The use of a modular titanium baseplate with a press-fit keel implanted with a surface cementing technique for primary total knee arthroplasty.

Autor: Pelt CE; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA., Erickson J; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA., Christensen BA; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA., Widmer B; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA., Severson EP; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA., Evans D; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA., Peters CL; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
Jazyk: angličtina
Zdroj: BioMed research international [Biomed Res Int] 2014; Vol. 2014, pp. 972615. Date of Electronic Publication: 2014 May 14.
DOI: 10.1155/2014/972615
Abstrakt: Little data exists regarding outcomes following TKA performed with surface-cementation for the fixation of modular tibial baseplates with press-fit keels. Thus, we retrospectively reviewed the clinical and radiographic outcomes of 439 consecutive primary TKAs performed with surface cemented tibial components. There were 290 female patients and 149 male patients with average age of 62 years (range 30-84). Two tibial components were revised for aseptic loosening (0.5%) and four tibial components (0.9%) were removed to improve instability (n = 2) or malalignment (n = 2). Complications included 13 deep infections treated with 2-stage revision (12) and fusion (1). These results support the surface cement technique with a modular grit-blasted titanium surface and cruciform stem during primary TKA.
Databáze: MEDLINE