Cementless versus Cemented Fixation in Total Knee Arthroplasty

Papas, Paraskevi Vivian; Congiusta, Dominick V.; Cushner, Fred D.

doi:10.1055/s-0039-1678687

Cited by 25 publications

(22 citation statements)

References 18 publications

(37 reference statements)

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“…Por el contrario, en la ATR cementada el manto de cemento puede llenar fácilmente pequeños defectos en las resecciones sin afectar la estabilidad. 1,7 Los análisis radioestereométricos (RSA) han permitido comprender los distintos patrones de migración mostrados por los componentes de la ATR en los dos métodos de fijación diferentes. Las bases tibiales no cementadas pueden migrar temprano, es decir, en los primeros tres meses después de la operación, alcanzando la estabilidad por lo general después de este intervalo; los componentes tibiales cementados, por otro lado, no migran en el postoperatorio inme-www.medigraphic.org.mx diato, aunque pueden mostrar micromovimiento durante 60 meses.…”

Section: Indicaciones Y Características Del Implanteunclassified

Artroplastia total de rodilla no cementada

Zertuche¹,

Moriel²,

Paniagua³

2019

Ortho-Tips

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Section: Indicaciones Y Características Del Implanteunclassified

Artroplastia total de rodilla no cementada

Zertuche¹,

Moriel²,

Paniagua³

2019

Ortho-Tips

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“…One of the most common and successful surgeries today, total knee arthroplasty (TKA) is one of the leading options for the treatment of end-stage knee osteoarthritis 1 , allowing surgeons to restore a patient's knee joint function and reduce pain 2 . With increasing aging, more and more patients will receive TKA.…”

Section: Introductionmentioning

confidence: 99%

The role of routine laboratory tests after unilateral total knee arthroplasty

Zhang

Zhang³

et al. 2022

Preprint

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BackgroundRecent studies suggest that routine laboratory tests are not required within 1 day after partial knee arthroplasty. This study aimed to evaluate the utility of routine postoperative laboratory tests after initial unilateral total knee arthroplasty(TKA) in an Asian population and to identify risk factors associated with abnormal test results.MethodsThe clinical data of patients who underwent original unilateral TKA from 2015 to 2020 were retrospectively analyzed. Patient characteristics and laboratory test values were recorded. Multivariate binary logistic regression analysis was also performed to identify risk factors associated with 3 abnormal laboratory values.ResultsA total of 713 patients were included in this study and underwent relevant laboratory tests within 3 days of TKA surgery. However, only a small proportion of patients with anemia (8.1 %), hypoalbuminemia (9.9 %), and abnormal serum potassium levels (3.4 %) required clinical intervention after surgery. Binary logistic regression analysis revealed that independent risk factors for postoperative blood transfusion in TKA patients included preoperative hemoglobin level, estimated blood loss, and age. Related risk factors for postoperative albumin supplementation were preoperative albumin level, intraoperative blood loss and operation time. In addition, lower body mass index (BMI) and preoperative hypokalemia were found to be potential risk factors for postoperative potassium supplementation.ConclusionSince more than 90% of abnormal postoperative laboratory tests do not require clinical intervention, the authors believe that it is of little significance for patients with primary unilateral TKA to receive routine laboratory tests after surgery. However, in patients with established risk factors, postoperative laboratory testing is still necessary.

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“…Total knee arthroplasty (TKA) is one of the most common surgery, and the mainstay treatment for end-stage knee osteoarthritis [ 1 ]. The TKA operation not only restores knee joint function but also reduces pain [ 2 ]. The increase in the aging population has resulted in a large number of TKA.…”

Section: Introductionmentioning

confidence: 99%

The role of routine laboratory tests after unilateral total knee arthroplasty

Zhang

Yan

et al. 2022

BMC Musculoskelet Disord

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Background Recent studies suggest that routine laboratory tests are not required within 1 day after partial knee arthroplasty. In this study, we evaluated the utility of routine postoperative laboratory tests after initial unilateral total knee arthroplasty (TKA) in an Asian population. In addition, we explored risk factors associated with abnormal test results. Methods Clinical data of patients who underwent original unilateral TKA between 2015 and 2020 were retrospectively analyzed. Patient characteristics and laboratory test results were recorded. Multivariate binary logistic regression analysis was performed to identify risk factors associated with 3 abnormal laboratory results. Results A total of 713 patients, who underwent relevant laboratory tests within 3 days of TKA surgery, were enrolled. Among them, 8.1%, 9.9%, and 3.4% patients with anemia, hypoalbuminemia, and abnormal serum potassium levels required clinical intervention after surgery. Binary logistic regression analysis revealed that preoperative hemoglobin levels, estimated blood loss, and age were independent risk factors of postoperative blood transfusion in TKA patients. On the other hand, preoperative albumin levels, intraoperative blood loss, and operation time were risk factors associated with postoperative albumin supplementation. In addition, lower body mass index (BMI) and preoperative hypokalemia were potential risk factors of postoperative potassium supplementation. Conclusion Considering that more than 90% of abnormal postoperative laboratory tests do not require clinical intervention, we believe that routine laboratory tests after surgery have little significance in patients with primary unilateral TKA. However, postoperative laboratory testing is necessary for patients with established risk factors.

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Cementless versus Cemented Fixation in Total Knee Arthroplasty

Cited by 25 publications

References 18 publications

Artroplastia total de rodilla no cementada

Artroplastia total de rodilla no cementada

The role of routine laboratory tests after unilateral total knee arthroplasty

The role of routine laboratory tests after unilateral total knee arthroplasty

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