Plain radiograph evaluation of concurrent filling of tibial peg holes with bone in cementless total knee arthroplasty

Autor: Kazue Hayakawa, Hideki Date, Sho Nojiri, Yosuke Kaneko, Kohei Shibata, Nobuyuki Fujita
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Joint Surgery and Research, Vol 2, Iss 4, Pp 151-156 (2024)
Druh dokumentu: article
ISSN: 2949-7051
DOI: 10.1016/j.jjoisr.2024.09.001
Popis: Purpose: This study aimed to evaluate the effectiveness of a novel technique for securing the tibial component in cementless total knee arthroplasty (TKA) by utilizing resected cancellous bone to fill the peg holes. It was hypothesized that this method would reduce the incidence of radiolucent lines (RLLs) on plain radiographs. To test this hypothesis, a retrospective comparison of plain radiographs from patients who underwent the bone-filling technique (bone filling group) versus those who did not receive this treatment (conventional group) was conducted. Methods: Participants were 151 patients (213 joints) who underwent TKA with the NexGen trabecular metal (TM) modular tibia (Zimmer Biomet) from 2011 to 2016 [bone filling group, 54 patients (69 joints); conventional group, 100 patients (144 joints); 3 patients had 1 joint in each group]. Clinical evaluations, plain radiographs, and operative time were compared between groups. Results: The mean follow-up period was 5 years and 5 months. Knee Society Scores and Knee Society Functional Scores did not differ significantly between groups; however, the bone filling group had a significantly lower incidence of RLLs (p ​
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