High incidence of radiolucent lines at the implant-cement interface of a new total knee replacement

ANZ Journal of Surgery
Wayne HoskinsRoger Bingham

Abstract

Recently introduced total knee arthroplasty (TKA) implants have been linked with the early development of periprosthetic radiolucency (PPRL). The aim of this study was to carry out a retrospective clinical and radiographical analysis of a consecutive series of a new TKA, and to assess the incidence and distribution of PPRL. A retrospective review of all new TKA implants performed by a single surgeon at a single hospital between March 2013 and October 2017 was performed. The minimum follow-up period was 3 months, with ongoing patient review at 6, 12 and 36 months. Sequential post-operative radiographs were performed to determine the presence of PPRL. A total of 122 TKAs were identified in 112 patients over the 4.5-year study period. The average follow-up time was 21 months (range 3-51 months). PPRL was noted in 29 TKAs (23.8%). When comparing the PPRL group to those without PPRL, there was a difference in body mass index, with body mass index associated with an increased likelihood of PPRL (P = 0.003). There was no difference in constraint of implant (P = 0.818), cement type (P = 0.340), patella resurfacing (P = 0.286), age (P = 0.984) gender (P = 0.376) or initial mechanical axis deviation (P = 0.054) between groups. PPRL were ...Continue Reading

References

Dec 1, 1989·The Journal of Arthroplasty·J D Michelson, L H Riley
Nov 1, 1993·The Journal of Bone and Joint Surgery. British Volume·P Rockborn, S S Olsson
Apr 2, 1998·BMJ : British Medical Journal·S K Muirhead-Allwood
Jan 26, 1999·Clinical Orthopaedics and Related Research·R G MiddletonP Sharpe
Nov 10, 2004·Clinical Orthopaedics and Related Research·Michael E BerendKenneth E Davis
Jul 11, 2006·Clinical Orthopaedics and Related Research·J W H LuitesE R Valstar
Jan 2, 2010·The Journal of Bone and Joint Surgery. British Volume·D J LangtonA V F Nargol
May 17, 2011·BMJ : British Medical Journal·Deborah Cohen
Jan 25, 2012·The Journal of Bone and Joint Surgery. American Volume·Rob G H H NelissenEdward R Valstar
Feb 16, 2012·The New England Journal of Medicine·Daniel B KramerAaron S Kesselheim
Mar 16, 2012·Lancet·Alison J SmithUNKNOWN National Joint Registry of England and Wales
Jul 20, 2012·Clinical Orthopaedics and Related Research·William L HealyJess H Lonner
Jul 11, 2014·The Journal of Arthroplasty·Peter F SharkeyJavad Parvizi
Jul 1, 2015·The Journal of Arthroplasty·R Michael MeneghiniGiles R Scuderi
Sep 7, 2016·The Journal of Arthroplasty·J Ryan MartinRaymond H Kim

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology
Kevin D WelchBryan L Stegelmeier
IEEE/ACM Transactions on Computational Biology and Bioinformatics
Dixie B BakerDomenica Taruscio
The Journal of Reproduction and Development
Kotaro HoriguchiToshio Harigaya
© 2022 Meta ULC. All rights reserved