Polished trays reduce backside wear independent of post location in posterior-stabilized TKAs.

BACKGROUND: Backside damage of the polyethylene in TKA is a potential source of debris. The location of the tibial post in posterior-stabilized implants may influence micromotion, and thus affect backside damage, as may surface roughness. QUESTIONS: We used implant retrieval analysis to (1) examine if there were differences in backside damage among three modern posterior-stabilized implants attributable to variable surface roughness; (2) determine if the location of damage on the tibial post affected the pattern of backside damage; and (3) determine if demographics influenced backside damage. METHODS: We identified 403 posterior-stabilized tibial retrieved inserts (147 NexGen(®), 152 Optetrak(®), 104 Genesis(®) II). The damage on the surfaces of the tibial posts was previously graded. The backside of the inserts (divided into quadrants) were scored for evidence of damage. The total quadrant damage was compared for each implant group, the relationship between post face damage and location of damage on the backside was determined for each implant group, and total backside damage was compared among the three implant groups. RESULTS: No correlation was found between the location of damage on the post and location of damage on the backside of the implant for any of the three groups. The Genesis(®) II polyethylene implants, which articulate with a highly polished tibial tray, showed a significantly lower total backside damage score (p < 0.01) when compared with the other two implant groups. The Genesis(®) II and Optetrak(®) showed significantly more damage in the posterior quadrants of the implants (p < 0.01) when compared with the anterior quadrants. A linear regression analysis revealed that lower tibial tray surface roughness was correlated with decreased damage. CONCLUSIONS: An implant design with a highly polished tibial tray was associated with decreased backside damage. However, tibial post design and location did not influence the location of backside damage. CLINICAL RELEVANCE: Our study showed that a highly polished tibial tray was associated with decreased damage to the backside of polyethylene inserts independent of post design and location. These findings should be taken into consideration when new generations of implants are designed.

An investigation of auditory dimensional interaction in a bivariate bilateral conditioning paradigm in the rabbit.

The current study adapted the Garner paradigm for diagnosing separable versus integral perceptual dimensions to the eye-blink classical conditioning paradigm using rabbits. Specifically, this study examined the ability of rabbits to categorize stimuli based on one auditory dimension while ignoring a second, irrelevant dimension by displaying an appropriate eye-blink for bilaterally conditioned discriminative responses. Tones used in training varied along two dimensions, starting frequency and magnitude of frequency sweep upwards from the start. Rabbits first learned to categorize along a single dimension (blinking one eye for one category response and the other eye for the other response) and then continued to categorize tones in a second phase in which the irrelevant dimension was varied. The variation of the irrelevant dimension did not disrupt performance, indicating that rabbits perceive these dimensions as separable.