Quality of Cementation in Conventional versus Minimally Invasive Total Knee Arthroplasty
Purpose. To review the immediate postoperative radiographs of 108 patients following conventional or minimally invasive total knee arthroplasty (TKA) to assess the quality of cementation in terms of cement voids and retained cement. Methods. Records of 20 male and 88 female consecutive patients aged...
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Format: | Article |
Language: | English |
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SAGE Publishing
2016-04-01
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Series: | Journal of Orthopaedic Surgery |
Online Access: | https://doi.org/10.1177/230949901602400104 |
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author | Chia-Liang Ang Seng-Jin Yeo |
author_facet | Chia-Liang Ang Seng-Jin Yeo |
author_sort | Chia-Liang Ang |
collection | DOAJ |
description | Purpose. To review the immediate postoperative radiographs of 108 patients following conventional or minimally invasive total knee arthroplasty (TKA) to assess the quality of cementation in terms of cement voids and retained cement. Methods. Records of 20 male and 88 female consecutive patients aged 50 to 83 (mean, 67.5) years who underwent conventional TKA (n=56) or computer-assisted minimally invasive TKA (n=52) for osteoarthritis by a single senior surgeon were reviewed. Immediate postoperative radiographs were assessed by a single blinded assessor for the quality of cementation in terms of cement void and retained cement in different zones of the femoral, tibial, and patellar components along the prosthesis-bone interface using the Knee Society total knee arthroplasty roentgenographic evaluation and scoring system. Results. The 2 groups were comparable in terms of baseline demographics as well as cement void and retained cement on the femoral, tibial, and patellar components, except that in the minimally invasive group, cement void beneath the anterior flange of the femoral component was wider (0.32 vs. 0 mm, p=0.001), and retained cement in the posterior or lateral aspects of the tibial component was more common (50.0% vs. 28.6%, p=0.018). Conclusion. Minimally invasive TKA resulted in a wider cement void beneath the anterior flange of the femoral component and a higher rate of retained cement around the tibial component. |
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format | Article |
id | doaj.art-4f5d585616724778accb169876f21183 |
institution | Directory Open Access Journal |
issn | 2309-4990 |
language | English |
last_indexed | 2024-12-19T18:31:54Z |
publishDate | 2016-04-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Journal of Orthopaedic Surgery |
spelling | doaj.art-4f5d585616724778accb169876f211832022-12-21T20:10:42ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902016-04-012410.1177/230949901602400104Quality of Cementation in Conventional versus Minimally Invasive Total Knee ArthroplastyChia-Liang AngSeng-Jin YeoPurpose. To review the immediate postoperative radiographs of 108 patients following conventional or minimally invasive total knee arthroplasty (TKA) to assess the quality of cementation in terms of cement voids and retained cement. Methods. Records of 20 male and 88 female consecutive patients aged 50 to 83 (mean, 67.5) years who underwent conventional TKA (n=56) or computer-assisted minimally invasive TKA (n=52) for osteoarthritis by a single senior surgeon were reviewed. Immediate postoperative radiographs were assessed by a single blinded assessor for the quality of cementation in terms of cement void and retained cement in different zones of the femoral, tibial, and patellar components along the prosthesis-bone interface using the Knee Society total knee arthroplasty roentgenographic evaluation and scoring system. Results. The 2 groups were comparable in terms of baseline demographics as well as cement void and retained cement on the femoral, tibial, and patellar components, except that in the minimally invasive group, cement void beneath the anterior flange of the femoral component was wider (0.32 vs. 0 mm, p=0.001), and retained cement in the posterior or lateral aspects of the tibial component was more common (50.0% vs. 28.6%, p=0.018). Conclusion. Minimally invasive TKA resulted in a wider cement void beneath the anterior flange of the femoral component and a higher rate of retained cement around the tibial component.https://doi.org/10.1177/230949901602400104 |
spellingShingle | Chia-Liang Ang Seng-Jin Yeo Quality of Cementation in Conventional versus Minimally Invasive Total Knee Arthroplasty Journal of Orthopaedic Surgery |
title | Quality of Cementation in Conventional versus Minimally Invasive Total Knee Arthroplasty |
title_full | Quality of Cementation in Conventional versus Minimally Invasive Total Knee Arthroplasty |
title_fullStr | Quality of Cementation in Conventional versus Minimally Invasive Total Knee Arthroplasty |
title_full_unstemmed | Quality of Cementation in Conventional versus Minimally Invasive Total Knee Arthroplasty |
title_short | Quality of Cementation in Conventional versus Minimally Invasive Total Knee Arthroplasty |
title_sort | quality of cementation in conventional versus minimally invasive total knee arthroplasty |
url | https://doi.org/10.1177/230949901602400104 |
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