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Original Articles

RSA migration of total knee replacements

A systematic review and meta-analysis

, &
Pages 320-328 | Received 20 Mar 2018, Accepted 16 Jan 2018, Published online: 06 Mar 2018

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (7)

Abigail E. Niesen & Maury L. Hull. (2021) Propagation of registration errors into the change in maximum total point motion for determining stability of tibial baseplates. Computer Methods in Biomechanics and Biomedical Engineering 24:9, pages 1019-1025.
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Stephan M Röhrl. (2020) “Great balls on fire:” known algorithm with a new instrument?. Acta Orthopaedica 91:6, pages 621-623.
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Bart G Pijls. (2020) Reflections on the RSA guidelines. Acta Orthopaedica 91:3, pages 232-233.
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Koen T van Hamersveld, Perla J Marang–van de Mheen, Lennard A Koster, Rob G H H Nelissen, Sören Toksvig-Larsen & Bart L Kaptein. (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 Orthopaedica 90:4, pages 366-372.
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Elise K Laende, Janie L Astephen Wilson, Joanna Mills Flemming, Edward R Valstar, C Glen Richardson & Michael J Dunbar. (2019) Equivalent 2-year stabilization of uncemented tibial component migration despite higher early migration compared with cemented fixation: an RSA study on 360 total knee arthroplasties. Acta Orthopaedica 90:2, pages 172-178.
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Articles from other publishers (67)

Bart G. Pijls. (2024) Machine Learning assisted systematic reviewing in orthopaedics. Journal of Orthopaedics 48, pages 103-106.
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Abigail E. Niesen & Maury L. Hull. (2023) State of the Art in Radiostereometric Analysis for Tibial Baseplate Migration and Future Research Directions. Journal of Biomechanical Engineering 145:12.
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Charles T. Crellin, Jacquelyn S. Pennings, Stephen M. Engstrom, Andrew A. Shinar, Gregory G. Polkowski & J. Ryan Martin. (2023) Aseptic tibial loosening: Radiographic identification remains a diagnostic dilemma. Journal of Orthopaedic Reports 2:4, pages 100194.
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Raymond Puijk, Rowan H Puijk, Elise K Laende, Michael J Dunbar, José W M Plevier, Peter A Nolte & Bart G C W Pijls. (2023) 6-month migration sufficient for evaluation of total knee replacements: a systematic review and meta-analysis. Acta Orthopaedica 94, pages 577-587.
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Thies J.N. van der Lelij, Perla J. Marang-van de Mheen, Bart L. Kaptein, Sören Toksvig-Larsen & Rob G.H.H. Nelissen. (2023) Continued Stabilization of a Cementless 3D-Printed Total Knee Arthroplasty. Journal of Bone and Joint Surgery 105:21, pages 1686-1694.
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Yasin Yüksel, Lennard A. Koster, Bart L. Kaptein, Rob G. H. H. Nelissen & Peter den Hollander. (2023) No difference in component migration at five years between the cemented cruciate-retaining ATTUNE and PFC-Sigma knee prosthesis: an update of a randomized clinical radiostereometry trial. The Bone & Joint Journal 105-B:11, pages 1168-1176.
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Han Cao, Tiansheng Zheng & Zhengshuai Jin. (2023) Validation for the effect of intra-exposure patient motion on the assessment of radiostereometric implant migration in a tibial component phantom study. Orthopaedics & Traumatology: Surgery & Research, pages 103776.
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Frank-David Øhrn, Lars H W Engseth, Are H Pripp, Stephan M H Röhrl & Anselm Schulz. (2023) Dose reduction does not impact the precision of CT-based RSA in tibial implants: a diagnostic accuracy study on precision in a porcine cadaver. Acta Orthopaedica 94, pages 550-544.
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Jordan S. Broberg, Matthew F. Koff, James L. Howard, Brent A. Lanting, Hollis G. Potter & Matthew G. Teeter. (2023) A multimodal assessment of cementless tibial baseplate fixation using radiography, radiostereometric analysis, and magnetic resonance imaging. Journal of Orthopaedic Research.
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Navid Soltanihafshejani, Thom Bitter, Nico Verdonschot & Dennis Janssen. (2023) The effect of periprosthetic bone loss on the failure risk of tibial total knee arthroplasty. Journal of Orthopaedic Research.
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Abigail E. Niesen, Bart L. Kaptein & Maury L. Hull. (2023) Conditions for Use and Implementation of Globally-Aligned Versus Local Baseplate Coordinate Systems When Computing Migration Using Radiostereometric Analysis. Journal of Biomechanical Engineering 145:6.
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Matthew G. Teeter, Jordan S. Broberg, James L. Howard & Brent A. Lanting. (2023) Axial and Sagittal Rotation of Cementless Tibial Baseplates Occurs in Bone Under Joint Loading. The Journal of Arthroplasty 38:6, pages 1166-1171.
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Jordan S. Broberg, Douglas D.R. Naudie, James L. Howard, Brent A. Lanting, Edward M. Vasarhelyi & Matthew G. Teeter. (2023) Correlating Contact Kinematics to Tibial Component Migration Following Cemented Bicruciate Stabilized Total Knee Arthroplasty. The Journal of Arthroplasty 38:6, pages S355-S362.
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Ruud de Ridder, Bart L. Kaptein, Bart G. Pijls, Rob G. H. H. Nelissen & Herman H. Kaptijn. (2023) Five-year migration and insert wear of uncemented tibial components with either conventional polyethylene or sequentially annealed highly crosslinked polyethylene inserts: a blinded randomized controlled trial using radiostereometric analysis. The Bone & Joint Journal 105-B:5, pages 518-525.
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Lars H W Engseth, Anselm Schulz, Are H Pripp, Stephan M H Röhrl & Frank-David Øhrn. (2023) CT-based migration analysis is more precise than radiostereometric analysis for tibial implants: a phantom study on a porcine cadaver. Acta Orthopaedica 94, pages 207-214.
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Simon N Van Laarhoven, Malou E M Te Molder, Gijs G Van Hellemondt & Petra J C Heesterbeek. (2023) Acceptable migration of a fully cemented rotating hinge-type knee revision system measured in 20 patients with model-based RSA with a 2-year follow-up. Acta Orthopaedica 94, pages 185-190.
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Fernando J. Quevedo González, Peter K. Sculco, Cynthia A. Kahlenberg, David J. Mayman, Joseph D. Lipman, Timothy M. Wright & Jonathan M. Vigdorchik. (2023) Undersizing the Tibial Baseplate in Cementless Total Knee Arthroplasty has Only a Small Impact on Bone-Implant Interaction: A Finite Element Biomechanical Study. The Journal of Arthroplasty 38:4, pages 757-762.
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Abigail E. Niesen, Anna L. Garverick, Stephen M. Howell & Maury L. Hull. (2022) Low tibial baseplate migration 1 year after unrestricted kinematically aligned total knee arthroplasty using a medial conforming implant design. Knee Surgery, Sports Traumatology, Arthroscopy 31:4, pages 1433-1442.
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Susannah G Clarke, Kartik Logishetty, Camilla Halewood & Justin P Cobb. (2023) Low dose CT-based spatial analysis (CTSA) to measure implant migration after ceramic hip resurfacing arthroplasty (HRA): A phantom study. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine 237:3, pages 359-367.
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Lennard A. Koster, Rachid Rassir, Bart L. Kaptein, Inger N. Sierevelt, Marjolein Schager, Rob G. H. H. Nelissen & Peter A. Nolte. (2023) A randomized controlled trial comparing two-year postoperative femoral and tibial migration of a new and an established cementless rotating platform total knee arthroplasty. The Bone & Joint Journal 105-B:2, pages 148-157.
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Han Cao, Stefan Sesselmann, Jing Xu, Frank Seehaus & Raimund Forst. (2023) How Do Classic (Static) RSA and Patient Motion Artifacts Affect the Assessment of Migration of a TKA Tibial Component? An In Vitro Study. Clinical Orthopaedics & Related Research 481:2, pages 400-412.
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Kelly Mills, Ate B. Wymenga, Menno R. Bénard, Bart L. Kaptein, Koen C. Defoort, Gijs G. van Hellemondt & Petra J. C. Heesterbeek. (2023) Fluoroscopic and radiostereometric analysis of a bicruciate-retaining versus a posterior cruciate-retaining total knee arthroplasty: a randomized controlled trial. The Bone & Joint Journal 105-B:1, pages 35-46.
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Han Cao. (2023) Accuracy of radiostereometric analysis using a motorized Roentgen system in a pilot study for clinical simulation. Medical Engineering & Physics 111, pages 103929.
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Yaron Berkowitz & Oliver Czarnecki. 2023. Imaging of the Knee. Imaging of the Knee 3 27 .
Abigail E. Niesen, Anna L. Garverick, Stephen M. Howell & Maury L. Hull. (2022) Error in maximum total point motion of a tibial baseplate is lower with a reverse-engineered model versus a CAD model using model-based radiostereometric analysis. Journal of Biomechanics 143, pages 111267.
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Karina Nørgaard Linde, Søren Rytter, Kjeld Søballe, Frank Madsen, Bente Langdahl & Maiken Stilling. (2022) Component migration, bone mineral density changes, and bone turnover markers in cementless and cemented total knee arthroplasty: a prospective randomized RSA study in 53 patients with 2-year follow-up. Knee Surgery, Sports Traumatology, Arthroscopy 30:9, pages 3100-3113.
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Kelly Mills, Ate B. Wymenga, Gijs G. van Hellemondt & Petra J. C. Heesterbeek. (2022) No difference in long-term micromotion between fully cemented and hybrid fixation in revision total knee arthroplasty: a randomized controlled trial. The Bone & Joint Journal 104-B:7, pages 875-883.
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Abigail E. Niesen & Maury L. Hull. (2022) Measurement Error Versus Repeated Measurements: A Guide Describing Two Methods for Computing Bias and Precision of Migration Measurements From Double Examinations Using Radiostereometric Analysis. Journal of Biomechanical Engineering 144:6.
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Shaho Hasan, Lode A. van Dijk, Rob GHH. Nelissen, José WM. Plevier, Leendert Blankevoort & Bart G. Pijls. (2022) RSA migration of unicondylar knee arthroplasties is comparable to migration of total knee arthroplasties: A meta-analysis. Journal of ISAKOS 7:3, pages 17-23.
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Jordan S. Broberg, Douglas D.R. Naudie, Brent A. Lanting, James L. Howard, Edward M. Vasarhelyi & Matthew G. Teeter. (2022) Patient and Implant Performance of Satisfied and Dissatisfied Total Knee Arthroplasty Patients. The Journal of Arthroplasty 37:6, pages S98-S104.
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Elise K. Laende, Joanna Mills Flemming, Janie L. Astephen Wilson, Eva Cantoni & Michael J. Dunbar. (2022) The associations of implant and patient factors with migration of the tibial component differ by sex. The Bone & Joint Journal 104-B:4, pages 444-451.
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Lennard A. Koster, Bart L. Kaptein, Bart G. Pijls & Rob G.H.H. Nelissen. (2022) Letter to the Editor: How Large a Study is Needed to Detect TKA Revision Rate Reductions Attributable to Robotic or Navigated Technologies? A Simulation-based Power Analysis. Clinical Orthopaedics & Related Research 480:4, pages 836-837.
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Madeleine L. Van de Kleut, Xunhua Yuan, Matthew G. Teeter & George S. Athwal. (2022) Bony increased-offset reverse shoulder arthroplasty vs. metal augments in reverse shoulder arthroplasty: a prospective, randomized clinical trial with 2-year follow-up. Journal of Shoulder and Elbow Surgery 31:3, pages 591-600.
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Madeleine L. Van de Kleut, Xunhua Yuan, George S. Athwal & Matthew G. Teeter. (2022) Are short press-fit stems comparable to standard-length cemented stems in reverse shoulder arthroplasty? A prospective, randomized clinical trial. Journal of Shoulder and Elbow Surgery 31:3, pages 580-590.
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Abigail E. Niesen & Maury L. Hull. (2022) Previously Unrecognized Source of Error in the Change in Maximum Total Point Motion to Determine Continuous Migration of Unstable Tibial Baseplates. Journal of Biomechanical Engineering 144:2.
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Jordan S. Broberg, Edward M. Vasarhelyi, Brent A. Lanting, James L. Howard, Matthew G. Teeter & Douglas D.R. Naudie. (2022) Migration and Inducible Displacement of the Bicruciate-Stabilized Total Knee Arthroplasty: A Randomized Controlled Trial of Gap Balancing and Measured Resection Techniques. The Journal of Arthroplasty 37:2, pages 252-258.
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Hasan R. Mohammad, Andrew Judge & David W. Murray. (2021) A Matched Comparison of the Long-Term Outcomes of Cemented and Cementless Total Knee Replacements. Journal of Bone and Joint Surgery 103:24, pages 2270-2280.
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Shaho Hasan, Bart L. Kaptein, Rob G.H.H. Nelissen, Koen T. van Hamersveld, Sören Toksvig-Larsen & Perla J. Marang-van de Mheen. (2021) The Influence of Postoperative Coronal Alignment on Tibial Migration After Total Knee Arthroplasty in Preoperative Varus and Valgus Knees. Journal of Bone and Joint Surgery 103:24, pages 2281-2290.
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Müjgan Yilmaz, Christina Enciso Holm, Thomas Lind, Gunnar Flivik, Anders Odgaard & Michael Mørk Petersen. (2021) Bone remodeling and implant migration of uncemented femoral and cemented asymmetrical tibial components in total knee arthroplasty - DXA and RSA evaluation with 2-year follow up. Knee Surgery & Related Research 33:1.
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Dongsheng Hao & Junjie Wang. (2021) Fixed-bearing vs mobile-bearing prostheses for total knee arthroplasty after approximately 10 years of follow-up: a meta-analysis. Journal of Orthopaedic Surgery and Research 16:1.
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Sebastian Breddam Mosegaard, Søren Rytter, Frank Madsen, Anders Odgaard, Kjeld Søballe & Maiken Stilling. (2021) Two-year fixation and ten-year clinical outcomes of total knee arthroplasty inserted with normal-curing bone cement and slow-curing bone cement: A randomized controlled trial in 54 patients. The Knee 33, pages 110-124.
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R. Zinno, S. Di Paolo, G. Ambrosino, D. Alesi, S. Zaffagnini, G. Barone & L. Bragonzoni. (2020) Migration of the femoral component and clinical outcomes after total knee replacement: a narrative review. MUSCULOSKELETAL SURGERY 105:3, pages 235-246.
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Abigail E. Niesen, Anna L. Garverick & Maury L. Hull. (2021) Maximum Total Point Motion of Five Points Versus All Points in Assessing Tibial Baseplate Stability. Journal of Biomechanical Engineering 143:11.
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Abigail E. Niesen & Maury L. Hull. (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. Journal of Biomechanics 127, pages 110651.
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Frank-David Øhrn, Øystein Bjerkestrand Lian, Masako Tsukanaka & Stephan Maximillian Röhrl. (2021) Early migration of a medially stabilized total knee arthroplasty. Bone & Joint Open 2:9, pages 737-744.
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Harley A. Williams, Jordan S. Broberg, James L. Howard, Brent A. Lanting & Matthew G. Teeter. (2021) Effect of gap balancing and measured resection techniques on implant migration and contact kinematics of a cementless total knee arthroplasty. The Knee 31, pages 86-96.
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Koen T. van Hamersveld, Perla J. Marang-van de Mheen, Roula Tsonaka, Kjell G. Nilsson, Sören Toksvig-Larsen & Rob G.H.H. Nelissen. (2021) Risk Factors for Tibial Component Loosening. Journal of Bone and Joint Surgery 103:12, pages 1115-1124.
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Elise K. Laende, C. Glen Richardson, Alexander R. Meldrum & Michael J. Dunbar. (2021) Tibial Component Migration After Total Knee Arthroplasty With High-Viscosity Bone Cement. The Journal of Arthroplasty 36:6, pages 2000-2005.
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Lennard A. Koster, Joris E. Meinardi, Bart L. Kaptein, Enrike Van der Linden - Van der Zwaag & Rob G. H. H. Nelissen. (2021) Two-year RSA migration results of symmetrical and asymmetrical tibial components in total knee arthroplasty: a randomized controlled trial. The Bone & Joint Journal 103-B:5, pages 855-863.
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Imran Ahmed, Amit Chawla, Martin Underwood, Andrew J. Price, Andrew Metcalfe, Charles E. Hutchinson, Jane Warwick, Kate Seers, Helen Parsons & Peter D. H. Wall. (2021) Time to reconsider the routine use of tourniquets in total knee arthroplasty surgery. The Bone & Joint Journal 103-B:5, pages 830-839.
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Johan Torle, Janni Kjærgaard Thillemann, Emil Toft Petersen, Frank Madsen, Kjeld Søballe & Maiken Stilling. (2021) Less polyethylene wear in monobloc compared to modular ultra-high-molecular-weight-polyethylene inlays in hybrid total knee arthroplasty: A 5-year randomized radiostereometry study. The Knee 29, pages 486-499.
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Karen Dyreborg, Nikolaj Winther, Thomas Lind, Gunnar Flivik & Michael Mørk Petersen. (2021) Evaluation of different coatings of the tibial tray in uncemented total knee arthroplasty. A randomized controlled trial with 5 years follow-up with RSA and DEXA. The Knee 29, pages 208-215.
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Bas van Ooij, Inger N. Sierevelt, Harm M. van der Vis, Daniël Hoornenborg & Daniël Haverkamp. (2021) What is the role of cemented fixation in total knee arthroplasty? The two-year results of a randomized RSA controlled trial. The Bone & Joint Journal 103-B:1, pages 98-104.
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Abigail E. Niesen, Anna L. Garverick, Stephen M. Howell & Maury L. Hull. (2020) Reorienting the tibial baseplate improves the registration accuracy of model-based radiostereometric analysis. Journal of Biomechanics 113, pages 110078.
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F. Seehaus, R. Sonntag, M. Schwarze, E. Jakubowitz, S. Sesselmann, J. P. Kretzer & C. Hurschler. (2020) Früherkennung des Risikos der späteren Implantatlockerung mittels der Röntgen Stereophotogrammetrischen Analyse (RSA)Early assessment of the risk of later implantloosening using Roentgen Sterophotogrammetric Analysis (RSA). Der Orthopäde 49:12, pages 1042-1048.
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Jing Xu, Han Cao, Stefan Sesselmann, Dominic Taylor, Raimund Forst & Frank Seehaus. (2020) Model-Based Roentgen Stereophotogrammetric Analysis Using Elementary Geometrical Shape Models: Reliability of Migration Measurements for an Anatomically Shaped Femoral Stem Component. Applied Sciences 10:23, pages 8507.
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Bart L. Kaptein, Peter den Hollander, Bregje Thomassen, Martha Fiocco & Rob G. H. H. Nelissen. (2020) A randomized controlled trial comparing tibial migration of the ATTUNE cemented cruciate-retaining knee prosthesis with the PFC-sigma design. The Bone & Joint Journal 102-B:9, pages 1158-1166.
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Anders Troelsen, Lina Holm Ingelsrud, Morten Grove Thomsen, Omar Muharemovic, Kristian Stahl Otte & Henrik Husted. (2020) Are There Differences in Micromotion on Radiostereometric Analysis Between Bicruciate and Cruciate-retaining Designs in TKA? A Randomized Controlled Trial. Clinical Orthopaedics & Related Research 478:9, pages 2045-2053.
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Shaho Hasan, Koen T. van Hamersveld, Perla J. Marang-van de Mheen, Bart L. Kaptein, Rob G. H. H. Nelissen & Sören Toksvig-Larsen. (2020) Migration of a novel 3D-printed cementless versus a cemented total knee arthroplasty: two-year results of a randomized controlled trial using radiostereometric analysis. The Bone & Joint Journal 102-B:8, pages 1016-1024.
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Daan Koppens, Søren Rytter, Jesper Dalsgaard, Ole G. Sørensen, Torben B. Hansen & Maiken Stilling. (2020) The Effect of Bone Quality on Tibial Component Migration in Medial Cemented Unicompartmental Knee Arthroplasty. A Prospective Cohort Study Using Dual X-Ray Absorptiometry and Radiostereometric Analysis. The Journal of Arthroplasty 35:3, pages 675-682.e2.
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Bart ten Brinke, Nienke M. Kosse, Petra E. Flikweert, Marco van der Pluijm & Denise Eygendaal. (2020) Long-term outcomes after Instrumented Bone Preserving total elbow arthroplasty: a radiostereometric study with a minimum follow-up of 10 years. Journal of Shoulder and Elbow Surgery 29:1, pages 126-131.
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E. K. LaendeC. G. RichardsonM. J. Dunbar. (2019) A randomized controlled trial of tibial component migration with kinematic alignment using patient-specific instrumentation versus mechanical alignment using computer-assisted surgery in total knee arthroplasty. The Bone & Joint Journal 101-B:8, pages 929-940.
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Koen T. van Hamersveld, Perla J. Marang-van de Mheen & Rob G.H.H. Nelissen. (2019) The Effect of Coronal Alignment on Tibial Component Migration Following Total Knee Arthroplasty. Journal of Bone and Joint Surgery 101:13, pages 1203-1212.
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E. K. LaendeC. G. RichardsonM. J. Dunbar. (2019) Predictive value of short-term migration in determining long-term stable fixation in cemented and cementless total knee arthroplasties. The Bone & Joint Journal 101-B:7_Supple_C, pages 55-60.
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S. SporerL. MacLeanA. BurgerM. Moric. (2019) Evaluation of a 3D-printed total knee arthroplasty using radiostereometric analysis. The Bone & Joint Journal 101-B:7_Supple_C, pages 40-47.
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Anders Henricson, Radek Wojtowicz, Kjell G. Nilsson & Sead Crnalic. (2018) Uncemented or cemented femoral components work equally well in total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy 27:4, pages 1251-1258.
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T. R. TurgeonT. C. GascoyneE. K. LaendeM. J. DunbarE. R. BohmC. G. Richardson. (2018) The assessment of the stability of the tibial component of a novel knee arthroplasty system using radiostereometric analysis. The Bone & Joint Journal 100-B:12, pages 1579-1584.
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