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The Journal of Bone and Joint Surgery, Vol 71, Issue 9 1343-1347, Copyright © 1989 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

A comparison of plain and fluoroscopically guided radiographs in the assessment of arthroplasty of the knee

AD Mintz, CA Pilkington and DW Howie
Department of Orthopaedic Surgery and Trauma, Royal Adelaide Hospital, Australia.

A cadaver model was used to compare the sensitivity of fluoroscopically guided radiographs with that of plain radiographs in revealing lucent lines beneath the tibial component of an uncemented total knee arthroplasty and subsidence of the component. Fluoroscopically guided radiographs allowed accurate measurement of a lucent line that was one millimeter wide. Plain radiographs were inadequate for the detection and measurement of these lucent lines, leading to inaccuracy. Fluoroscopically guided radiographs also allowed measurement of the distance between the tibial component and radiopaque markers in the proximal part of the tibial metaphysis that was reproducible to within one-half millimeter. Plain radiographs did not provide a reproducible measurement of this distance. The relatively simple technique of fluoroscopically guided radiography is recommended to detect the presence and progression of radiolucent lines and the subsidence of uncemented tibial components after total knee arthroplasty.
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