Long-Term Survival of a Flat-on-Flat Total Condylar Knee Arthroplasty Fixed with a Hybrid Cementing Technique for Tibial Components

Carulli, Christian; Matassi, Fabrizio; Nistri, Lorenzo; Civinini, Roberto; Innocenti, Massimo

doi:10.1615/jlongtermeffmedimplants.2013007289

Cited by 6 publications

(4 citation statements)

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“…An orthopaedic surgery is a "clean" and successful surgery, as widely demonstrated by several long-term series particularly for hip and knee procedures (Sharkey et al 2002 ;Ritter 2009 ;Corbett et al 2010 ;Carulli et al 2012 ;Toossi et al 2013 ). However, the annual worldwide increasing of the number of hip and knee arthroplasties is leading to a proportional rise of the complications: among these, infections to date represent one of the major risks of failure, reaching up to 15 and 25 % of the indications to revision in hip and knee surgery, respectively (Babkin et al 2007 ).…”

Section: Introductionmentioning

confidence: 99%

Perioperative Medical Management for Total Joint Arthroplasty

Baldini¹,

Caldora²

2015

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Section: Introductionmentioning

confidence: 99%

Perioperative Medical Management for Total Joint Arthroplasty

Baldini¹,

Caldora²

2015

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“…Total Knee Arthroplasty (TKA) is one of the most successful orthopaedic procedures for the treatment of osteoarthritis [1, 2]. Particularly high rates of patient satisfaction have been achieved in recent decades thanks to the significant improvement in both surgical technique, implant design, and the characteristics of biomaterials.…”

Section: Introductionmentioning

confidence: 99%

Hypersensitivity reactions to metal implants: laboratory options

Carossino

Carulli

Ciuffi

et al. 2016

BMC Musculoskelet Disord

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BackgroundAll implant compounds undergo an electrochemical process when in contact with biological fluids, as well as mechanical corrosion due to abrasive wear, with production of metal debris that may inhibit repair processes. None of the commonly-used methods can diagnose implant allergies when used singly, therefore a panel of tests should be performed on allergic patients as pre-operative screening, or when a postoperative metal sensitisation is suspected.MethodsWe analysed patients with painful prostheses and subjects prone to allergies using the Patch Test in comparison with the Lymphocyte Transformation Test. Cytokine production was evaluated to identify prognostic markers for early diagnosis of aseptic loosening. Metal debris endocytosis and cytoskeletal rearrangement was visualised by confocal microscopy.ResultsOur results demonstrate that the Lymphocyte Transformation Test can identify patients who have a predisposition to develop allergic reactions and can confirm the diagnosis of hypersensitivity in patients with painful prostheses.The prevalence of a Th2-cytokine pattern may be used to identify predisposition to the development of allergic diseases, while the selective presence of osteoclastogenic cytokines may be used as predictor of a negative outcome in patients with painful prosthesis.The hypothesis of the prognostic value of these cytokines as early markers of aseptic loosening is attractive, but its confirmation would require extensive testing.ConclusionsThe Lymphocyte Transformation Test is the most suitable method for testing systemic allergies. We suggest that the combined use of the Patch Test and the Lymphocyte Transformation Test, associated with cytokine detection in selected patients, could provide a useful tool for preventive evaluation of immune reactivity in patients undergoing primary joint replacement surgery, and for clinical monitoring of the possible onset of a metal sensitization in patients with implanted devices.

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“…Such cases may be treated by a revision arthroplasty. New materials, modern designs, and meticulous and less invasive surgical techniques have contributed to a longer survivorship of the implants (2,5,(14)(15)(16). Among all the mentioned improvements, the recent acquisition of the complex mechanisms of osseointegration between implants and host bone have gained attention, accordingly to the methods of evaluation of these peculiar interactions (17)(18)(19)(20)(21).…”

Section: Introductionmentioning

confidence: 99%

Densitometric evaluation of bone-prosthetic counterface in hip and knee arthroplasty with modern implants

Lepri

Giorgini

Signorini

et al. 2016

ccmbm

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SummaryIntroduction. Recent acquisitions of the complex mechanisms of osseointegration between implants and host bone have gained attention, accordingly to the methods of evaluation of these interactions. DEXA analysis is considered an useful tool to assess such phenomena, in order to analyse in a quantitative manner the local metabolic activity of the bone, and to evaluate over the time the integration between host bone and prosthetic components. The purpose of the present study is to report about a preliminary experience in the analysis of osseointegration processes of patients undergoing a primary Total Hip Arthroplasty (THA) or a revision Total Knee Arthroplasty (rTKA). Materials and methods. Thirty patients undergoing THA and nineteen undergoing rTKA were included in this study. In fifteen cases of THA a standard cementless stem was used; in the other fifteen a short cementless stem was chosen. In all cases a cementless cup was implanted. In all patients undergoing rTKA, all implants had pressfit femoral and tibial diaphyseal stems; only the femoral component and the tibial plateau were cemented. DEXA evaluation was performed preoperatively, and at 3, 6, 12, and 24

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Long-Term Survival of a Flat-on-Flat Total Condylar Knee Arthroplasty Fixed with a Hybrid Cementing Technique for Tibial Components

Abstract: The authors confirm the good rates of success and the long-term survival of this specific implant and the effectiveness of the tibial hybrid cementing technique, which is still debated among researchers.

Cited by 6 publications

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Perioperative Medical Management for Total Joint Arthroplasty

Perioperative Medical Management for Total Joint Arthroplasty

Hypersensitivity reactions to metal implants: laboratory options

Densitometric evaluation of bone-prosthetic counterface in hip and knee arthroplasty with modern implants

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