Cementless Total Knee Arthroplasty: Is it Safe in Demineralized Bone?

Humans Arthroplasty, Replacement, Knee / methods Bone Density Osteoporosis / complications Knee Prosthesis / adverse effects Prosthesis Failure Prosthesis Design
Arthroplasty Cementless total knee Demineralized bone Osteoporosis Total knee arthroplasty

Journal

The Orthopedic clinics of North America
ISSN: 1558-1373
Titre abrégé: Orthop Clin North Am
Pays: United States
ID NLM: 0254463

Informations de publication

Date de publication:
Jul 2024
Historique:
medline: 24 5 2024
pubmed: 24 5 2024
entrez: 23 5 2024
Statut: ppublish

Résumé

There is concern for cementless total knee arthroplasty (TKA) in patients with decreased bone mineral density (BMD) due to the potential increase in complications, namely failed in-growth or future aseptic loosening. Some data suggest that advances in cementless prostheses mitigate these risks; however this is not yet born out in long-term registry data. It is crucial to expand our understanding of the prevalence and etiology of osteoporosis in TKA patients, survivorship of cementless implants in decreased BMD, role of bone-modifying agents, indications and technical considerations for cementless TKA in patients with decreased BMD. The purpose of this study is to review current literature and expert opinion on such topics.

Identifiants

DOI: 10.1016/j.ocl.2024.02.003 PMID: 38782505
pubmed: 38782505
pii: S0030-5898(24)00039-7
doi: 10.1016/j.ocl.2024.02.003
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

333-343

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure The authors have nothing to disclose.

Auteurs

Christopher Deans (C)

Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, 985640 Nebraska Medical Center, Omaha, NE 68198, USA. Electronic address: christopher.deans@unmc.edu.

Bradford Zitsch (B)

Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, 985640 Nebraska Medical Center, Omaha, NE 68198, USA.

Beau J Kildow (BJ)

Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, 985640 Nebraska Medical Center, Omaha, NE 68198, USA.

Kevin L Garvin (KL)

Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, 985640 Nebraska Medical Center, Omaha, NE 68198, USA.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Cementless Total Knee Arthroplasty: Is it Safe...
questionsmedicales.fr › Procédures de chirurgie opératoire › Implantation de prothèse › Arthroplastie prothétique › Arthroplastie prothétique de genou › Cementless Total Knee Arthroplasty: Is it Safe...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système locomoteur › Densité osseuse › Cementless Total Knee Arthroplasty: Is it Safe...
questionsmedicales.fr › Maladies métaboliques et nutritionnelles › Maladies métaboliques › Maladies osseuses métaboliques › Ostéoporose › Cementless Total Knee Arthroplasty: Is it Safe...
questionsmedicales.fr › Équipement et fournitures › Prothèses et implants › Prothèse articulaire › Prothèse de genou › Cementless Total Knee Arthroplasty: Is it Safe...
questionsmedicales.fr › Techniques d'investigation › Panne d'appareillage › Défaillance de prothèse › Cementless Total Knee Arthroplasty: Is it Safe...
questionsmedicales.fr › Équipement et fournitures › Prothèses et implants › Conception de prothèse › Cementless Total Knee Arthroplasty: Is it Safe...