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Multiacquisition Variable-Resonance Image Combination Magnetic Resonance Imaging to Study Detailed Bone Apposition and Fixation of Cementless Knee System Compared to Cemented Total Knee Replacements
BACKGROUND: The ability to utilize magnetic resonance imaging (MRI) to assess bony fixation may allow a better understanding of implant design and longevity. A new cementless total knee arthroplasty (TKA) was introduced, and we hypothesized that this cementless system would show similar fixation com...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445226/ https://www.ncbi.nlm.nih.gov/pubmed/36082282 http://dx.doi.org/10.1016/j.artd.2022.06.013 |
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author | Mosich, Gina M. Potter, Hollis G. Koff, Matthew F. Sacher, Sara E. Mishu, Mithun Westrich, Geoffrey H. |
author_facet | Mosich, Gina M. Potter, Hollis G. Koff, Matthew F. Sacher, Sara E. Mishu, Mithun Westrich, Geoffrey H. |
author_sort | Mosich, Gina M. |
collection | PubMed |
description | BACKGROUND: The ability to utilize magnetic resonance imaging (MRI) to assess bony fixation may allow a better understanding of implant design and longevity. A new cementless total knee arthroplasty (TKA) was introduced, and we hypothesized that this cementless system would show similar fixation compared to a cemented system as assessed by multispectral MRI. METHODS: Multiacquisition variable-resonance image combination selective MRI was performed in 20 patients implanted with a cementless TKA. A matched control group of 20 patients who had a cemented TKA was also evaluated. Each patellar, femoral, and tibial component was graded globally as well as by specific zones. The patella zones were medial, lateral, superior, and inferior. The femoral and tibial components were divided into 4 zones: anteromedial, anterolateral, posteromedial, and posterolateral. Integration grades were performed for each zone as follows: (1) normal, (2) fibrous tissue, (3) fluid interface, (4) osteolysis. A Chi-square test was performed to detect differences in level of integration grades between patients with cemented and those with cementless TKA. RESULTS: At average 16-month follow-up, the cementless group grading noted 0/80 (0%) vs 2/76 (2.63%) patellar zones with fluid interface, 0/80 (0%) vs 26/80 (32.5%) femoral zones with fibrous tissue, and 10/80 (12.5%) vs 17/80 (21.25%) tibial zones with fibrous tissue. The analysis showed patellar (P < .001), femoral (P < .001), and tibial (P < .001) components had improved fixation and less percentage of fibrous tissue and fluid present in the cementless TKA. CONCLUSIONS: Utilizing metal suppression MRI, a newer cementless knee implant demonstrated excellent biologic fixation and improved fixation compared to the cemented group. |
format | Online Article Text |
id | pubmed-9445226 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94452262022-09-07 Multiacquisition Variable-Resonance Image Combination Magnetic Resonance Imaging to Study Detailed Bone Apposition and Fixation of Cementless Knee System Compared to Cemented Total Knee Replacements Mosich, Gina M. Potter, Hollis G. Koff, Matthew F. Sacher, Sara E. Mishu, Mithun Westrich, Geoffrey H. Arthroplast Today Original Research BACKGROUND: The ability to utilize magnetic resonance imaging (MRI) to assess bony fixation may allow a better understanding of implant design and longevity. A new cementless total knee arthroplasty (TKA) was introduced, and we hypothesized that this cementless system would show similar fixation compared to a cemented system as assessed by multispectral MRI. METHODS: Multiacquisition variable-resonance image combination selective MRI was performed in 20 patients implanted with a cementless TKA. A matched control group of 20 patients who had a cemented TKA was also evaluated. Each patellar, femoral, and tibial component was graded globally as well as by specific zones. The patella zones were medial, lateral, superior, and inferior. The femoral and tibial components were divided into 4 zones: anteromedial, anterolateral, posteromedial, and posterolateral. Integration grades were performed for each zone as follows: (1) normal, (2) fibrous tissue, (3) fluid interface, (4) osteolysis. A Chi-square test was performed to detect differences in level of integration grades between patients with cemented and those with cementless TKA. RESULTS: At average 16-month follow-up, the cementless group grading noted 0/80 (0%) vs 2/76 (2.63%) patellar zones with fluid interface, 0/80 (0%) vs 26/80 (32.5%) femoral zones with fibrous tissue, and 10/80 (12.5%) vs 17/80 (21.25%) tibial zones with fibrous tissue. The analysis showed patellar (P < .001), femoral (P < .001), and tibial (P < .001) components had improved fixation and less percentage of fibrous tissue and fluid present in the cementless TKA. CONCLUSIONS: Utilizing metal suppression MRI, a newer cementless knee implant demonstrated excellent biologic fixation and improved fixation compared to the cemented group. Elsevier 2022-08-30 /pmc/articles/PMC9445226/ /pubmed/36082282 http://dx.doi.org/10.1016/j.artd.2022.06.013 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Original Research Mosich, Gina M. Potter, Hollis G. Koff, Matthew F. Sacher, Sara E. Mishu, Mithun Westrich, Geoffrey H. Multiacquisition Variable-Resonance Image Combination Magnetic Resonance Imaging to Study Detailed Bone Apposition and Fixation of Cementless Knee System Compared to Cemented Total Knee Replacements |
title | Multiacquisition Variable-Resonance Image Combination Magnetic Resonance Imaging to Study Detailed Bone Apposition and Fixation of Cementless Knee System Compared to Cemented Total Knee Replacements |
title_full | Multiacquisition Variable-Resonance Image Combination Magnetic Resonance Imaging to Study Detailed Bone Apposition and Fixation of Cementless Knee System Compared to Cemented Total Knee Replacements |
title_fullStr | Multiacquisition Variable-Resonance Image Combination Magnetic Resonance Imaging to Study Detailed Bone Apposition and Fixation of Cementless Knee System Compared to Cemented Total Knee Replacements |
title_full_unstemmed | Multiacquisition Variable-Resonance Image Combination Magnetic Resonance Imaging to Study Detailed Bone Apposition and Fixation of Cementless Knee System Compared to Cemented Total Knee Replacements |
title_short | Multiacquisition Variable-Resonance Image Combination Magnetic Resonance Imaging to Study Detailed Bone Apposition and Fixation of Cementless Knee System Compared to Cemented Total Knee Replacements |
title_sort | multiacquisition variable-resonance image combination magnetic resonance imaging to study detailed bone apposition and fixation of cementless knee system compared to cemented total knee replacements |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445226/ https://www.ncbi.nlm.nih.gov/pubmed/36082282 http://dx.doi.org/10.1016/j.artd.2022.06.013 |
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