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Short-keeled cemented tibial components show an increased risk for aseptic loosening

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Short-keeled cemented tibial components show an increased risk for aseptic loosening. / Ries, Christian; Heinichen, Markus; Dietrich, Florian; Jakubowitz, Eike; Sobau, Christian; Heisel, Christian.

In: CLIN ORTHOP RELAT R, Vol. 471, No. 3, 03.2013, p. 1008-13.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Ries, C, Heinichen, M, Dietrich, F, Jakubowitz, E, Sobau, C & Heisel, C 2013, 'Short-keeled cemented tibial components show an increased risk for aseptic loosening', CLIN ORTHOP RELAT R, vol. 471, no. 3, pp. 1008-13. https://doi.org/10.1007/s11999-012-2630-y

APA

Ries, C., Heinichen, M., Dietrich, F., Jakubowitz, E., Sobau, C., & Heisel, C. (2013). Short-keeled cemented tibial components show an increased risk for aseptic loosening. CLIN ORTHOP RELAT R, 471(3), 1008-13. https://doi.org/10.1007/s11999-012-2630-y

Vancouver

Ries C, Heinichen M, Dietrich F, Jakubowitz E, Sobau C, Heisel C. Short-keeled cemented tibial components show an increased risk for aseptic loosening. CLIN ORTHOP RELAT R. 2013 Mar;471(3):1008-13. https://doi.org/10.1007/s11999-012-2630-y

Bibtex

@article{6e59a961aa5f428f9596956d7eb65759,
title = "Short-keeled cemented tibial components show an increased risk for aseptic loosening",
abstract = "BACKGROUND: The choice of implant design plays an important role for primary fixation of a TKA. Short-keeled tibial components allow implantation through a smaller approach with less femorotibial subluxation.QUESTIONS/PURPOSES: The purpose of this study was to detect early implant failure resulting from aseptic loosening after cemented short-keeled and standard tibial baseplate implantation.METHODS: Between 2008 and 2010, a group of 160 consecutive patients (with 80 standard and with 80 short-keeled tibial trays) received cemented TKAs. At 1-year followup, patients were examined clinically and radiographs were analyzed regarding aspects of radiolucency. The components were divided into five zones on each radiographic view and the measurements of the 10 zones were added.RESULTS: The mean sum of radiolucencies was increased significantly with the short-keeled baseplates. In the current study, short-keeled tibial trays revealed a revision rate of 6.3% after 1-year followup. In contrast, none of the standard tibial baseplates were revised.CONCLUSIONS: The implantation of cemented, short-keeled tibial components is linked to an increased rate of early loosening. Therefore, the indication for cemented, short-keeled component implantation should be reviewed.LEVEL OF EVIDENCE: Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.",
keywords = "Adult, Aged, Aged, 80 and over, Analysis of Variance, Arthroplasty, Replacement, Knee/adverse effects, Bone Cements/adverse effects, Cementation/adverse effects, Female, Humans, Knee Joint/diagnostic imaging, Knee Prosthesis, Male, Middle Aged, Prosthesis Design, Prosthesis Failure, Radiography, Tibia/diagnostic imaging, Time Factors, Treatment Failure",
author = "Christian Ries and Markus Heinichen and Florian Dietrich and Eike Jakubowitz and Christian Sobau and Christian Heisel",
year = "2013",
month = mar,
doi = "10.1007/s11999-012-2630-y",
language = "English",
volume = "471",
pages = "1008--13",
journal = "CLIN ORTHOP RELAT R",
issn = "0009-921X",
publisher = "Springer New York",
number = "3",

}

RIS

TY - JOUR

T1 - Short-keeled cemented tibial components show an increased risk for aseptic loosening

AU - Ries, Christian

AU - Heinichen, Markus

AU - Dietrich, Florian

AU - Jakubowitz, Eike

AU - Sobau, Christian

AU - Heisel, Christian

PY - 2013/3

Y1 - 2013/3

N2 - BACKGROUND: The choice of implant design plays an important role for primary fixation of a TKA. Short-keeled tibial components allow implantation through a smaller approach with less femorotibial subluxation.QUESTIONS/PURPOSES: The purpose of this study was to detect early implant failure resulting from aseptic loosening after cemented short-keeled and standard tibial baseplate implantation.METHODS: Between 2008 and 2010, a group of 160 consecutive patients (with 80 standard and with 80 short-keeled tibial trays) received cemented TKAs. At 1-year followup, patients were examined clinically and radiographs were analyzed regarding aspects of radiolucency. The components were divided into five zones on each radiographic view and the measurements of the 10 zones were added.RESULTS: The mean sum of radiolucencies was increased significantly with the short-keeled baseplates. In the current study, short-keeled tibial trays revealed a revision rate of 6.3% after 1-year followup. In contrast, none of the standard tibial baseplates were revised.CONCLUSIONS: The implantation of cemented, short-keeled tibial components is linked to an increased rate of early loosening. Therefore, the indication for cemented, short-keeled component implantation should be reviewed.LEVEL OF EVIDENCE: Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

AB - BACKGROUND: The choice of implant design plays an important role for primary fixation of a TKA. Short-keeled tibial components allow implantation through a smaller approach with less femorotibial subluxation.QUESTIONS/PURPOSES: The purpose of this study was to detect early implant failure resulting from aseptic loosening after cemented short-keeled and standard tibial baseplate implantation.METHODS: Between 2008 and 2010, a group of 160 consecutive patients (with 80 standard and with 80 short-keeled tibial trays) received cemented TKAs. At 1-year followup, patients were examined clinically and radiographs were analyzed regarding aspects of radiolucency. The components were divided into five zones on each radiographic view and the measurements of the 10 zones were added.RESULTS: The mean sum of radiolucencies was increased significantly with the short-keeled baseplates. In the current study, short-keeled tibial trays revealed a revision rate of 6.3% after 1-year followup. In contrast, none of the standard tibial baseplates were revised.CONCLUSIONS: The implantation of cemented, short-keeled tibial components is linked to an increased rate of early loosening. Therefore, the indication for cemented, short-keeled component implantation should be reviewed.LEVEL OF EVIDENCE: Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Analysis of Variance

KW - Arthroplasty, Replacement, Knee/adverse effects

KW - Bone Cements/adverse effects

KW - Cementation/adverse effects

KW - Female

KW - Humans

KW - Knee Joint/diagnostic imaging

KW - Knee Prosthesis

KW - Male

KW - Middle Aged

KW - Prosthesis Design

KW - Prosthesis Failure

KW - Radiography

KW - Tibia/diagnostic imaging

KW - Time Factors

KW - Treatment Failure

U2 - 10.1007/s11999-012-2630-y

DO - 10.1007/s11999-012-2630-y

M3 - SCORING: Journal article

C2 - 23054523

VL - 471

SP - 1008

EP - 1013

JO - CLIN ORTHOP RELAT R

JF - CLIN ORTHOP RELAT R

SN - 0009-921X

IS - 3

ER -