Cementless Fixation for Total Knee Arthroplasty in Various Patient Populations: A Literature Review
| Autor: | Hytham S Salem, John M Tarazi, Joseph O. Ehiorobo, Michael A. Mont, Nipun Sodhi, Kevin B. Marchand, Kevin K. Mathew |
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| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Demographics Total knee arthroplasty Patient characteristics Total knee Arthritis Rheumatoid Survivorship curve Outcome Assessment Health Care medicine Humans Orthopedics and Sports Medicine Obesity Arthroplasty Replacement Knee High rate business.industry Age Factors Osteonecrosis Cementless fixation musculoskeletal system Surgery surgical procedures operative Implant Knee Prosthesis business |
| Zdroj: | The Journal of Knee Surgery. 33:848-855 |
| ISSN: | 1938-2480 1538-8506 |
| Popis: | The number of total knee arthroplasties (TKAs) performed in the United States has increased considerably in recent years, with a major contribution from younger patients. Maximizing survivorship of these implants has always been a point of emphasis. Early TKA designs with cementless fixation were associated with high rates of complications and implant failures. However, recent advances in cementless designs have shown excellent results. The decision to use cemented or cementless fixation for patients undergoing TKA is typically based on the surgeon's experience and preference. However, several patient characteristics must also be taken into account. The purpose of this review was to describe the clinical outcomes of studies in which a cementless TKA system was utilized for patients who (1) were less than 60 years of age, (2) were greater than 75 years of age, (3) were obese, (4) had rheumatoid arthritis, and (5) had osteonecrosis of the knee. Based on the studies included in this review, it appears that cementless fixation is a viable option for patients who have all of the above demographics. |
| Databáze: | OpenAIRE |
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