ASTM F2083-08e1
(Specification)Standard Specification for Total Knee Prosthesis
Standard Specification for Total Knee Prosthesis
ABSTRACT
This specification covers total knee replacement (TKR) prostheses used to provide functioning articulation by employing femoral and tibial components, allowing a minimum of 110' of flexion to high flexion. Replaceable components of modular designs, for example, tibial articulating surfaces and all components labeled for or capable of being used with cement, regardless of whether the same components can also be used without cement are described. Primary and revision prostheses and also covers fixed and mobile bearing knee designs are discussed. Basic descriptions of material and prosthesis geometry are provided. Additionally, those characteristics determined to be important to in vivo performance of the prosthesis are defined. The prostheses are classified into three kinds according to degree of constraint. The first kind is considered constrained which prevents dislocation of the prosthesis in more than one anatomic plane and consists of either a single, flexible, across-the-joint component or more than one component linked together or affined. The second one is a semiconstrained joint prosthesis which limits translation or rotation, or both, of the prosthesis in one or more planes via the geometry of its articulating surfaces. It has no across-the-joint linkages. The third kind is a nonconstrained joint prosthesis which minimally restricts prosthesis movement in one or more planes. Its components have no across-the-joint linkages. The choice of materials is understood to be a necessary but not sufficient assurance of function of the device made from them. All devices shall be fabricated from materials with adequate mechanical strength and durability, corrosion resistance, and biocompatibility.
SCOPE
1.1 This specification covers total knee replacement (TKR) prostheses used to provide functioning articulation by employing femoral and tibial components, allowing a minimum of 110° of flexion to high flexion. Although a patellar component may be considered an integral part of a TKR, the detailed description of this component is excluded here since it is provided in Specification F 1672.
1.2 Included within the scope of this specification are replaceable components of modular designs, for example, tibial articulating surfaces and all components labeled for, or capable of, being used with cement, regardless of whether the same components can also be used without cement. This includes primary and revision prostheses and also covers fixed and mobile bearing knee designs.
1.3 This specification is intended to provide basic descriptions of material and prosthesis geometry. Additionally, those characteristics determined to be important to in vivo performance of the prosthesis are defined.
1.4 Excluded from the scope are hemiarthroplasty devices that replace only the femoral or tibial surface, but not both; unicompartmental designs, which replace the articulating surfaces of only one condyle; and patellofemoral prostheses. Also excluded are devices designed for custom applications.
1.5 The values stated in SI units are to be regarded as standard. No other units of measurement are included in this standard.
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´1
Designation: F2083 – 08
Standard Specification for
1
Total Knee Prosthesis
This standard is issued under the fixed designation F2083; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1
´ NOTE—Editorial changes were made throughout in December 2008.
1. Scope F75 Specification for Cobalt-28 Chromium-6 Molybdenum
Alloy Castings and Casting Alloy for Surgical Implants
1.1 This specification covers total knee replacement (TKR)
(UNS R30075)
prostheses used to provide functioning articulation by employ-
F86 Practice for Surface Preparation and Marking of Me-
ing femoral and tibial components, allowing a minimum of
tallic Surgical Implants
110° of flexion to high flexion.Although a patellar component
F90 Specification for Wrought Cobalt-20Chromium-
may be considered an integral part of a TKR, the detailed
15Tungsten-10Nickel Alloy for Surgical Implant Applica-
description of this component is excluded here since it is
tions (UNS R30605)
provided in Specification F1672.
F136 Specification for Wrought Titanium-6Aluminum-
1.2 Included within the scope of this specification are
4Vanadium ELI (Extra Low Interstitial)Alloy for Surgical
replaceablecomponentsofmodulardesigns,forexample,tibial
Implant Applications (UNS R56401)
articulating surfaces and all components labeled for, or capable
F138 Specification for Wrought 18Chromium-14Nickel-
of, being used with cement, regardless of whether the same
2.5Molybdenum Stainless Steel Bar and Wire for Surgical
components can also be used without cement. This includes
Implants (UNS S31673)
primary and revision prostheses and also covers fixed and
F451 Specification for Acrylic Bone Cement
mobile bearing knee designs.
F562 Specification for Wrought 35Cobalt-35Nickel-
1.3 This specification is intended to provide basic descrip-
20Chromium-10Molybdenum Alloy for Surgical Implant
tions of material and prosthesis geometry. Additionally, those
Applications (UNS R30035)
characteristics determined to be important to in vivo perfor-
F563 Specification for Wrought Cobalt-20Nickel-
mance of the prosthesis are defined.
20Chromium-3.5Molybdenum-3.5Tungsten-5Iron Alloy
1.4 Excluded from the scope are hemiarthroplasty devices
3
for Surgical Implant Applications (UNS R30563)
that replace only the femoral or tibial surface, but not both;
F648 Specification for Ultra-High-Molecular-Weight Poly-
unicompartmental designs, which replace the articulating sur-
ethylene Powder and Fabricated Form for Surgical Im-
faces of only one condyle; and patellofemoral prostheses.Also
plants
excluded are devices designed for custom applications.
F732 Test Method for Wear Testing of Polymeric Materials
1.5 The values stated in SI units are to be regarded as
Used in Total Joint Prostheses
standard. No other units of measurement are included in this
F745 Specification for 18Chromium-12.5Nickel-
standard.
2.5Molybdenum Stainless Steel for Cast and Solution-
2. Referenced Documents Annealed Surgical Implant Applications
2
F746 Test Method for Pitting or Crevice Corrosion of
2.1 ASTM Standards:
Metallic Surgical Implant Materials
F67 Specification for Unalloyed Titanium, for Surgical
F748 Practice for Selecting Generic Biological Test Meth-
Implant Applications (UNS R50250, UNS R50400, UNS
ods for Materials and Devices
R50550, UNS R50700)
F799 Specification for Cobalt-28Chromium-6Molybdenum
Alloy Forgings for Surgical Implants (UNS R31537,
1
This specification is under the jurisdiction of ASTM Committee F04 on R31538, R31539)
Medical and Surgical Materials and Devices and is the direct responsibility of
F981 Practice forAssessment of Compatibility of Biomate-
Subcommittee F04.22 on Arthroplasty.
rials for Surgical Implants with Respect to Effect of
Current edition approved July 1, 2008. Published August 2008. Originally
Materials on Muscle and Bone
approved in 2001. Last previous edition approved in 2007 as F2083 – 07. DOI:
10.1520/F2083-08E01.
2
For referenced ASTM standards, visit the ASTM website, www.astm.org, or
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM
3
Standards volume information, refer to the standard’s Document Summary page on Withdrawn. The last approved version of this historical standard is referenced
the ASTM website. on www.astm.org.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
1
---------------------- Page: 1 ----------------------
´1
F2083 – 08
F983 Practice for Permanent Marking of Orthopaedic Im- 3.1.4 flexion, n—motion of the tibia toward bringing it into
plant Components contact with the posterior femor
...
This document is not anASTM standard and is intended only to provide the user of anASTM standard an indication of what changes have been made to the previous version. Because
it may not be technically possible to adequately depict all changes accurately, ASTM recommends that users consult prior editions as appropriate. In all cases only the current version
of the standard as published by ASTM is to be considered the official document.
´1
Designation:F2083–07 Designation: F 2083 – 08
Standard Specification for
1
Total Knee Prosthesis
This standard is issued under the fixed designation F 2083; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1
´ NOTE—Editorial changes were made throughout in December 2008.
1. Scope
1.1 This specification covers total knee replacement (TKR) prostheses used to provide functioning articulation by employing
femoral and tibial components, allowing a minimum of 110° of flexion to high flexion. Although a patellar component may be
considered an integral part of a TKR, the detailed description of this component is excluded here since it is provided in
Specification F 1672.
1.2 Included within the scope of this specification are replaceable components of modular designs, for example, tibial
articulating surfaces and all components labeled for, or capable of, being used with cement, regardless of whether the same
components can also be used without cement. This includes primary and revision prostheses and also covers fixed and mobile
bearing knee designs.
1.3 This specification is intended to provide basic descriptions of material and prosthesis geometry. Additionally, those
characteristics determined to be important to in vivo performance of the prosthesis are defined.
1.4 Excluded from the scope are hemiarthroplasty devices that replace only the femoral or tibial surface, but not both;
unicompartmental designs, which replace the articulating surfaces of only one condyle; and patellofemoral prostheses. Also
excluded are devices designed for custom applications.
1.5 The values stated in SI units are to be regarded as standard. No other units of measurement are included in this standard.
2. Referenced Documents
2
2.1 ASTM Standards:
F67 SpecificationforUnalloyedTitanium,forSurgicalImplantApplications(UNSR50250,UNSR50400,UNSR50550,UNS
R50700)
F75 Specification for Cobalt-28 Chromium-6 Molybdenum Alloy Castings and Casting Alloy for Surgical Implants (UNS
R30075)
F86 Practice for Surface Preparation and Marking of Metallic Surgical Implants
F90 Specification for Wrought Cobalt-20Chromium-15Tungsten-10Nickel Alloy for Surgical Implant Applications (UNS
R30605)
F 136 Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant
Applications (UNS R56401)
F 138 Specification for Wrought 18Chromium-14Nickel-2.5Molybdenum Stainless Steel Bar and Wire for Surgical Implants
(UNS S31673)
F 451 Specification for Acrylic Bone Cement
F 562 Specification for Wrought 35Cobalt-35Nickel-20Chromium-10Molybdenum Alloy for Surgical Implant Applications
(UNS R30035)
F 563 SpecificationforWroughtCobalt-20Nickel-20Chromium-3.5Molybdenum-3.5Tungsten-5IronAlloyforSurgicalImplant
Applications (UNS R30563)
F 648 Specification for Ultra-High-Molecular-Weight Polyethylene Powder and Fabricated Form for Surgical Implants
F 732 Test Method for Wear Testing of Polymeric Materials Used in Total Joint Prostheses
F 745 Specification for 18Chromium-12.5Nickel-2.5Molybdenum Stainless Steel for Cast and Solution-Annealed Surgical
Implant Applications
1
This specification is under the jurisdiction of ASTM Committee F04 on Medical and Surgical Materials and Devices and is the direct responsibility of Subcommittee
F04.22 on Arthroplasty.
Current edition approved Aug.July 1, 2007.2008. Published September 2007.August 2008. Originally approved in 2001. Last previous edition approved in 20062007 as
F2083–06b.F 2083 – 07.
2
For referencedASTM standards, visit theASTM website, www.astm.org, or contactASTM Customer Service at service@astm.org. For Annual Book of ASTM Standards
volume information, refer to the standard’s Document Summary page on the ASTM website.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
1
---------------------- Page: 1 ----------------------
´1
F2083–08
F 746 Test Method for Pitting or Crevice Corrosion of Metallic Surgical Implant Materials
F 748 Practice for Selecting Generic Biological Test Methods for Materials and Devices
F 799 Specification for Cobalt-28Chromium-6Molybdenum Alloy Forgings for Surgical Implants (UNS R31537, R31538,
R31539)
F 981 Practice for Assessment of Compatibility of Biomaterials for Surgical Implants with Respect to Effect of Materials
...
This document is not anASTM standard and is intended only to provide the user of anASTM standard an indication of what changes have been made to the previous version. Because
it may not be technically possible to adequately depict all changes accurately, ASTM recommends that users consult prior editions as appropriate. In all cases only the current version
of the standard as published by ASTM is to be considered the official document.
´1
Designation:F2083–08 Designation: F 2083 – 08
Standard Specification for
1
Total Knee Prosthesis
This standard is issued under the fixed designation F 2083; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (´) indicates an editorial change since the last revision or reapproval.
1
´ NOTE—Editorial changes were made throughout in December 2008.
1. Scope
1.1 This specification covers total knee replacement (TKR) prostheses used to provide functioning articulation by employing
femoral and tibial components, allowing a minimum of 110° of flexion to high flexion. Although a patellar component may be
considered an integral part of a TKR, the detailed description of this component is excluded here since it is provided in
Specification F 1672.
1.2 Included within the scope of this specification are replaceable components of modular designs, for example, tibial
articulating surfaces and all components labeled for, or capable of, being used with cement, regardless of whether the same
components can also be used without cement. This includes primary and revision prostheses and also covers fixed and mobile
bearing knee designs.
1.3 This specification is intended to provide basic descriptions of material and prosthesis geometry. Additionally, those
characteristics determined to be important to in vivo performance of the prosthesis are defined.
1.4 Excluded from the scope are hemiarthroplasty devices that replace only the femoral or tibial surface, but not both;
unicompartmental designs, which replace the articulating surfaces of only one condyle; and patellofemoral prostheses. Also
excluded are devices designed for custom applications.
1.5 The values stated in SI units are to be regarded as standard. No other units of measurement are included in this standard.
2. Referenced Documents
2
2.1 ASTM Standards:
F67 SpecificationforUnalloyedTitanium,forSurgicalImplantApplications(UNSR50250,UNSR50400,UNSR50550,UNS
R50700)
F75 Specification for Cobalt-28 Chromium-6 Molybdenum Alloy Castings and Casting Alloy for Surgical Implants (UNS
R30075)
F86 Practice for Surface Preparation and Marking of Metallic Surgical Implants
F90 Specification for Wrought Cobalt-20Chromium-15Tungsten-10Nickel Alloy for Surgical Implant Applications (UNS
R30605)
F 136 Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant
Applications (UNS R56401)
F 138 Specification for Wrought 18Chromium-14Nickel-2.5Molybdenum Stainless Steel Bar and Wire for Surgical Implants
(UNS S31673)
F 451 Specification for Acrylic Bone Cement
F 562 Specification for Wrought 35Cobalt-35Nickel-20Chromium-10Molybdenum Alloy for Surgical Implant Applications
(UNS R30035)
F 563 SpecificationforWroughtCobalt-20Nickel-20Chromium-3.5Molybdenum-3.5Tungsten-5IronAlloyforSurgicalImplant
Applications (UNS R30563)
F 648 Specification for Ultra-High-Molecular-Weight Polyethylene Powder and Fabricated Form for Surgical Implants
F 732 Test Method for Wear Testing of Polymeric Materials Used in Total Joint Prostheses
F 745 Specification for 18Chromium-12.5Nickel-2.5Molybdenum Stainless Steel for Cast and Solution-Annealed Surgical
Implant Applications
F 746 Test Method for Pitting or Crevice Corrosion of Metallic Surgical Implant Materials
1
This specification is under the jurisdiction of ASTM Committee F04 on Medical and Surgical Materials and Devices and is the direct responsibility of Subcommittee
F04.22 on Arthroplasty.
Current edition approved July 1, 2008. Published August 2008. Originally approved in 2001. Last previous edition approved in 2007 as F 2083 – 07.
2
For referencedASTM standards, visit theASTM website, www.astm.org, or contactASTM Customer Service at service@astm.org. For Annual Book of ASTM Standards
volume information, refer to the standard’s Document Summary page on the ASTM website.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
1
---------------------- Page: 1 ----------------------
´1
F2083–08
F 748 Practice for Selecting Generic Biological Test Methods for Materials and Devices
F 799 Specification for Cobalt-28Chromium-6Molybdenum Alloy Forgings for Surgical Implants (UNS R31537, R31538,
R31539)
F 981 Practice for Assessment of Compatibility of Biomaterials for Surgical Implants with Respect to Effect of Materials on
Muscle and Bone
F 983 Practice for
...
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