title: The stability of the femoral component in the Oxford unicompartmental knee replacement: a comparison of single and twin peg designs.
abstract: Aseptic loosening of the femoral component is an important indication for revision surgery in unicompartmental knee replacement (UKR). A new design of femoral component with an additional peg was introduced for the cemented Oxford UKR to increase its stability. The purpose of this study was to compare the primary stability of the two designs of component. Medial Oxford UKR was performed in 12 pairs of human cadaver knees. In each pair, one knee received the single peg and one received the twin peg design. Three dimensional micromotion and subsidence of the component in relation to the bone was measured under cyclical loading at flexion of 40° and 70° using an optical measuring system. Wilcoxon matched pairs signed-rank test was performed to detect differences between the two groups. There was no significant difference in the relative micromotion (p = 0.791 and 0.380, respectively) and subsidence (p = 0.301 and 0.176, respectively) of the component between the two groups at both angles of flexion. Both designs of component offered good strength of fixation in this cadaver study.
authors.affiliation: Heidelberg University Hospital, Department of Orthopedics and Traumatology, Schlierbacher Landstraße 200a, Heidelberg, 69118, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Reiner
authors.affiliation: Clinic for Orthopedics and Trauma Surgery, Laboratory of Biomechanics and Implant Research, Schlierbacher Landstraße 200a, Heidelberg, 69118, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Jaeger
authors.affiliation: Heidelberg University Hospital, Department of Orthopedics and Traumatology, Schlierbacher Landstraße 200a, Heidelberg, 69118, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Schwarze
authors.affiliation: Heidelberg University Hospital, Department of Orthopedics and Traumatology, Schlierbacher Landstraße 200a, Heidelberg, 69118, Germany.
authors.forename: M C
authors.initials: MC
authors.lastname: Klotz
authors.affiliation: Heidelberg University Hospital, Department of Orthopedics and Traumatology, Schlierbacher Landstraße 200a, Heidelberg, 69118, Germany.
authors.forename: N A
authors.initials: NA
authors.lastname: Beckmann
authors.affiliation: Heidelberg University Hospital, Department of Orthopedics and Traumatology, Schlierbacher Landstraße 200a, Heidelberg, 69118, Germany.
authors.forename: R G
authors.initials: RG
authors.lastname: Bitsch
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000379:methods; D002484:Cementation / Q000379:methods; D005260:Female; D005269:Femur; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure
keywords: Biomechanical; Implant stability; Twin peg; micromotion; Unicompartmental knee replacement