Surface pretreatment for prolonged survival of cemented tibial prosthesis components: full- vs. surface-cementation technique

Marx, R.; Qunaibi, Mutaz; Wirtz, Dieter Christian; Niethard, Fritz U.; Mumme, T.

doi:10.1186/1475-925x-4-61

Cited by 10 publications

(18 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite this fixation, one of the main reasons for late failure of TKA is loosening of the tibia component [2]. This loosening is believed to be caused by micro motion at the cement-bone interface.…”

Section: Introductionmentioning

confidence: 99%

Validation of a measuring technique with computed tomography for cement penetration into trabecular bone underneath the tibial tray in total knee arthroplasty on a cadaver model

et al. 2014

View full text Add to dashboard Cite

BackgroundIn total knee arthroplasty (TKA), cement penetration between 3 and 5 mm beneath the tibial tray is required to prevent loosening of the tibia component. The objective of this study was to develop and validate a reliable in vivo measuring technique using CT imaging to assess cement distribution and penetration depth in the total area underneath a tibia prosthesis.MethodsWe defined the radiodensity ranges for trabecular tibia bone, polymethylmethacrylate (PMMA) cement and cement-penetrated trabecular bone and measured the percentages of cement penetration at various depths after cementing two tibia prostheses onto redundant femoral heads. One prosthesis was subsequently removed to examine the influence of the metal tibia prostheses on the quality of the CT images. The percentages of cement penetration in the CT slices were compared with percentages measured with photographs of the corresponding transversal slices.ResultsTrabecular bone and cement-penetrated trabecular bone had no overlap in quantitative scale of radio-density. There was no significant difference in mean HU values when measuring with or without the tibia prosthesis. The percentages of measured cement-penetrated trabecular bone in the CT slices of the specimen were within the range of percentages that could be expected based on the measurements with the photographs (p = 0.04).ConclusionsCT scan images provide valid results in measuring the penetration and distribution of cement into trabecular bone underneath the tibia component of a TKA. Since the proposed method does not turn metal elements into artefacts, it enables clinicians to assess the width and density of the cement mantle in vivo and to compare the results of different cementing methods in TKA.

show abstract

Section: Introductionmentioning

confidence: 99%

Validation of a measuring technique with computed tomography for cement penetration into trabecular bone underneath the tibial tray in total knee arthroplasty on a cadaver model

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Completo et al [ 27 ], on the other hand, recently demonstrated stress shielding in cemented stems in vitro . Marx et al [ 29 ] recommended surface cementation to avoid stress shielding. To our knowledge, there are no reports directly comparing the cementation technique with hybrid fixation in revision TKA.…”

Section: Discussionmentioning

confidence: 99%

Revision TKA with a condylar constrained prosthesis using metaphyseal and surface cementation: a minimum 6-year follow-up analysis

Sanz-Ruíz

Villanueva‐Martínez

Matas-Diez

et al. 2015

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundThe increasing number of revision knee arthroplasty result in the more frequently use of a constraint implant but results from previous reports are difficult to interpret. The purpose of this study was to compare the long-term outcomes of superficial cemented versus metaphyseal cemented in revision total knee arthroplasty with a condylar constrained arthroplasty.MethodsThe study was a retrospective analysis of clinical and radiographic outcomes in a series of revision total knee arthroplasties performed with a constrained condylar knee prosthesis and press-fit modular stems. We hypothesized that the clinical and radiographic outcome of surface cementation would be inferior to that of metaphyseal cementation. Fifty-two consecutive revision cases were followed for a median of 8.2 years (range, 6 to 10 years).ResultsSubstantial improvements in range of motion and Knee Society score were achieved in all patients, although these were not significant between groups. Significantly more radiolucent lines were visible on the tibial component with surface cementation than with metaphyseal cementation, although the clinical differences were not relevant.ConclusionsRadiologic outcome was better in revision total knee arthroplasty using metaphyseal cemented revision and components with press-fit cementless stems than in the surface cementation–based approach; however, the difference was not clinically relevant.

show abstract

“…These authors explain Bone-implant deboning by breaking the cement Where fatigue cracks were observed. In another study, Rudolf Marx et al [22] have shown that one of the few problems of total prosthesis knee cemented (PTG) is the aseptic loosening of the tibia component due to the degradation of the interface between the bone cement and the tibia shaft metal component. The most popular activity is normal walking; it induces relatively low constraints and does not constitute any risk of damage to the cement.…”

Section: Stress Analysis In Pmma Cementmentioning

confidence: 99%

Mechanical Behavior of Bone Cement under Dynamic Loading

Belgherras

Sérier

Benouis

et al. 2017

Period. Polytech. Mech. Eng.

View full text Add to dashboard Cite

show abstract

Surface pretreatment for prolonged survival of cemented tibial prosthesis components: full- vs. surface-cementation technique

Cited by 10 publications

References 17 publications

Validation of a measuring technique with computed tomography for cement penetration into trabecular bone underneath the tibial tray in total knee arthroplasty on a cadaver model

Validation of a measuring technique with computed tomography for cement penetration into trabecular bone underneath the tibial tray in total knee arthroplasty on a cadaver model

Revision TKA with a condylar constrained prosthesis using metaphyseal and surface cementation: a minimum 6-year follow-up analysis

Mechanical Behavior of Bone Cement under Dynamic Loading

Contact Info

Product

Resources

About