Aseptic loosening of the option stemmed tibial tray in the Zimmer NexGen LPS total knee arthroplasty system.

Background: We investigated the relationship between the backside deformation of polyethylene (PE) tibial inserts and aseptic loosening of the Option stemmed tibial tray used with Zimmer NexGen posterior-stabilised (PS) devices. We hypothesized that explanted inserts used in PS designs would exhibit greater extents of PE backside deformation than those used in equivalent cruciate retaining (CR) designs and that PE inserts retrieved from total knee arthroplasties (TKAs) revised for aseptic tibial tray loosening would exhibit greater extents of backside deformation than TKAs revised for other reasons.

Methods: A total of 73 explanted fixed-bearing TKAs (42 CR and 31 PS) were examined.

Erratum: Author Correction: The influence of HLA genotype on the development of metal hypersensitivity following joint replacement.

[This corrects the article DOI: 10.1038/s43856-022-00137-0.].

The influence of HLA genotype on the development of metal hypersensitivity following joint replacement.

Background: Over five million joint replacements are performed across the world each year. Cobalt chrome (CoCr) components are used in most of these procedures. Some patients develop delayed-type hypersensitivity (DTH) responses to CoCr implants, resulting in tissue damage and revision surgery.

Tibial tray debonding from the cement mantle is associated with deformation of the backside of polyethylene tibial inserts.

Aims: The aim of this study was to investigate whether wear and backside deformation of polyethylene (PE) tibial inserts may influence the cement cover of tibial trays of explanted total knee arthroplasties (TKAs).

Methods: At our retrieval centre, we measured changes in the wear and deformation of PE inserts using coordinate measuring machines and light microscopy. The amount of cement cover on the backside of tibial trays was quantified as a percentage of the total surface.

The use of ultrasound in the diagnosis of adverse reaction to metallic debris following metal on metal hip replacement.

Background And Purpose: The role of imaging in the diagnosis of adverse reaction to metallic debris (ARMD) with metal on metal (MoM) hip replacements is still unclear. A comparative study was undertaken to evaluate the efficacy of ultrasound in diagnosis of ARMD.

Patients And Methods: The study group included 35 patients with a clinical and histological diagnosis of ARMD.