Evaluation of temperature of a full ceramic total knee arthroplasty during MRI examinations.
Journal
Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R
Informations de publication
Date de publication:
30 Sep 2022
30 Sep 2022
Historique:
entrez:
1
10
2022
pubmed:
2
10
2022
medline:
5
10
2022
Statut:
ppublish
Résumé
A diagnosis by magnetic resonance imaging (MRI) is often necessary before surgery of degenerative spine diseases. This can lead to a possible conflict with an inserted implant of the hip or knee. Heat generation or movement could be caused by the magnetic field. The aim of this study is to investigate temperature development in vitro in a 1.5T MRI of a ceramic knee arthroplasty. A full ceramic, complete metal-free non-constrained primary total knee arthroplasty is investigated. Temperature change was measured between platinum resistors before and after each MRI sequence by change of resistance. The knee implant was placed in a plastic container after the sensors were attached. Then the container was completely filled with ultrasound gel. To document any possible movement of the implant, a grid was placed under the container to document the position of the implant before and after the scans. A total of four standard knee sequences were performed. The temperature at sites 1 to 5 per implant was always documented in the as-is state before MRI and then after each sequence. A total of 5 temperature measurement points were taken per implant. It was found that there were extremely small temperature variations. These were always in the range of less than 1°C. There was no case of movement of the implant triggered by the MRI scan. The experimental investigations carried out here showed homogeneous results with this experimental setup. It is concluded that, at least in vitro, that this ceramic knee implant can be used in MRI examinations without heating or movement.
Sections du résumé
BACKGROUND
BACKGROUND
A diagnosis by magnetic resonance imaging (MRI) is often necessary before surgery of degenerative spine diseases. This can lead to a possible conflict with an inserted implant of the hip or knee. Heat generation or movement could be caused by the magnetic field. The aim of this study is to investigate temperature development in vitro in a 1.5T MRI of a ceramic knee arthroplasty.
METHODS
METHODS
A full ceramic, complete metal-free non-constrained primary total knee arthroplasty is investigated. Temperature change was measured between platinum resistors before and after each MRI sequence by change of resistance. The knee implant was placed in a plastic container after the sensors were attached. Then the container was completely filled with ultrasound gel. To document any possible movement of the implant, a grid was placed under the container to document the position of the implant before and after the scans.
RESULTS
RESULTS
A total of four standard knee sequences were performed. The temperature at sites 1 to 5 per implant was always documented in the as-is state before MRI and then after each sequence. A total of 5 temperature measurement points were taken per implant. It was found that there were extremely small temperature variations. These were always in the range of less than 1°C. There was no case of movement of the implant triggered by the MRI scan.
CONCLUSIONS
CONCLUSIONS
The experimental investigations carried out here showed homogeneous results with this experimental setup. It is concluded that, at least in vitro, that this ceramic knee implant can be used in MRI examinations without heating or movement.
Identifiants
pubmed: 36181043
doi: 10.1097/MD.0000000000030685
pii: 00005792-202209300-00041
pmc: PMC9524968
doi:
Substances chimiques
Plastics
0
Platinum
49DFR088MY
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e30685Informations de copyright
Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
The authors have no funding and conflicts of interest to disclose.
Références
Postler A, Lützner C, Beyer F, Tille E, Lützner J. Analysis of total knee arthroplasty revision causes. BMC Musculoskelet Disord. 2018;19:55.
Sharkey PF, Lichstein PM, Shen C, Tokarski AT, Parvizi J. Why are total knee arthroplasties failing today – has anything changed after 10 years? J Arthroplasty. 2014;29:1774–8.
Ryan S, Moon AS, Gordon M, et al. External fixation devices within the magnetic resonance imaging bore: a safety and radiologic analysis. J Orthop Trauma. 2021;35:e25–30.
Keller J, Neužil P, Vymazal J, et al. Magnetic resonance imaging in patients with a subcutaneous implantable cardioverter-defibrillator. Europace. 2015;17:761–6.
Boss A, Graf H, Berger A, et al. Tissue warming and regulatory responses induced by radio frequency energy deposition on a whole-body 3-Tesla magnetic resonance imager. J Magn Reson Imaging. 2007;26:1334–9.
Thomas P, Stauner K, Schraml A, et al. Characteristics of 200 patients with suspected implant allergy compared to 100 symptom-free arthroplasty patients. Orthopade. 2013;42:607–13.
Granchi D, Cenni E, Tigani D, Trisolino G, Baldini N, Giunti A. Sensitivity to implant materials in patients with total knee arthroplasties. Biomaterials. 2008;29:1494–500.
Affatato S, Erani P, Fersini M, Contaldi V, Terrizzi AR, Licciulli A. Preliminary in vitro wear assessment of ceramic cemented femoral components coupled with polyethylene menisci. Materials [Basel]. 2021;14:2112.
Kretzer JP, Reinders J, Sonntag R, Hagmann S, Streit M, Jeager S. Wear in total knee arthroplasty – just a question of polyethylene? Metal ion release in total knee arthroplasty. Int Orthop. 2014;38:335–40.
Xiang S, Zhao Y, Li Z, Feng B, Weng X. Clinical outcomes of ceramic femoral prosthesis in total knee arthroplasty: a systematic review. J Orthop Surg Res. 2019;14:57.
Meier E, Gelse K, Trieb K, Pachowsky M, Hennig FF, Mauerer A. First clinical study of a novel complete metal-free ceramic total knee replacement system. J Orthop Surg Res. 2016;11:1–7.
Trieb K, Ullmann D, Metzinger K, et al. Prospective comparison of a metal-free ceramic total knee arthroplasty with an identical metal system. Z Orthop Unfall. 2018;156:46–52.
Breuer R, Fiala R, Trieb K, Rath B. Prospective mid-term results of a completely metal-free ceramic total knee endoprosthesis: a concise follow-up of a previous report. J Arthroplasty. 2021;36:3161–7.
Kurtz SM, Muratoglu OK, Evans M, Edidin AA. Advances in the processing, sterilization, and crosslinking of ultra-high molecular weight polyethylene for total joint arthroplasty. Biomaterials. 1999;20:1659–88.
Trieb KA. novel ceramic tibial component is as safe as its metal counterpart. Biomed Tech. 2017;63:327–32.
Marsh M, Newman S. Trends and developments in hip and knee arthroplasty technology. J Rehabil Assist Technol Eng. 2021;8:20.
Kim YH, Park JW, The KJ. 2018 Mark Coventry, MD Award: does a ceramic bearing improve pain, function, wear, or survivorship of TKA in patients younger than 55 years of age? A randomized trial. Clin Orthop Relat Res. 2019;477:49–57.
Kurtz SM, Kocagöz S, Arnholt C, Huet R, Ueno M, Walter WL. Advances in zirconia toughened alumina biomaterials for total joint replacement. J Mech Behav Biomed Mater. 2014;31:107–16.
Maccauro G, Cittadini A, Magnani G, et al. In vivo characterization of Zirconia Toughened Alumina material: a comparative animal study. Int J Immunopathol Pharmacol. 2010;23:841–6.
Lenguerrand E, Whitehouse MR, Beswick AD, et al. Risk factors associated with revision for prosthetic joint infection after hip replacement: a prospective observational cohort study. Lancet Infect Dis. 2018;18:1004–14.
Pitto RP, Sedel L. Periprosthetic joint infection in hip arthroplasty: is there an association between infection and bearing surface type? Clin Orthop Relat Res. 2016;474:2213–8.
Bergschmidt P, Bader R, Ganzer D, et al. The knee prospective multi-centre study on a composite ceramic femoral component in total knee arthroplasty: five-year clinical and radiological outcomes. Knee. 2015;22:186–91.
Higuchi Y, Hasegawa Y, Seki T, Komatsu D, Ishiguro N. Significantly lower wear of ceramic-on-ceramic bearings than metal-on-highly cross-linked polyethylene bearings: a 10- to 14-year follow-up study. J Arthroplasty. 2016;31:1246–50.
Trieb K, Glinz J, Reiter M, Kastner J, Senck S. Non-destructive testing of ceramic knee implants using micro-computed tomography. J Arthroplasty. 2019;34:2111–7.
Panotopoulos J, Ay C, Trieb K, et al. Outcome of total knee arthroplasty in hemophilic arthropathy. J Arthroplasty. 2014;29:749–52.