Abstract

In radiostereometric analysis (RSA), continuous migration denoted as ΔMTPM is the difference between maximum total point motion (MTPM) at 2 years relative to time zero and MTPM at 1 year relative to time zero. Continuous migration has been used to diagnose tibial baseplates as stable versus unstable when compared to a specified stability limit (i.e., value of ΔMTPM). If the same point experiences MTPM at 2 years and at 1 year (usually the case for marker-based RSA), then an implicit assumption is that the migration path between 2 years and 1 year is the same as the path between 1 year and time zero. This article uses vector analysis to demonstrate a source of error in ΔMTPM not previously recognized and estimates the magnitude of error based on the interplay of independent variables which affect the error. The two independent variables which affect the error are the angle between the two migration vectors (i.e., MTPM between time zero and 2 years and MTPM between time zero and 1 year) and the difference in magnitude of the two vectors. The relative error increased in an absolute sense as the angle between the vectors increased and decreased for larger differences in the magnitudes of the two vectors. For magnitude ratios ranging from 1.25 to 2, relative errors ranged from –21% to –3% at 10 deg and from –78% to –42% at 60 deg, respectively. Knowledge of these errors highlights a limitation in the use of ΔMTPM not previously recognized.

References

1.
Postler
,
A.
,
Lutzner
,
C.
,
Beyer
,
F.
,
Tille
,
E.
, and
Lutzner
,
J.
,
2018
, “
Analysis of Total Knee Arthroplasty Revision Causes
,”
BMC Musculoskelet. Disord.
,
19
(
1
), pp.
55
60
.10.1186/s12891-018-1977-y
2.
AAOS
,
2019
, “
Sixth American Joint Replacement Registry Annual Report on Hip and Knee Arthroplasty Data
,” American Academy of Orthopaedic Surgeons (AAOS), Rosemont, IL, Report.
3.
AOANJRR,
2020
, “
Austrailian Orthopaedic Association National Joint Replacement Registry: Hip, Knee & Shoulder Arthroplasty Annual Report
,” AOANJRR, Adelaide, Australia, Report.
4.
NJR
,
2020
, “
National Joint Registry for England, Wales, Northern Ireland, and the Isle Of Man. 17th Annual Report 2020
,” National Joint Registry (NJR), Hemel Hempstead, UK, Report.
5.
Hasan
,
S.
,
Marang-van de Mheen
,
P. J.
,
Kaptein
,
B. L.
,
Nelissen
,
R.
, and
Pijls
,
B. G.
,
2020
, “
RSA-Tested TKA Implants on Average Have Lower Mean 10-Year Revision Rates Than non-RSA-Tested Designs
,”
Clin. Orthop. Relat. Res.
,
478
(
6
), pp.
1232
1241
.10.1097/CORR.0000000000001209
6.
Selvik
,
G.
,
1989
, “
Roentgen Stereophotogrammetry
,”
Acta Orthop. Scand.
,
60
(
suppl 232
), pp.
1
51
.10.3109/17453678909154184
7.
Grewal
,
R.
,
Rimmer
,
M. G.
, and
Freeman
,
M. A. R.
,
1992
, “
Early Migration of Prostheses Related to Long-Term Survivorship
,”
J. Bone Jt. Surg. Br.
,
74-B
(
2
), pp.
239
242
.10.1302/0301-620X.74B2.1544960
8.
Ryd
,
L.
,
Albrektsson
,
B. J.
,
Carlsson
,
L.
,
Dansgard
,
F.
,
Herberts
,
P.
,
Lindstrand
,
A.
,
Regner
,
L.
, and
Toksvig-Larsen
,
S.
,
1995
, “
Roentgen Stereophotogrammetric Analysis as a Predictor of Mechanical Loosening of Knee Prostheses
,”
J Bone Jt. Surg. Br.
,
77-B
(
3
), pp.
377
383
.10.1302/0301-620X.77B3.7744919
9.
Pijls
,
B. G.
,
Plevier
,
J. W. M.
, and
Nelissen
,
R.
,
2018
, “
RSA Migration of Total Knee Replacements
,”
Acta Orthop.
,
89
(
3
), pp.
320
328
.10.1080/17453674.2018.1443635
10.
Pijls
,
B. G.
,
Valstar
,
E. R.
,
Nouta
,
K. A.
,
Plevier
,
J. W.
,
Fiocco
,
M.
,
Middeldorp
,
S.
, and
Nelissen
,
R. G.
,
2012
, “
Early Migration of Tibial Components is Associated With Late Revision: A Systematic Review and Meta-Analysis of 21,000 Knee Arthroplasties
,”
Acta Orthop.
,
83
(
6
), pp.
614
624
.10.3109/17453674.2012.747052
11.
Niesen
,
A. E.
, and
Hull
,
M. L.
,
2021
, “
Propagation of Registration Errors Into the Change in Maximum Total Point Motion for Determining Stability of Tibial Baseplates
,”
Comput. Methods Biomech. Biomed. Eng.
,
24
(
9
), pp.
1019
1025
.10.1080/10255842.2020.1865324
12.
International Organization for Standardization
,
2013
, “
Implants for Surgery - Roentgen Stereophotogrammetric Analysis for the Assessment of Migration of Orthopaedic Implants
,”
International Organization for Standardization
,
Switzerland
, Standard No. ISO16087:2013(E).
13.
Kaptein
,
B. L.
,
Valstar
,
E. R.
,
Stoel
,
B. C.
,
Reiber
,
H. C.
, and
Nelissen
,
R. G.
,
2007
, “
Clinical Validation of Model-Based RSA for a Total Knee Prosthesis
,”
Clin. Orthop. Relat. Res.
,
464
, pp.
205
209
.10.1097/BLO.0b013e3181571aa5
14.
Koppens
,
D.
,
Stilling
,
M.
,
Munk
,
S.
,
Dalsgaard
,
J.
,
Rytter
,
S.
,
Sorensen
,
O. G.
, and
Hansen
,
T. B.
,
2018
, “
Low Implant Migration of the SIGMA Medial Unicompartmental Knee Arthroplasty
,”
Knee Surg. Sports Traumatol. Arthrosc.
,
26
(
6
), pp.
1776
1785
.10.1007/s00167-017-4782-5
15.
Pijls
,
B. G.
,
Valstar
,
E. R.
,
Kaptein
,
B. L.
, and
Nelissen
,
R. G.
,
2012
, “
Differences in Long-Term Fixation Between Mobile-Bearing and Fixed-Bearing Knee Prostheses at Ten to 12 Years' Follow-Up
,”
J. Bone Jt. Surg. Br.
,
94-B
(
10
), pp.
1366
1371
.10.1302/0301-620X.94B10.28858
16.
Tjornild
,
M.
,
Soballe
,
K.
,
Hansen
,
P. M.
,
Holm
,
C.
, and
Stilling
,
M.
,
2015
, “
Mobile- vs. fixed-Bearing Total Knee Replacement
,”
Acta Orthop.
,
86
(
2
), pp.
208
214
.10.3109/17453674.2014.968476
17.
Wilson
,
D. A.
,
Richardson
,
G.
,
Hennigar
,
A. W.
, and
Dunbar
,
M. J.
,
2012
, “
Continued Stabilization of Trabecular Metal Tibial Monoblock Total Knee Arthroplasty Components at 5 Years-Measured With Radiostereometric Analysis
,”
Acta Orthop.
,
83
(
1
), pp.
36
40
.10.3109/17453674.2011.645196
18.
Hilding
,
M.
, and
Aspenberg
,
P.
,
2006
, “
Postoperative Clodronate Decreases Prosthetic Migration: 4-Year Follow-Up of a Randomized Radiostereometric Study of 50 Total Knee Patients
,”
Acta Orthop.
,
77
(
6
), pp.
912
916
.10.1080/17453670610013213
19.
van Hamersveld
,
K. T.
,
Marang-van de Mheen
,
P. J.
,
Koster
,
L. A.
,
Nelissen
,
R.
,
Toksvig-Larsen
,
S.
, and
Kaptein
,
B. L.
,
2019
, “
Marker-Based Versus Model-Based Radiostereometric Analysis of Total Knee Arthroplasty Migration: A Reanalysis With Comparable Mean Outcomes Despite Distinct Types of Measurement Error
,”
Acta Orthop.
,
90
(
4
), pp.
366
372
.10.1080/17453674.2019.1605692
20.
Niesen
,
A. E.
, and
Hull
,
M. L.
,
2021
, “
Propagation of Registration Error Into Maximum Total Point Motion to Analyze Tibial Baseplate Stability at Six Months Using Marker-Based and Model-Based RSA
,”
J. Biomech.
,
127
, p.
110651
.10.1016/j.jbiomech.2021.110651
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