and policy considerations. Health Aff (Millwood). 2008;27:1587-98.
95. Rastogi A, Mohr BA, Williams JO, Soobader MJ, de Brantes F. Prometheus payment model: application to hip and knee replacement surgery. Clin Orthop Relat Res. 2009;467:2587-97.
96. Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res. 1989;248:13-4.
97. Dawson J, Fitzpatrick R, Murray D, Carr A. Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg Br. 1998;80:63-9. (Pubitemid 28048491)
98. Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220-33. (Pubitemid 126433231)
99. Gioe TJ, Glynn J, Sembrano J, Suthers K, Santos ER, Singh J. Mobile and fixed-bearing (all-polyethylene tibial component) total knee arthroplasty designs. A prospective randomized trial. J Bone Joint Surg Am. 2009;91:2104-12.
100. WOMAC Osteoarthritis Index. Knee and Hip Osteoarthritis Index. http://www.womac.org/womac/index.htm. Accessed 2009 Jun 2.
101. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473-83.
102. L'Insalata JL, Stern SH, Insall JN. Total knee arthroplasty in elderly patients. Comparison of tibial component designs. J Arthroplasty. 1992;7:261-6.
103. Rand JA. Comparison of metal-backed and all-polyethylene tibial components in cruciate condylar total knee arthroplasty. J Arthroplasty. 1993;8:307-13.
104. Ma HM, Lu YC, Ho FY, Huang CH. Long-term results of total condylar knee arthroplasty. J Arthroplasty. 2005;20:580-4.
105. Shen B, Yang J, Zhou Z, Kang P, Wang L, Pei F. Survivorship comparison of all-polyethylene and metal-backed tibial components in cruciate-substituting total knee arthroplasty - Chinese experience. Int Orthop. 2008;33:1243-7.
106. Ranawat AS, Mohanty SS, Goldsmith SE, Rasquinha VJ, Rodriguez JA, Ranawat CS. Experience with an all-polyethylene total knee arthroplasty in younger, active patients with follow-up from 2 to 11 years. J Arthroplasty. 2005;20(7 Suppl 3):7-11.
107. Galvin AL, Kang L, Udofia I, Jennings LM, McEwen HM, Jin Z, Fisher J. Effect of conformity and contact stress on wear in fixed-bearing total knee prostheses. J Biomech. 2009;42:1898-902.
108. Stiehl JB, Komistek RD, Dennis DA. Detrimental kinematics of a flat on flat total condylar knee arthroplasty. Clin Orthop Relat Res. 1999;365:139-48.
109. Lee JG, Keating EM, Ritter MA, Faris PM. Review of the all-polyethylene tibial component in total knee arthroplasty. A minimum seven-year follow-up period. Clin Orthop Relat Res. 1990;260:87-92.