MRI Visualization of Polyethylene Post Fractures in Posterior Stabilized Total Knee Arthroplasty.

Sahr, Meghan E; Potter, Hollis G; Endo, Yoshimi · AJR Am J Roentgenol · 2021

case_series · Level IV

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Abstract

Polyethylene post fracture is a recognized complication of posterior stabilized total knee arthroplasty. Two radiologists retrospectively reviewed MRI examinations of 19 reported post fractures in 18 patients; all fractures were subsequently confirmed surgically with no false-positive cases. All post fractures were visualized as a combination of post deformity and signal-void fragment in a joint recess. A metal artifact reduction 3D multispectral imaging sequence improved fracture visualization versus conventional sequences in 47% of cases.

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