Polyethylene Wear Particles in Synovial Fluid After Total Knee Arthroplasty
@article{Minoda2003PolyethyleneWP,
title={Polyethylene Wear Particles in Synovial Fluid After Total Knee Arthroplasty},
author={Yukihide Minoda and Akio Kobayashi and Hiroyoshi Iwaki and Masatsugu Miyaguchi and Yoshinori Kadoya and Hirotsugu Ohashi and Yoshiki Yamano and Kunio Takaoka},
journal={Clinical Orthopaedics and Related Research},
year={2003},
volume={1},
pages={165-172}
}The aims of the current study were to examine polyethylene particles in synovial fluid at an early stage, and to compare a newly introduced medial pivot total knee prosthesis with an established posterior-stabilized total knee prosthesis. Synovial fluid was obtained 1 year after knee arthroplasty from 17 patients with well-functioning prostheses (22 knees, 11 posterior-stabilized prostheses and 11 medial pivot prostheses) under complete sterile conditions. Polyethylene particles were isolated…
Topics from this paper
46 Citations
Polyethylene wear particle generation in vivo in an alumina medial pivot total knee prosthesis.
- MedicineBiomaterials
- 2005
Characteristics of polyethylene wear particles isolated from synovial fluid after mobile-bearing and posterior-stabilized total knee arthroplasties.
- MedicineJournal of biomedical materials research. Part B, Applied biomaterials
- 2004
The present results do not support the proposition that has been put forward in the literature; namely, that the contemporary mobile-bearing design has an advantage, in terms of the polyethylene wear rate, over posterior-stabilized types, and suggest that the advantage of complete conformity in the femoro-tibial articulating surface of contemporary Mobile- bearing design may be offset by wear of the mobile undersurface and slot.
Ankle arthroplasties generate wear particles similar to knee arthroplasties.
- MedicineClinical orthopaedics and related research
- 2004
The data suggest that the long-term result of total ankle arthroplasty should be as good as posterior-stabilized total knee arthroPLasties in terms of polyethylene wear and the prevalence of osteolysis.
Polyethylene particles in joint fluid and osteolysis in revision total knee arthroplasty.
- MedicineThe Knee
- 2014
Characteristics of Hylamer polyethylene particles isolated from peri-prosthetic tissues of failed cemented total hip arthroplasties.
- MedicineJournal of biomedical materials research. Part B, Applied biomaterials
- 2008
The HylamerPolyethylene particles were larger in size and more elongated and their number was larger, compared with the corresponding reported values for particles generated from conventional polyethylene, which may lead to early osteolysis in total hip arthroplasty with Hylafer.
In vivo analysis of polyethylene wear particles after total knee arthroplasty: the influence of improved materials and designs.
- MedicineThe Journal of bone and joint surgery. American volume
- 2009
The hypothesis was that modification of total knee arthroplasty materials and designs can influence the generation of polyethylene wear particles in vivo.
In vivo comparison of wear particles between highly crosslinked polyethylene and conventional polyethylene in the same design of total knee arthroplasties.
- MedicineJournal of biomedical materials research. Part B, Applied biomaterials
- 2009
The HXLPE insert generated fewer, smaller, and rounderPolyethylene wear particles than the conventional polyethylene insert in the early stage after surgery.
Highly crosslinked polyethylene does not reduce the wear in total knee arthroplasty: in vivo study of particles in synovial fluid.
- MedicineThe Journal of arthroplasty
- 2013
References
SHOWING 1-10 OF 52 REFERENCES
Polyethylene particle morphology in synovial fluid of failed knee arthroplasty.
- MedicineClinical orthopaedics and related research
- 1999
There were no differences in absolute particle counts, particle morphologic characteristics, or particle size between patients with and without gross polyethylene wear.
Comparison and quantitation of wear debris of failed total hip and total knee arthroplasty.
- MedicineJournal of biomedical materials research
- 1996
It appears that a larger range of particle sizes is present adjacent to failed knee than to failed hip prostheses, and the higher frequency of large particles in failed knee prostheses probably reflects the perceived higher rate of delamination and fragmentation of tibial and patellar compared to that of acetabular polyethylene.
Characterization of Debris Adjacent to Failed Knee Implants of 3 Different Designs
- MedicineClinical orthopaedics and related research
- 1996
The results support previous mechanical and retrieval studies suggesting that increased wear may be associated with thinner polyethylene, and there are differing degrees and patterns of wear based on implant design.
Maximizing ultra high molecular weight polyethylene performance in total knee replacement.
- MedicineInstructional course lectures
- 2001
The surgeon can play a major role in maximizing polyethylene performance in TKR by understanding the multiple factors that contribute topolyethylene wear and taking steps to lessen their effect.
The size and shape of particulate polyethylene wear debris in total joint replacements
- MedicineProceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine
- 1997
UHMWPE particles retrieved from ten cases for Freeman type conforming tibiofemoral total knee replacements, three Charnley total hip replacements and five Imperial College/London Hospital double cup surface hip replacements for aseptic loosening were extracted using a high-performance method with ultracentrifugation and characterized by scanning electron microscopy.
Survivorship of cemented total knee arthroplasty.
- MedicineClinical orthopaedics and related research
- 1997
Long term results of cemented, total knee arthroplasty with a relatively conforming articular surface has been shown to be a reliable procedure with excellent survivorship.
Number of polyethylene particles and osteolysis in total joint replacements. A quantitative study using a tissue-digestion method.
- MedicineThe Journal of bone and joint surgery. British volume
- 1997
It is concluded that the most critical factor in the pathogenesis of osteolysis is the concentration of polyethylene particles accumulated in the tissue.
Catastrophic osteolysis in total knee replacement. A report of 17 cases.
- MedicineClinical orthopaedics and related research
- 1995
The authors conclude that younger, overweight patients seem to be at higher risk of implant failure and that osteolysis is not restricted to cementless implants and that the surgeon must be prepared to deal with complex revisions.
Mobile-Bearing Knee Replacement
- Medicine
- 2000
The rationale for the use of mobile-bearing knee devices is explored, the clinical results of use of the Oxford unicompartmental replacement, the Low-Contact Stress knee replacement, and the Self-Aligning knee replacement are highlighted, as these devices have been followed for at least five years.
The effects of implant design on range of motion after total knee arthroplasty. Total condylar versus posterior stabilized total condylar designs.
- MedicineClinical orthopaedics and related research
- 1992
Observations that a group with less mean preoperative motion paradoxically gains a slightly greater increment of flexion after total knee arthroplasty are supported, notwithstanding the similarities among modern prostheses.