The Natural History of Radiolucencies Following Uncemented Total Knee Arthroplasty at 9 Years
Aseptic loosening remains a common cause of failure in total knee arthroplasty (TKA). There is an increased interest in using uncemented TKA to reduce this complication. Radiolucencies (RLs) following uncemented TKA can be concerning. We report on the 9-year history of RLs in patients with uncemente...
Gespeichert in:
| Veröffentlicht in: | The Journal of arthroplasty 2020-01, Vol.35 (1), p.127-131 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 131 |
|---|---|
| container_issue | 1 |
| container_start_page | 127 |
| container_title | The Journal of arthroplasty |
| container_volume | 35 |
| creator | Costales, Timothy G. Chapman, Danielle M. Dalury, David F. |
| description | Aseptic loosening remains a common cause of failure in total knee arthroplasty (TKA). There is an increased interest in using uncemented TKA to reduce this complication. Radiolucencies (RLs) following uncemented TKA can be concerning. We report on the 9-year history of RLs in patients with uncemented TKA.
Twenty-one patients (26 knees) were treated with a cruciate-retaining fully porous coated femur/tibia and cemented patella. At final follow-up, 17 patients (22 knees) were available for review. Average follow-up was 9.6 years, average age was 59.1, and average body mass index was 34.1. X-rays were taken at 6 weeks, 1 year, and at final follow-up. RLs were measured using the Knee Society scoring system and read by two separate surgeons.
At 6 weeks, we identified RL in all patients on both the tibia and femur. The majority were beneath the tibial tray and femoral chamfer. At 1 year, 4 femurs and 4 tibias showed new RLs ( |
| doi_str_mv | 10.1016/j.arth.2019.08.032 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2295461826</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0883540319307636</els_id><sourcerecordid>2295461826</sourcerecordid><originalsourceid>FETCH-LOGICAL-c333t-f5ff5d8bb56cf4c880e1cfa9f738cfdac11d794a038a9aa173165497f7b091783</originalsourceid><addsrcrecordid>eNp9kLFOwzAURS0EEqXwA0weWRLsOE5siaWqKEUgkFA7MCDLdZ6pqzQutgPq35OqzEx3uec93YPQNSU5JbS63eQ6pHVeECpzInLCihM0opwVmShJdYpGRAiW8ZKwc3QR44YQSjkvR-hjsQb8olMfdIvnLiYf9thb_KYb59veQGccRDzzbet_XPeJl52BLXQJGrzwaYCeOgA8Gb4Hv2t1THusE5b4HXSIl-jM6jbC1V-O0XJ2v5jOs-fXh8fp5DkzjLGUWW4tb8RqxStjSyMEAWqslrZmwthGG0qbWpaaMKGl1rRmtOKlrG29IpLWgo3RzfHuLvivHmJSWxcNtK3uwPdRFYXkZUVFUQ3V4lg1wccYwKpdcFsd9ooSdXCpNurgUh1cKiLU4HKA7o4QDCO-HQQVBy2DicYFMEk13v2H_wKpb34W</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2295461826</pqid></control><display><type>article</type><title>The Natural History of Radiolucencies Following Uncemented Total Knee Arthroplasty at 9 Years</title><source>ScienceDirect Journals (5 years ago - present)</source><creator>Costales, Timothy G. ; Chapman, Danielle M. ; Dalury, David F.</creator><creatorcontrib>Costales, Timothy G. ; Chapman, Danielle M. ; Dalury, David F.</creatorcontrib><description>Aseptic loosening remains a common cause of failure in total knee arthroplasty (TKA). There is an increased interest in using uncemented TKA to reduce this complication. Radiolucencies (RLs) following uncemented TKA can be concerning. We report on the 9-year history of RLs in patients with uncemented TKA.
Twenty-one patients (26 knees) were treated with a cruciate-retaining fully porous coated femur/tibia and cemented patella. At final follow-up, 17 patients (22 knees) were available for review. Average follow-up was 9.6 years, average age was 59.1, and average body mass index was 34.1. X-rays were taken at 6 weeks, 1 year, and at final follow-up. RLs were measured using the Knee Society scoring system and read by two separate surgeons.
At 6 weeks, we identified RL in all patients on both the tibia and femur. The majority were beneath the tibial tray and femoral chamfer. At 1 year, 4 femurs and 4 tibias showed new RLs (<2 mm) in similar zones. Eighteen femurs and 18 tibias showed fewer or no change in RLs. At final follow-up, no new tibia or femur developed a new RL. In total, 9 of the 22 tibias and 17 of the 22 femurs had remaining RLs, all less than 2 mm and none were progressive or new. Knee Society Score averaged 92.5 (6 weeks), 95.1 (1 year), and 97.3 (final).
RLs are common following uncemented TKA. Many resolve by 1 year. There does not appear to be any association between the presence of RLs and long-term follow-up function in this group of patients.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2019.08.032</identifier><language>eng</language><publisher>Elsevier Inc</publisher><subject>aseptic loosening ; cementless TKA ; radiolucency ; total knee arthroplasty ; total knee replacement ; uncemented TKA</subject><ispartof>The Journal of arthroplasty, 2020-01, Vol.35 (1), p.127-131</ispartof><rights>2019 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c333t-f5ff5d8bb56cf4c880e1cfa9f738cfdac11d794a038a9aa173165497f7b091783</citedby><cites>FETCH-LOGICAL-c333t-f5ff5d8bb56cf4c880e1cfa9f738cfdac11d794a038a9aa173165497f7b091783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2019.08.032$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids></links><search><creatorcontrib>Costales, Timothy G.</creatorcontrib><creatorcontrib>Chapman, Danielle M.</creatorcontrib><creatorcontrib>Dalury, David F.</creatorcontrib><title>The Natural History of Radiolucencies Following Uncemented Total Knee Arthroplasty at 9 Years</title><title>The Journal of arthroplasty</title><description>Aseptic loosening remains a common cause of failure in total knee arthroplasty (TKA). There is an increased interest in using uncemented TKA to reduce this complication. Radiolucencies (RLs) following uncemented TKA can be concerning. We report on the 9-year history of RLs in patients with uncemented TKA.
Twenty-one patients (26 knees) were treated with a cruciate-retaining fully porous coated femur/tibia and cemented patella. At final follow-up, 17 patients (22 knees) were available for review. Average follow-up was 9.6 years, average age was 59.1, and average body mass index was 34.1. X-rays were taken at 6 weeks, 1 year, and at final follow-up. RLs were measured using the Knee Society scoring system and read by two separate surgeons.
At 6 weeks, we identified RL in all patients on both the tibia and femur. The majority were beneath the tibial tray and femoral chamfer. At 1 year, 4 femurs and 4 tibias showed new RLs (<2 mm) in similar zones. Eighteen femurs and 18 tibias showed fewer or no change in RLs. At final follow-up, no new tibia or femur developed a new RL. In total, 9 of the 22 tibias and 17 of the 22 femurs had remaining RLs, all less than 2 mm and none were progressive or new. Knee Society Score averaged 92.5 (6 weeks), 95.1 (1 year), and 97.3 (final).
RLs are common following uncemented TKA. Many resolve by 1 year. There does not appear to be any association between the presence of RLs and long-term follow-up function in this group of patients.</description><subject>aseptic loosening</subject><subject>cementless TKA</subject><subject>radiolucency</subject><subject>total knee arthroplasty</subject><subject>total knee replacement</subject><subject>uncemented TKA</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kLFOwzAURS0EEqXwA0weWRLsOE5siaWqKEUgkFA7MCDLdZ6pqzQutgPq35OqzEx3uec93YPQNSU5JbS63eQ6pHVeECpzInLCihM0opwVmShJdYpGRAiW8ZKwc3QR44YQSjkvR-hjsQb8olMfdIvnLiYf9thb_KYb59veQGccRDzzbet_XPeJl52BLXQJGrzwaYCeOgA8Gb4Hv2t1THusE5b4HXSIl-jM6jbC1V-O0XJ2v5jOs-fXh8fp5DkzjLGUWW4tb8RqxStjSyMEAWqslrZmwthGG0qbWpaaMKGl1rRmtOKlrG29IpLWgo3RzfHuLvivHmJSWxcNtK3uwPdRFYXkZUVFUQ3V4lg1wccYwKpdcFsd9ooSdXCpNurgUh1cKiLU4HKA7o4QDCO-HQQVBy2DicYFMEk13v2H_wKpb34W</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Costales, Timothy G.</creator><creator>Chapman, Danielle M.</creator><creator>Dalury, David F.</creator><general>Elsevier Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202001</creationdate><title>The Natural History of Radiolucencies Following Uncemented Total Knee Arthroplasty at 9 Years</title><author>Costales, Timothy G. ; Chapman, Danielle M. ; Dalury, David F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c333t-f5ff5d8bb56cf4c880e1cfa9f738cfdac11d794a038a9aa173165497f7b091783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>aseptic loosening</topic><topic>cementless TKA</topic><topic>radiolucency</topic><topic>total knee arthroplasty</topic><topic>total knee replacement</topic><topic>uncemented TKA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Costales, Timothy G.</creatorcontrib><creatorcontrib>Chapman, Danielle M.</creatorcontrib><creatorcontrib>Dalury, David F.</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costales, Timothy G.</au><au>Chapman, Danielle M.</au><au>Dalury, David F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Natural History of Radiolucencies Following Uncemented Total Knee Arthroplasty at 9 Years</atitle><jtitle>The Journal of arthroplasty</jtitle><date>2020-01</date><risdate>2020</risdate><volume>35</volume><issue>1</issue><spage>127</spage><epage>131</epage><pages>127-131</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Aseptic loosening remains a common cause of failure in total knee arthroplasty (TKA). There is an increased interest in using uncemented TKA to reduce this complication. Radiolucencies (RLs) following uncemented TKA can be concerning. We report on the 9-year history of RLs in patients with uncemented TKA.
Twenty-one patients (26 knees) were treated with a cruciate-retaining fully porous coated femur/tibia and cemented patella. At final follow-up, 17 patients (22 knees) were available for review. Average follow-up was 9.6 years, average age was 59.1, and average body mass index was 34.1. X-rays were taken at 6 weeks, 1 year, and at final follow-up. RLs were measured using the Knee Society scoring system and read by two separate surgeons.
At 6 weeks, we identified RL in all patients on both the tibia and femur. The majority were beneath the tibial tray and femoral chamfer. At 1 year, 4 femurs and 4 tibias showed new RLs (<2 mm) in similar zones. Eighteen femurs and 18 tibias showed fewer or no change in RLs. At final follow-up, no new tibia or femur developed a new RL. In total, 9 of the 22 tibias and 17 of the 22 femurs had remaining RLs, all less than 2 mm and none were progressive or new. Knee Society Score averaged 92.5 (6 weeks), 95.1 (1 year), and 97.3 (final).
RLs are common following uncemented TKA. Many resolve by 1 year. There does not appear to be any association between the presence of RLs and long-term follow-up function in this group of patients.</abstract><pub>Elsevier Inc</pub><doi>10.1016/j.arth.2019.08.032</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-5403 |
| ispartof | The Journal of arthroplasty, 2020-01, Vol.35 (1), p.127-131 |
| issn | 0883-5403 1532-8406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2295461826 |
| source | ScienceDirect Journals (5 years ago - present) |
| subjects | aseptic loosening cementless TKA radiolucency total knee arthroplasty total knee replacement uncemented TKA |
| title | The Natural History of Radiolucencies Following Uncemented Total Knee Arthroplasty at 9 Years |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-12T06%3A20%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Natural%20History%20of%20Radiolucencies%20Following%20Uncemented%20Total%20Knee%20Arthroplasty%20at%209%20Years&rft.jtitle=The%20Journal%20of%20arthroplasty&rft.au=Costales,%20Timothy%20G.&rft.date=2020-01&rft.volume=35&rft.issue=1&rft.spage=127&rft.epage=131&rft.pages=127-131&rft.issn=0883-5403&rft.eissn=1532-8406&rft_id=info:doi/10.1016/j.arth.2019.08.032&rft_dat=%3Cproquest_cross%3E2295461826%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2295461826&rft_id=info:pmid/&rft_els_id=S0883540319307636&rfr_iscdi=true |