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Cementless knee arthroplasty
Total knee replacement is a common treatment for advanced knee osteoarthritis. The most common and widespread method is cemented arthroplasty. As in the prosthetic hip a gradual transition from cemented to uncemented fixation techniques occurred over time, increasing interest is growing also around...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mattioli 1885
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357665/ https://www.ncbi.nlm.nih.gov/pubmed/29083348 http://dx.doi.org/10.23750/abm.v88i4-S.6789 |
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author | Ponziani, Lorenzo Francesco, Di Caprio Meringolo, Renato |
author_facet | Ponziani, Lorenzo Francesco, Di Caprio Meringolo, Renato |
author_sort | Ponziani, Lorenzo |
collection | PubMed |
description | Total knee replacement is a common treatment for advanced knee osteoarthritis. The most common and widespread method is cemented arthroplasty. As in the prosthetic hip a gradual transition from cemented to uncemented fixation techniques occurred over time, increasing interest is growing also around cementless knee fixation, with the theoretical advantages of preserving the bone stock and obtaining a biological fixation avoiding cement fragmentation. On the basis of the actual knowledge, the uncemented knee prosthesis represents an interesting alternative especially for the patient under 65 years of age, with viable bone quality, in which a biological bone-prosthesis fixation is desirable, while avoiding the drawbacks of cement fragmentation and of the possible future revision of a cemented implant. However the weak link remains the tibial fixation, so that technical tips are important to avoid micromovements with subsequent lack of osteointegration. In our experience, gap balancing, mobile bearings and no haemostatic tourniquet well combine with this kind of implant. (www.actabiomedica.it) |
format | Online Article Text |
id | pubmed-6357665 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Mattioli 1885 |
record_format | MEDLINE/PubMed |
spelling | pubmed-63576652019-05-08 Cementless knee arthroplasty Ponziani, Lorenzo Francesco, Di Caprio Meringolo, Renato Acta Biomed Focus on Total knee replacement is a common treatment for advanced knee osteoarthritis. The most common and widespread method is cemented arthroplasty. As in the prosthetic hip a gradual transition from cemented to uncemented fixation techniques occurred over time, increasing interest is growing also around cementless knee fixation, with the theoretical advantages of preserving the bone stock and obtaining a biological fixation avoiding cement fragmentation. On the basis of the actual knowledge, the uncemented knee prosthesis represents an interesting alternative especially for the patient under 65 years of age, with viable bone quality, in which a biological bone-prosthesis fixation is desirable, while avoiding the drawbacks of cement fragmentation and of the possible future revision of a cemented implant. However the weak link remains the tibial fixation, so that technical tips are important to avoid micromovements with subsequent lack of osteointegration. In our experience, gap balancing, mobile bearings and no haemostatic tourniquet well combine with this kind of implant. (www.actabiomedica.it) Mattioli 1885 2017 /pmc/articles/PMC6357665/ /pubmed/29083348 http://dx.doi.org/10.23750/abm.v88i4-S.6789 Text en Copyright: © 2017 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License |
spellingShingle | Focus on Ponziani, Lorenzo Francesco, Di Caprio Meringolo, Renato Cementless knee arthroplasty |
title | Cementless knee arthroplasty |
title_full | Cementless knee arthroplasty |
title_fullStr | Cementless knee arthroplasty |
title_full_unstemmed | Cementless knee arthroplasty |
title_short | Cementless knee arthroplasty |
title_sort | cementless knee arthroplasty |
topic | Focus on |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357665/ https://www.ncbi.nlm.nih.gov/pubmed/29083348 http://dx.doi.org/10.23750/abm.v88i4-S.6789 |
work_keys_str_mv | AT ponzianilorenzo cementlesskneearthroplasty AT francescodicaprio cementlesskneearthroplasty AT meringolorenato cementlesskneearthroplasty |