A total of 134 low-contact-stress (LCS) total knee arthroplasties (TKAs) with mobile meniscal bearings were implanted in 121 patients with a mean age of 74 years (range, 49-91 years) at the time of surgery. The radiographic results obtained from 91 prostheses at an average follow-up of 7.5 years (range, 4.8-9.6 years) showed that radiolucent lines (RLL) appeared most frequently near the tibial plateau (97%) and that most RLL were present immediately postoperatively (67%) or appeared within the first year (96%). RLL were predominantly nonprogressive (99%). Progressive RLL did not affect the fixation or stability of the prosthesis. There were no revisions for aseptic loosening. Cementless LCS TKA achieves excellent radiologic and clinical midterm results.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.arth.2004.02.030 | DOI Listing |
Purpose: To create tridimensional (3D) anatomical models of diaphyseal fractures in dogs (3D AMDFD) and to evaluate the models from their radiographs.
Methods: The study consisted of six stages: preparation of femur from a healthy dog cadaver; digitalization of the bone through a 3D scanner and creation of the base model; creation of a 3D AMDFD based on the image of the base model, 3D modeling carried out to reproduce five different types of diaphyseal fractures; printing the models produced on a 3D printer with a thermoplastic material; insertion of neodymium magnets in the fracture line to allow the assembly and disassembly of the parts; and radiography of 3D AMDFD in lateromedial and craniocaudal positions.
Results: The base model and 3D AMDFD had high precision in the replication of bone structures, like the bone in natura.
Knee Surg Sports Traumatol Arthrosc
January 2025
Department of Orthopedics and Trauma, Medical University of Graz, Graz, Austria.
Purpose: >The aim of this multicenter study was to analyze the potential impact of patient demographics and cementation technique towards the development of radiolucent lines (RLLs) in primary total knee arthroplasty (TKA). It was hypothesized that cementation techniques, including higher cement volume, double-layer cementation technique and hardening in full extension, reduce RLL incidence by improving stability, whereas demographic factors such as age, BMI and smoking may increase RLL risk by affecting bone quality and mechanical loading.
Methods: Altogether, 776 patients (median age: 70.
Arch Orthop Trauma Surg
December 2024
Department of Orthopedics and Trauma Surgery, Ospedale Civile Maggiore Di Borgo Trento, University of Verona, Piazzale Aristide Stefani, 1, 37126, Verona, VR, Italy.
Purpose: The main objective of this prospective study was to assess clinical, radiographic and safety mid-term outcomes after THA with a short cemented stem in an elderly patient cohort. Moreover, the study aimed at investigating the mid-term survivorship of the implant and the incidence of complications.
Methods: 96 consecutive patients (100 cases) underwent THA with a short cemented stem.
Arch Orthop Trauma Surg
December 2024
Henry Community Health, 2200 Forest Ridge Parkway, New Castle, IN47362, USA.
Background: Indications for primary total knee arthroplasty (TKA) have become more inclusive of morbidly obese patients, however, higher rates of complications and lower implant survival have also been reported in this population. The purpose of this study was to investigate the mid-term survival, clinical, and radiographic outcomes of a cementless trabecular metal monoblock tibial component in severely obese patients.
Methods: This was a retrospective study of class II and III obese (BMI > 35) patients who received a cementless primary TKA.
HSS J
September 2024
Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!