MRI following UKA : The component-bone interface


Published online: Mar 27 2015

Dominik MALCHERCZYK, Jens FIGIEL, Ulrike HĂ„HNLEIN, Susanne FUCHS-WINKELMANN, Turgay EFE, Thomas J. HEYSE

From University Hospital Marburg, Germany

Abstract

Introduction : Loosening is one of the major longterm failure modes in unicondylar knee arthroplasty (UKA). The aim of the study is to describe and characterize implant-bone interface of femoral and tibial components after UKA by means of magnet resonance imaging (MRI). Material and Methods : MRI tailored to reduce metallic artefact of the knee after medial UKA was performed in 10 patients as a pilot study. The component-bone interface at femoral and tibial components was evaluated by two independent investigators. They gave degree of confidence to their evaluation of each parameter on a five-point scale. Inter-observer reliability was determined. Results : Artefacts provoked by the implants were rare. Inter-observer reliability and confidence were excellent for the femoral interface. They were lower at the tibial interface but results were still satisfactory. Conclusion : Tailored MRI allows reproducible analysis of the component-bone interface after UKA. It is helpful in assessment of suspected loosening after UKA.