Dislocation of a polyethylene insert Mechanism of Dislocation (DPI in TKA) Proposed Cause Atraumatic nature No clear cause identified Traumatic mechanism (insert dislocation) Repeated posteriorly directed compressive force on the polyethylene insert from the femur Biomechanical basis for dislocation During knee flexion, femoral tibial contact moves posteriorly, leading to anterior lift-off of th..