Comparisons of the Radiolucent Lines Between Cemented and Cementless Oxford Unicondylar Knee Arthroplasty: A Non-designer Group Report

Objective:Aseptic loosening is one of the most important reasons for failure in unicondylar knee arthroplasty (UKA). The aim of this study was to compare early physiological and pathological radiolucent lines (RLL) between cementless and cemented UKA within a non-designer group cohort.Methods:Two gr...

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Main Authors: Hakan ASLAN, Halis Atıl ATİLLA, Kadir BÜYÜKDOĞAN, Mutlu AKDOĞAN, Hüseyin Bilgehan ÇEVİK
Format: Article
Language:English
Published: Galenos Publishing House 2022-04-01
Series:Bezmiâlem Science
Subjects:
Online Access: http://bezmialemscience.org/archives/archive-detail/article-preview/comparisons-of-the-radiolucent-lines-between-cemen/51794
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author Hakan ASLAN
Halis Atıl ATİLLA
Kadir BÜYÜKDOĞAN
Mutlu AKDOĞAN
Hüseyin Bilgehan ÇEVİK
author_facet Hakan ASLAN
Halis Atıl ATİLLA
Kadir BÜYÜKDOĞAN
Mutlu AKDOĞAN
Hüseyin Bilgehan ÇEVİK
author_sort Hakan ASLAN
collection DOAJ
description Objective:Aseptic loosening is one of the most important reasons for failure in unicondylar knee arthroplasty (UKA). The aim of this study was to compare early physiological and pathological radiolucent lines (RLL) between cementless and cemented UKA within a non-designer group cohort.Methods:Two groups of patients who underwent 38 cemented UKA and 47 cementless UKA between 2012 and 2018 were compared retrospectively. In evaluating the clinical results of the patients, the Oxford Knee Score, EQ-5D-3L, EQ-VAS, and KOOS scoring were used. In the evaluation of the presence of RLLs, the tibial and femoral component interfaces were divided into regions and evaluated for RLLs.Results:There was no statistically significant difference between the groups in terms of clinical results (p>0.05). No complete RLLs were observed in either the femoral or tibial component interfaces in any patient. Partial radiolucent regions at the tibial component interface were detected in 32 (11.3%) regions in cemented UKAs and 13 (5.7%) in cementless UKAs. The incidence of partial RLLs in the tibial component interface and the total number of radiolucent zones were higher in the cemented arthroplasties (p=0.040 and p=0.025).Conclusion:It was determined that the excessive physiological RLLs observed in UKA had no effect on the clinical outcomes of the patients. The rate of physiological RLLs was significantly lower in cementless UKA than in cemented UKA.
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spelling doaj.art-d8d865b27e404fe58a0088ea697618992023-02-15T16:14:09ZengGalenos Publishing HouseBezmiâlem Science2148-23732022-04-0110219920510.14235/bas.galenos.2021.577613049054Comparisons of the Radiolucent Lines Between Cemented and Cementless Oxford Unicondylar Knee Arthroplasty: A Non-designer Group ReportHakan ASLAN0Halis Atıl ATİLLA1Kadir BÜYÜKDOĞAN2Mutlu AKDOĞAN3Hüseyin Bilgehan ÇEVİK4 Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Orthopedics and Traumatology, Ankara, Turkey Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Orthopedics and Traumatology, Ankara, Turkey Koç University Faculty of Medicine, Department of Orthopedics and Traumatology, İstanbul, Turkey Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Orthopedics and Traumatology, Ankara, Turkey Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Orthopedics and Traumatology, Ankara, Turkey Objective:Aseptic loosening is one of the most important reasons for failure in unicondylar knee arthroplasty (UKA). The aim of this study was to compare early physiological and pathological radiolucent lines (RLL) between cementless and cemented UKA within a non-designer group cohort.Methods:Two groups of patients who underwent 38 cemented UKA and 47 cementless UKA between 2012 and 2018 were compared retrospectively. In evaluating the clinical results of the patients, the Oxford Knee Score, EQ-5D-3L, EQ-VAS, and KOOS scoring were used. In the evaluation of the presence of RLLs, the tibial and femoral component interfaces were divided into regions and evaluated for RLLs.Results:There was no statistically significant difference between the groups in terms of clinical results (p>0.05). No complete RLLs were observed in either the femoral or tibial component interfaces in any patient. Partial radiolucent regions at the tibial component interface were detected in 32 (11.3%) regions in cemented UKAs and 13 (5.7%) in cementless UKAs. The incidence of partial RLLs in the tibial component interface and the total number of radiolucent zones were higher in the cemented arthroplasties (p=0.040 and p=0.025).Conclusion:It was determined that the excessive physiological RLLs observed in UKA had no effect on the clinical outcomes of the patients. The rate of physiological RLLs was significantly lower in cementless UKA than in cemented UKA. http://bezmialemscience.org/archives/archive-detail/article-preview/comparisons-of-the-radiolucent-lines-between-cemen/51794 unicondylar knee arthroplastycementlesscementedradiolucent linesaseptic loosening
spellingShingle Hakan ASLAN
Halis Atıl ATİLLA
Kadir BÜYÜKDOĞAN
Mutlu AKDOĞAN
Hüseyin Bilgehan ÇEVİK
Comparisons of the Radiolucent Lines Between Cemented and Cementless Oxford Unicondylar Knee Arthroplasty: A Non-designer Group Report
Bezmiâlem Science
unicondylar knee arthroplasty
cementless
cemented
radiolucent lines
aseptic loosening
title Comparisons of the Radiolucent Lines Between Cemented and Cementless Oxford Unicondylar Knee Arthroplasty: A Non-designer Group Report
title_full Comparisons of the Radiolucent Lines Between Cemented and Cementless Oxford Unicondylar Knee Arthroplasty: A Non-designer Group Report
title_fullStr Comparisons of the Radiolucent Lines Between Cemented and Cementless Oxford Unicondylar Knee Arthroplasty: A Non-designer Group Report
title_full_unstemmed Comparisons of the Radiolucent Lines Between Cemented and Cementless Oxford Unicondylar Knee Arthroplasty: A Non-designer Group Report
title_short Comparisons of the Radiolucent Lines Between Cemented and Cementless Oxford Unicondylar Knee Arthroplasty: A Non-designer Group Report
title_sort comparisons of the radiolucent lines between cemented and cementless oxford unicondylar knee arthroplasty a non designer group report
topic unicondylar knee arthroplasty
cementless
cemented
radiolucent lines
aseptic loosening
url http://bezmialemscience.org/archives/archive-detail/article-preview/comparisons-of-the-radiolucent-lines-between-cemen/51794
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