Cementing techniques for the tibial component in primary total knee replacement

Author:

Cawley D. T.1,Kelly N.2,McGarry J. P.2,Shannon F. J.1

Affiliation:

1. Merlin Park Hospital, Department of Trauma & Orthopaedic Surgery, Galway, Ireland.

2. National University of Ireland, Department of Mechanical Biomedical Engineering, National Centre for Biomedical Engineering Science, Galway, Ireland.

Abstract

The optimum cementing technique for the tibial component in cemented primary total knee replacement (TKR) remains controversial. The technique of cementing, the volume of cement and the penetration are largely dependent on the operator, and hence large variations can occur. Clinical, experimental and computational studies have been performed, with conflicting results. Early implant migration is an indication of loosening. Aseptic loosening is the most common cause of failure in primary TKR and is the product of several factors. Sufficient penetration of cement has been shown to increase implant stability. This review discusses the relevant literature regarding all aspects of the cementing of the tibial component at primary TKR. Cite this article: Bone Joint J 2013;95-B:295–300.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

Reference84 articles.

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2. Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030

3. The Epidemiology of Revision Total Knee Arthroplasty in the United States

4. No authors listed. Canadian Joint Replacement Registry (CJRR). Hip and Knee Replacements in Canada, 2008-2009 Annual Report. https://secure.cihi.ca/free_products/2008_cjrr_annual_report_en.pdf (date last accessed 15 November).

5. No authors listed. Australian Orthopaedic Association National Joint Replacement Registry. Demographics of Knee Arthroplasty: Supplementary Report 2011. http://www.dmac.adelaide.edu.au/aoanjrr/documents/AnnualReports2012/KneeDemographicsReport_2012.pdf (date last accessed 15 November 2012).

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