Aseptic Tibial Implant Loosening After Total Knee Arthroplasty: Preventable?

Aseptic loosening is a considerable complication that affects the longevity of total knee arthroplasty (TKA) implants. Surgeon technique may help minimize aseptic loosening after TKA. Meticulous cementation of the prosthesis and the bone surface during various stages of cement polymerization will ma...

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Bibliographic Details
Published in:Journal of the American Academy of Orthopaedic Surgeons Vol. 29; no. 8; pp. 326 - 330
Main Authors: Menken, Luke G., Fleuriscar, Jean, Weiner, Travis, Berliner, Zachary P., Rodriguez, Jose A.
Format: Journal Article
Language:English
Published: United States Lippincott Williams & Wilkins 15-04-2021
Online Access:Get full text
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Summary:Aseptic loosening is a considerable complication that affects the longevity of total knee arthroplasty (TKA) implants. Surgeon technique may help minimize aseptic loosening after TKA. Meticulous cementation of the prosthesis and the bone surface during various stages of cement polymerization will maximize cement adherence to the prosthesis and the bone, respectively. Pressurization of the cement in the canal and at the cut surface to achieve at least 2 mm of cement depth penetration has been reported to increase TKA implant longevity.
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ISSN:1067-151X
1940-5480
DOI:10.5435/JAAOS-D-20-00452