Prospective Mid-Term Results of a Completely Metal-Free Ceramic Total Knee Endoprosthesis: A Concise Follow-Up of a Previous Report

Breuer, Robert; Fiala, Rainer; Trieb, Klemens; Rath, Bjoern

doi:10.1016/j.arth.2021.05.007

Cited by 6 publications

(6 citation statements)

References 31 publications

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“…A highly crosslinked polyethylene component, which can be used in two different degrees of stabilization, serves as the sliding couple. [ 13 , 14 ] The behavior of the ceramic knee in CT scan has been documented with respect to artifacts. [ 24 ] This study carried out here was designed with a view to broad clinical and diagnostic use.…”

Section: Discussionmentioning

confidence: 99%

“…[16,19] The use of a ceramic femoral component in knee joints had been in use for some time with good clinical results. [11][12][13] However, in the first time it was not possible to achieve a completely metal-free knee joint because the tibial component is made of conventional metal. [22,23] The ceramic knee presented here is geometrically completely identical to the metal counterpart, but metal-free.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10] The first completely metal-free total knee arthroplasty system shows significantly increased clinical scores at different time points without complications. [11][12][13] So far there is no report of temperature behavior in MRT regarding ceramic knee arthroplasties. The aim of this study is to investigate the in vitro behavior of a ceramic knee implant in the 1.5T MRI tomograph with respect to temperature development.…”

Section: Introductionmentioning

confidence: 99%

“…[ 8 – 10 ] The first completely metal-free total knee arthroplasty system shows significantly increased clinical scores at different time points without complications. [ 11 – 13 ]…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of temperature of a full ceramic total knee arthroplasty during MRI examinations

Trieb

Artmann²,

Krupa³

et al. 2022

Medicine

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Background: A diagnosis by magnetic resonance imaging (MRI) is often necessary before surgery of degenerative spine diseases. This can lead to a possible conflict with an inserted implant of the hip or knee. Heat generation or movement could be caused by the magnetic field. The aim of this study is to investigate temperature development in vitro in a 1.5T MRI of a ceramic knee arthroplasty. Methods: A full ceramic, complete metal-free non-constrained primary total knee arthroplasty is investigated. Temperature change was measured between platinum resistors before and after each MRI sequence by change of resistance. The knee implant was placed in a plastic container after the sensors were attached. Then the container was completely filled with ultrasound gel. To document any possible movement of the implant, a grid was placed under the container to document the position of the implant before and after the scans. Results: A total of four standard knee sequences were performed. The temperature at sites 1 to 5 per implant was always documented in the as-is state before MRI and then after each sequence. A total of 5 temperature measurement points were taken per implant. It was found that there were extremely small temperature variations. These were always in the range of less than 1°C. There was no case of movement of the implant triggered by the MRI scan. Conclusions: The experimental investigations carried out here showed homogeneous results with this experimental setup. It is concluded that, at least in vitro, that this ceramic knee implant can be used in MRI examinations without heating or movement.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…[ 8 – 10 ] The first completely metal-free total knee arthroplasty system shows significantly increased clinical scores at different time points without complications. [ 11 – 13 ]…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of temperature of a full ceramic total knee arthroplasty during MRI examinations

Trieb

Artmann²,

Krupa³

et al. 2022

Medicine

Self Cite

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“…Breuer et al showed their mid-term results of a completely metal-free ceramic total knee endoprosthesis [94]. The used ceramic knee system (metal-free BPK-S (Peter Brehm)) offers a suitable option for patients with known metal hypersensitivity/metal intolerance reactions [94]. No revision surgery had to be performed within the entire follow-up period of four years.…”

Section: Metal-free Tkamentioning

confidence: 99%

High-Performance Ceramics in Musculoskeletal Surgery: Current Use and Future Perspectives

Eschweiler,

Greven,

Rath

et al. 2024

Ceramics

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Osteoarthritis (OA) is a prevalent disease among the elderly population, necessitating effective treatment options. Total joint arthroplasty (TJA) is a reliable surgical procedure that has shown good long-term clinical outcomes for OA. However, certain challenges, such as implant failure caused by particle-induced aseptic loosening or hypersensitivity to metal ions, remain unresolved in TJA. High-performance ceramic implants have emerged as a promising solution to address these persistent implant-related issues. This review article provides an overview of the composition and characteristics of ceramics used in TJA, highlighting their potential advantages and associated risks. While ceramic implants have demonstrated excellent performance in vivo for hip and knee arthroplasty, their bioinert behaviour is still considered a crucial factor regarding cementless options. Therefore, novel methods are investigated that seem to be able to combine the benefits of ceramic materials with an excellent osseointegration behaviour, which makes ceramics as implant materials an even stronger option for future applications.

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Magnetic Resonance Safety Evaluation of a Novel Alumina Matrix Composite Ceramic Knee and Image Artifact Comparison to a Metal Knee Implant of Analogous Design

Mödinger¹,

Anttila²,

Baker³

et al. 2023

Arthroplasty Today

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Prospective Mid-Term Results of a Completely Metal-Free Ceramic Total Knee Endoprosthesis: A Concise Follow-Up of a Previous Report

Cited by 6 publications

References 31 publications

Evaluation of temperature of a full ceramic total knee arthroplasty during MRI examinations

Evaluation of temperature of a full ceramic total knee arthroplasty during MRI examinations

High-Performance Ceramics in Musculoskeletal Surgery: Current Use and Future Perspectives

Magnetic Resonance Safety Evaluation of a Novel Alumina Matrix Composite Ceramic Knee and Image Artifact Comparison to a Metal Knee Implant of Analogous Design

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