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Abstract #4211

MRI evaluation of the polyethylene tibial insert in total knee arthroplasty

Angela E Li 1 , Darryl B Sneag 1,2 , Alissa J Burge 1,2 , Shari T Jawetz 1,2 , Joseph D Lipman 3 , and Hollis G Potter 1,2

1 Radiology, Hospital for Special Surgery, New York, NY, United States, 2 Weill Cornell Medical College, New York, NY, United States, 3 Biomechanics, Hospital for Special Surgery, New York, NY, United States

Radiographs have been traditionally used to evaluate the polyethylene tibial insert in total knee arthroplasty, although assessment is limited. With the development of MRI and metal reduction techniques, the polyethylene tibial insert can be visualized. We review the MRI scanning considerations to optimize evaluation of the prosthesis. The expected MRI appearance of polyethylene tibial inserts will be correlated with corresponding macroscopic photographs of common total knee arthroplasty designs. Complications related to the polyethylene liner including polyethylene wear, fracture of the polyethylene liner, or dissociation of the polyethylene component or tibial locking pin will also be discussed.

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