Abstract
The short- and long-term success of tibial cementless implants depend on the initial fixation stability often provided by posts and screws. Excessive relative interface motions are known to inhibit bone ingrowth and, hence, biologic fixation. In the present study, the stability of two cementless tibial implants under static and cyclic loading was studied. An apparatus was developed to perform compression tests on tibial components fixed by screws or posts onto resurfaced tibiae. Motion transducers were placed to record liftoff and subsidence displacements. A load of 1000 N was eccentrically applied on the medial plateau via the femoral component. The response was measured under static and repetitive loading up to 4000 cycles at 1 Hz.
Experimental results showed that the screw fixation yielded the stiffer response and, hence, provided greater initial stability. The tibial component fixed with posts demonstrated larger lift off displacements. Comparison of measured results of static tests before and after fatigue indicated that the load-displacement behavior was not significantly affected by the cyclic fatigue loading under 1000 N up to 4000 cycles at 1 Hz. Nevertheless, much larger permanent displacements were recorded for the post fixation systems. In contrast to screw fixation, posts fixation systems demonstrated marked deterioration under larger compression loads of ∼2000 N.