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We had two cases of recurrent dislocation of the polyethylene insert which were revised to TKA.
At a mean follow-up of one and a half years, there had been one dislocation of the polyethylene liner and the implant survival rate was 100%%.
Most dislocations are located in the intracapsular area; however, posterior dislocation of the polyethylene bearing to an extra-articular area of the knee after unicompartmental arthroplasty has not been previously reported.
67 (40%) of them were revised because of loosening of the tibial and/or the talar component, and another 21 because of instability with or without dislocation of the polyethylene (PE) meniscus.
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Both systems have an integrated mechanical stop to avoid a dislocation (spin-out) of the polyethylene insert.
Spontaneous dislocation between the polyethylene insert and the metal tray occurred at 22 months post surgery while rising from the supine position with slight knee flexion.
Dislocation of the smaller femoral head from the larger polyethylene head remains a theoretical risk with DM designs.
In some of these analyses, adjustment for prosthesis brand was done by stratification when one or more of the brands was without failures (periprosthetic fracture, dislocation of the patella, dislocation (not the patella), and defective polyethylene insert).
One revision for dislocation in the 12 cases was performed and in that case significant erosion of the polyethylene cup was noted.
The thickness of the polyethylene ranged from 8−12 mm.
The monofunctional PEGs are a member of the polyethylene oxides.
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