CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(01): 042-046
DOI: 10.1055/s-0040-1712491
Artigo Original
Joelho

Evaluation of Polyethylene Wear in a Brazilian Ultracongruent Knee Prosthesis with a Rotating Platform[*]

Article in several languages: português | English
1   Grupo do Joelho, Departamento de Ortopedia e Traumatologia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brasil
,
2   Faculdade de Medicina, Universidade de Campinas, Campinas, SP, Brasil
› Author Affiliations

Abstract

Objective To evaluate the wear of polyethylene in a Brazilian ultracongruent knee prosthesis with a rotating platform (Rotaflex, Víncula, Rio Claro, SP, Brasil).

Methods We used the test method with the loading and preparation parameters mentioned in the standards regulation ISO 14243-1:2009, and the measurement methods mentioned in the standards regulation ISO 14243-2:2009, for the evaluation of the wear behavior of a Brazilian prosthesis with a rotating platform. The equipment used for the wear test was the ISO 14243–1 gait simulator (EndoLab, Riedering, Germany).

Results After 10 million cycles, the evaluation of the polyethylene wear showed a regular appearance of surface wear at a mean rate of 2.56 mg per million cycles.

Conclusion The wear of the polyethylene of the evaluated prosthesis was minimal after the tests performed and with safety limits higher than those recommended by biomechanical engineering.

* Work developed at the Knee Group, Department of Orthopedics and Traumatology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil, and at Faculdade de Medicina, Universidade de Campinas, Campinas, SP, Brazil.




Publication History

Received: 04 February 2020

Accepted: 02 March 2020

Article published online:
10 June 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • Referências

  • 1 Jämsen E, Jäntti P, Puolakka T, Eskelinen A. Primary knee replacement for primary osteoarthritis in the aged: gender differences in epidemiology and preoperative clinical state. Aging Clin Exp Res 2012; 24 (06) 691-698
  • 2 Hernandez AJ, Camanho GL, Pécora JR. Artrodese do joelho: gênese e soluções. São Paulo: Atheneu; 2010
  • 3 Ferreira MC, Oliveira JCP, Zidan FF, Franciozi CEDS, Luzo MVM, Abdalla RJ. Total knee and hip arthroplasty: the reality of assistance in Brazilian public health care. Rev Bras Ortop 2018; 53 (04) 432-440
  • 4 McLaughlin JR, Lee KR. Hybrid total knee arthroplasty: 10- to 16-year follow-up. Orthopedics 2014; 37 (11) e975-e977
  • 5 Tirico LEP, Pasqualin T, Pécora JO, Gobbi RG, Pécora JR, Demange MK. Estudo da estabilidade dos componentes na artroplastia total do joelho sem cimento. Acta Ortop Bras 2012; 20 (04) 230-234
  • 6 Kim YH, Park JW, Kim JS, Kulkarni SS, Kim YH. Long-term clinical outcomes and survivorship of press-fit condylar sigma fixed-bearing and mobile-bearing total knee prostheses in the same patients. J Bone Joint Surg Am 2014; 96 (19) e168
  • 7 Fransen BL, van Duijvenbode DC, Hoozemans MJM, Burger BJ. No differences between fixed- and mobile-bearing total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2017; 25 (06) 1757-1777
  • 8 Cobra H, Palma IM. Polietileno tibial móvel na artroplastia total do joelho. Rev Bras Ortop 2009; 44 (06) 475-478
  • 9 ISO 14243–1:2009 Implants for surgery - Wear of total knee-joint prostheses–Part 1: Loading and displacement parameters for wear-testing machines with load control and corresponding environmental conditions for test. Disponível em: https://www.iso.org/standard/44262.html
  • 10 ISO 14243–2:2009 Implants for surgery–Wear of total knee-joint prostheses–Part 2: Methods of measurement. Disponível em: https://www.iso.org/standard/44263.html
  • 11 Guglielmetti LG, Couto RC, Camargo OP. et al. Artroplastia total do joelho com o apoio tibial móvel. Avaliação dos resultados a médio prazo. Acta Ortop Bras 2010; 18 (06) 310-314
  • 12 Jorgensen NB, McAuliffe M, Orschulok T, Lorimer MF, de Steiger R. Major Aseptic Revision Following Total Knee Replacement: A Study of 478,081 Total Knee Replacements from the Australian Orthopaedic Association National Joint Replacement Registry. J Bone Joint Surg Am 2019; 101 (04) 302-310
  • 13 Ranawat CS, Flynn Jr WF, 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
  • 14 McEwen HM, McNulty DE, Auger DD. et al. Wear analysis of mobile bearing knee. In: Hamelynck KJ, Stiehl JB. editors. LCS mobile bearing knee arthroplasty: a 25 years worldwide review. Heidelberg, Germany: Springer Verlag; 2002: 67-73
  • 15 Scmidt R, Jinnah R, Green J, Moseley J, Brownhill J. In vitro assessment of a cruciate retaining and cruciate sacrificing medially pivoting knee replacement. In: Annual Meeting of the Orthopaedic Research Society 2011, Long Beach, CA, 2011. (Poster n° 1150. ORS 2011)