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Related Concept Videos

Knee Joint01:23

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...

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Cementing techniques for the tibial component in primary total knee replacement.

D T Cawley1, N Kelly, J P McGarry

  • 1Merlin Park Hospital, Department of Trauma & Orthopaedic Surgery, Galway, Ireland. derekcawley@hotmail.com

The Bone & Joint Journal
|March 2, 2013
PubMed
Summary

The best way to cement the tibial component in total knee replacement (TKR) is still debated. Proper cement penetration is key for implant stability and preventing aseptic loosening, a common TKR failure.

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Engineering
  • Biomechanics

Background:

  • The optimal cementing technique for the tibial component in cemented primary total knee replacement (TKR) is a subject of ongoing debate.
  • Cementing technique, volume, and penetration are operator-dependent, leading to significant variability in practice.
  • Aseptic loosening is the primary cause of TKR failure, influenced by multiple factors.

Purpose of the Study:

  • To review the existing literature on all facets of tibial component cementing in primary total knee replacement.
  • To synthesize findings from clinical, experimental, and computational studies regarding cementing techniques.
  • To provide insights into factors influencing tibial component stability and longevity.

Main Methods:

  • Comprehensive literature search of clinical, experimental, and computational studies.
  • Analysis of factors affecting cement penetration and stability.
  • Review of evidence linking cement characteristics to implant migration and loosening.

Main Results:

  • Conflicting results exist across various studies on optimal cementing parameters.
  • Sufficient cement penetration is consistently associated with increased implant stability.
  • Operator-dependent variations in technique significantly impact cement volume and penetration.

Conclusions:

  • There is no universally agreed-upon optimal cementing technique for the tibial component in primary TKR.
  • Ensuring adequate cement penetration is crucial for enhancing tibial component stability and reducing the risk of aseptic loosening.
  • Further research is needed to standardize cementing protocols and improve long-term TKR outcomes.