We observed a case of early-onset osteolysis in a cemented total knee arthr
oplasty. Preoperative radiographs suggested numerous radiopaque particles c
overing the polyethylene insert. Findings at the time of revision confirmed
the presence of small radiopaque polymethylmethacrylate particles on the b
earing surface of the tibial insert, presumably leading to early failure of
the knee arthroplasty.