{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:54:29Z","timestamp":1753880069397,"version":"3.41.2"},"reference-count":71,"publisher":"ASME International","issue":"12","license":[{"start":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T00:00:00Z","timestamp":1698019200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.asme.org\/publications-submissions\/publishing-information\/legal-policies"}],"content-domain":{"domain":["asmedigitalcollection.asme.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Radiostereometric analysis (RSA) measures movement (migration) of a baseplate relative to the underlying tibia after total knee arthroplasty (TKA) and has been used extensively to evaluate safety of new implant designs and\/or surgical techniques regarding baseplate loosening. Because RSA is a complex methodology which involves various choices that researchers make, including whether to use marker-based or model-based methods, which migration metric to report, how to relate short-term migrations to long-term risk, and how these choices impact error, the objectives of this review were to: (1) lay out a comprehensive structure illustrating the multiple components\/considerations for RSA and their interrelations, (2) review components of the structure using the latest RSA literature, and (3) use the preceding review as a context for identifying future areas of study. The components to be reviewed were structured using the following topics: type of RSA, migration metrics, sources of error, studies\/reports of error, stability limits, and studies of error in stability limits. Based on the current RSA literature and knowledge gaps which exist, the following future research directions were identified: (1) revising the ISO standard to require reporting of clinical measurement error (bias) and recommending use of a local baseplate coordinate system, (2) identifying the migration metric and associated threshold most predictive of baseplate loosening for individual patients, (3) creating a method for data sharing to improve individual patient diagnostics, and (4) determining an appropriate stability limit for model-based RSA for group stability and individual patient diagnostics.<\/jats:p>","DOI":"10.1115\/1.4063626","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T16:13:11Z","timestamp":1696435991000},"update-policy":"https:\/\/doi.org\/10.1115\/crossmarkpolicy-asme","source":"Crossref","is-referenced-by-count":0,"title":["State of the Art in Radiostereometric Analysis for Tibial Baseplate Migration and Future Research Directions"],"prefix":"10.1115","volume":"145","author":[{"given":"Abigail E.","family":"Niesen","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering, University of California , Davis, One Shields Avenue, Davis, CA 95616"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maury L.","family":"Hull","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, University of California , Davis, One Shields Avenue, Davis, CA 95616 ; , Davis, One Shields Avenue, Davis, CA 95616 ; , 4860 Y Street, Suite 3800, Sacramento, CA 95817"},{"name":"Department of Mechanical Engineering, University of California , Davis, One Shields Avenue, Davis, CA 95616 ; , Davis, One Shields Avenue, Davis, CA 95616 ; , 4860 Y Street, Suite 3800, Sacramento, CA 95817"},{"name":"Department of Orthopaedic Surgery, University of California Davis Medical Center , Davis, One Shields Avenue, Davis, CA 95616 ; , Davis, One Shields Avenue, Davis, CA 95616 ; , 4860 Y Street, Suite 3800, Sacramento, CA 95817"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33","published-online":{"date-parts":[[2023,10,23]]},"reference":[{"issue":"Suppl. 232","key":"2023110108325711400_bib1","first-page":"1","article-title":"Roentgen Stereophotogrammetry","volume":"60","year":"1989","journal-title":"Acta Orthop. 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