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Related Experiment Videos

Total knee arthroplasty. Current clinical perspectives.

G R Scuderi1, J N Insall

  • 1Hospital for Special Surgery, Cornell University Medical College, New York, New York.

Clinical Orthopaedics and Related Research
|March 1, 1992
PubMed
Summary

Cemented total knee arthroplasty (TKA) is the gold standard for knee replacement. Posterior stabilized prostheses offer good outcomes, but infection remains the primary concern for cemented TKA success.

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The Insall legacy in total knee arthroplasty.

Clinical orthopaedics and related research·2001

Area of Science:

  • Orthopedic surgery
  • Biomaterials science

Background:

  • Cemented total knee arthroplasty (TKA) is the established benchmark for knee replacement fixation.
  • Debate continues regarding posterior cruciate ligament retention versus sacrifice in TKA.
  • Clinical data and survivorship studies support the efficacy of posterior stabilized prostheses.

Purpose of the Study:

  • To evaluate the current status and primary failure modes of cemented total knee arthroplasty.
  • To highlight advancements contributing to TKA predictability.

Main Methods:

  • Review of clinical experience and survivorship analysis for cemented TKA.
  • Analysis of factors influencing TKA predictability, including implant design and surgical techniques.

Main Results:

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  • Posterior stabilized prostheses are supported by clinical evidence.
  • Improvements in surgical techniques and implant design have increased TKA predictability.

Conclusions:

  • Cemented TKA remains the gold standard for knee replacement.
  • Infection has emerged as the leading cause of failure in cemented TKA procedures.