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Most osteolysis existed at the inside of the tibia beneath the component, and 1 case progressed to loosening.
In normal circumstances without impingement, the centre of load lies within the central third of the tibial component in both the sagittal and coronal planes, and the load in the tibia beneath the component is entirely compressive.
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However, radiographs were obtained without benefit of fluoroscopy, so the true incidence of radiolucent lines beneath the components cannot be stated with certainty.
Radiolucent lines were noted in 93 components (5.6%); these components were noted on the femoral side in 27 knees (3.3%) and beneath the tibial component in 66 knees (8.0%).
Evaluation of any minor change in position of the talar component on the AP radiograph was difficult, and it was not possible to evaluate radiolucencies beneath the talar component on either view.
They found improved implant stability by adding cement around the tibial stem, unless the cement mantle beneath the tibial component was increased up to 3 mm.
The distal femur was prepared using standard cutting blocks with resection of the soft cancellous bone directly beneath the femoral component.
A radiolucent line beneath the tibial component in cemented and cementless systems occurred in 62 knees (8.1%) and 4 knees (6.9%), respectively.
Nine knees (35 %) showed radiolucent lines beneath the tibial component and intramedullary osteosclerosis, 7 knees (27 %) showed radiolucent lines only, and 5 knees (19 %) had osteosclerotic changes only.
The component of the climate system consisting of all snow, ice, and permafrost on and beneath the surface of the earth and ocean.
Listen: War Beneath The Waves.
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