Effect of Tobacco Use on Radiolucent Lines in Modern Cementless Total Knee Arthroplasty Tibial Components

Patel, Sohum K.; Dilley, Julian E.; Carlone, Andrew; Deckard, Evan R.; Meneghini, R. Michael; Sonn, Kevin A.

doi:10.1016/j.artd.2022.101082

Cited by 2 publications

(1 citation statement)

References 49 publications

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“…Nicotine was shown to reduce osseointegration into porous Ti and HA implants in animal studies 109,110 . However, a clinical study of 293 contemporary cementless TKAs showed that even though tobacco use can potentially hinder biologic fixation, no tibial components were revised for aseptic loosening at 2.5 years, indicating promising early radiologic osteointegration with modern implants, regardless of tobacco use 111 .…”

Section: Patient Selectionmentioning

confidence: 99%

Cementless Total Knee Arthroplasty

AlShehri,

Megaloikonomos,

Neufeld

et al. 2024

JBJS Reviews

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» The demographic profile of candidates for total knee arthroplasty (TKA) is shifting toward younger and more active individuals.» While cemented fixation remains the gold standard in TKA, the interest is growing in exploring cementless fixation as a potentially more durable alternative.» Advances in manufacturing technologies are enhancing the prospects for superior long-term biological fixation.» Current research indicates that intermediate to long-term outcomes of modern cementless TKA designs are comparable with traditional cemented designs.» The selection of appropriate patients is critical to the success of cementless fixation techniques in TKA.» There is a need for high-quality research to better understand the potential differences and relative benefits of cemented vs. cementless TKA systems.

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Section: Patient Selectionmentioning

confidence: 99%