Artificial intelligence–based three-dimensional templating for total joint arthroplasty planning: a scoping review

Velasquez Garcia, Ausberto; Bukowiec, Lainey G.; Yang, Linjun; Nishikawa, Hiroki; Fitzsimmons, James S.; Larson, A. Noelle; Taunton, Michael J.; Sanchez-Sotelo, Joaquin; O’Driscoll, Shawn W.; Wyles, Cody C.

doi:10.1007/s00264-024-06088-6

Cited by 3 publications

(1 citation statement)

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“…While polyethylene wear was previously the primary cause of long-term revision in TKA, currently, aseptic loosening of implants is the leading cause of long-term failure in TKA. The hope of finding a more durable anchoring solution largely rests on non-cemented implants and new technologies (artificial intelligence and robotics) [20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Survivorship and complications of cementless compared to cemented posterior-stabilized total knee arthroplasties: A systematic review and meta-analysis

Chahidi,

Martinov,

Simion

et al. 2024

SICOT-J

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Purpose: Controversy exists on the best fixation for total knee arthroplasty (TKA). Non-cemented fixation has been theorized to improve patient outcomes and longevity of implantation but no study has focused on comparison between cemented or cementless posterior-stabilized implants despite being the most commonly or second most frequently utilized implant in most total knee replacement registries. Methods: Inclusion criteria with observational and interventional papers, and review articles that focused on patients with cementless and cemented PS TKAs were used to analyze outcomes such as implant survivorship, complication, or revision rates. Using a combination of keywords, a systematic search was performed on Medline (PubMed), Embase, and Cochrane Library for Meta-Analysis. Results: When using the specified criteria, only 8 studies were selected for full-text analysis and meta-analysis after eliminating screening duplicates, titles, and abstracts without full-text access. These eight studies contain 1652 patients, 693 in the non-cemented Group, and 959 in the cemented total knee prosthesis Group. The meta-analysis revealed the advantage of cementless fixation over cemented fixation in implant survivorship, with 0.6% and 2.6% of aseptic loosening in each Group. The cumulative survival at 12 years was 97.4% for the cementless Group and 89.2% for the cemented Group. The subgroup with a stem showed a positive outcome for cementless fixation over cemented fixation regarding implant survivorship. No differences between the cemented and cementless TKAs were observed in patient-reported outcomes, revision rates, or radiolucent line development. Conclusion: We observed comparable rates for cemented and cementless posterior-stabilized TKAs over a medium-term follow-up period.

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Section: Discussionmentioning

confidence: 99%