Effect of component fixation method on osteolysis in total knee arthroplasty.

Abstract:

:Eighty-three total knee arthroplasties done at a single university hospital were reviewed specifically to examine the presence of lysis. Components that were radiographically loose were excluded. The incidence of lysis varied significantly with the method of component fixation. The highest incidence of lysis (30%) was seen when the tibial component was fixed with cement and screws and the femoral component was implanted without cement. When the tibial component was fixed with cement and screws and the femoral components was cemented, the incidence of lysis was 13% (2 of 13). When the femoral component was press fit and the tibia was cemented without screws, the incidence of lysis was 10% (1 of 10). When the femoral and tibial components were cemented and no screws were used, the incidence of lysis was 0 (0 of 12). Using screws with cement to fix the tibial component was associated with a high incidence of lysis and cannot be recommended. A press fit femoral component also may contribute to the incidence of lysis.

journal_name

Clin Orthop Relat Res

authors

Ezzet KA,Garcia R,Barrack RL

subject

Has Abstract

pub_date

1995-12-01 00:00:00

pages

86-91

issue

321

eissn

0009-921X

issn

1528-1132

pub_type

杂志文章
  • The origin of the osteoclast.

    abstract::The origin of the osteoclast has long been controversial. Various approaches such as traditional light microscopy, electron microscopy, microcinephotography, autoradiography, parabiosis, quail-chick nuclear marker, etc, have been used in attempts to resolve the problem. There are 2 major concepts: the view of skeletal...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Hanaoka H

    更新日期:1979-11-01 00:00:00

  • The current status of material used for depot delivery of drugs.

    abstract::The ideal local antibiotic delivery system has not been created. Antibiotic-laden bone cement has become the gold standard in the treatment of infected orthopaedic implants and there are confirmatory laboratory and clinical data that support the use of these materials. Heat-stable antibiotics elute from antibiotic-lad...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/01.blo.0000143741.92384.18

    authors: Nelson CL

    更新日期:2004-10-01 00:00:00

  • Nonspecific lower-back pain: surgical versus nonsurgical treatment.

    abstract:UNLABELLED:We review evidence-based treatments for patients seeking care for lower-back pain and patients who have been diagnosed with nonspecific lower-back pain. The review is based on selected systematic reviews and national and international guidelines for the treatment of lower-back pain. Additional randomized con...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/01.blo.0000198721.75976.d9

    authors: Nordin M,Balagué F,Cedraschi C

    更新日期:2006-02-01 00:00:00

  • Failure of the uncoated titanium ProxiLock femoral hip prosthesis.

    abstract:UNLABELLED:New prostheses should be evaluated for stability and clinical performance. In a prospective randomized clinical trial, we implanted 22 titanium (Ti) and 20 hydroxyapatite-coated (HA) ProxiLock femoral hip prostheses during total hip arthroplasty in 42 patients. The patients were followed for 24 months with c...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.blo.0000224011.12175.83

    authors: Luites JW,Spruit M,Hellemondt GG,Horstmann WG,Valstar ER

    更新日期:2006-07-01 00:00:00

  • The lateral column lengthening and medial column stabilization procedures.

    abstract::The results of medial column stabilization, lateral column lengthening, and combined medial and lateral procedures were reviewed in the treatment of adult acquired flatfoot secondary to posterior tibialis tendon insufficiency. All bony procedures were accompanied by transfer of the flexor digitorum longus tendon to th...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199908000-00011

    authors: Chi TD,Toolan BC,Sangeorzan BJ,Hansen ST Jr

    更新日期:1999-08-01 00:00:00

  • Percutaneous cannulated screw coracoclavicular fixation for acute acromioclavicular dislocations.

    abstract::In 1941, Bosworth introduced a new method of repairing acute complete acromioclavicular dislocations in which a noncannulated coracoclavicular lag-screw was inserted by a blind technique. The author reintroduces the percutaneous coracoclavicular fixation concept. A cannulated screw was specially designed, and the tech...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Tsou PM

    更新日期:1989-06-01 00:00:00

  • Roentgenographic signs of cervical injury.

    abstract::The injured cervical spine may be completely examined without patient movement by positioning the X-ray tube relative to the injured patient. The prevertebral soft tissue in the cervical area is extremely important in the evaluation of injury, and a thickness of 5 mm or more at the level of the anterior inferior bord...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-197506000-00003

    authors: Weir DC

    更新日期:1975-01-01 00:00:00

  • Supracondylar osteotomy in thalassemia.

    abstract::The skeletal system manifestations of thalassemia are characterized by severe osteoporosis, frequent fractures and delayed healing. Permanent deformity and disability can complicate the fractures. Surgical correction of deformity by osteotomy of severely osteoporotic bone and immobilization without internal fixation w...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Scott WN,Dines DM,Insall JN

    更新日期:1978-09-01 00:00:00

  • Genu recurvatum in total knee replacement.

    abstract::Genu recurvatum deformities are unusual before total knee arthroplasty (TKA), occurring in less than 1% of patients. Because of its rarity, concern may exist regarding the recurrence of the deformity and the potential for instability after TKA. Recurvatum may be associated with a severe osseous deformity, including ge...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/01.blo.0000092988.12414.18

    authors: Meding JB,Keating EM,Ritter MA,Faris PM,Berend ME

    更新日期:2003-11-01 00:00:00

  • Glenohumeral osteoarthrosis after the Eden-Hybbinette procedure.

    abstract::Thirty-six patients (36 shoulders) who underwent the Eden-Hybbinette procedure for recurrent anterior dislocation of the shoulder with an average followup of 15 years were evaluated. Evaluation consisted of radiographic assessment in a true anteroposterior view and an axillary lateral view of both shoulders, physical ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200004000-00016

    authors: Rachbauer F,Ogon M,Wimmer C,Sterzinger W,Huter B

    更新日期:2000-04-01 00:00:00

  • C7--T1 bilateral facet dislocation: a rare lesion presenting with the syndrome of acute anterior spinal cord injury.

    abstract::Dislocation of the cervicothoracic junction, between the C7 and T1 vertebrae, occurred in a 46-year-old inebriated man. The C7--T1 junction is difficult to visualize on roentgenographs even when the upper extremities are pulled down. This injury is uncommon and often undiagnosed immediately after injury (Fig. 7). The ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Pick RY,Segal D

    更新日期:1980-07-01 00:00:00

  • Muscle forces and pronation stabilize the lateral ligament deficient elbow.

    abstract::The influence of muscle activity and forearm position on the stability of the lateral collateral ligament deficient elbow was investigated in vitro, using a custom testing apparatus to simulate active and passive elbow flexion. Rotation of the ulna relative to the humerus was measured before and after sectioning of th...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200107000-00018

    authors: Dunning CE,Zarzour ZD,Patterson SD,Johnson JA,King GJ

    更新日期:2001-07-01 00:00:00

  • Delayed fracture healing in primary hyperparathyroidism.

    abstract::The incidence of fractures in primary hyperparathyroidism is highly variable. The possibility that there might be an increased susceptibility to fracture is discussed. Healing in most is without delay. Three cases of delayed or nonunion following fracture are presented. In all three, healing accelerated dramatically a...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Lancourt JE,Hochberg F

    更新日期:1977-05-01 00:00:00

  • Soft tissue attachment of a filamentous carbon-absorbable polymer tendon and ligament replacement.

    abstract::Soft tissue structures can be replaced by a filamentous carbon-polylactic acid polymer tissue scaffold. A successful replacement requires a secure bond between the synthetic material and living soft tissue. This attachment has been investigated in a rabbit model. In 23 male, white New Zealand rabbits, the proximal thi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Aragona J,Parsons JR,Alexander H,Weiss AB

    更新日期:1981-10-01 00:00:00

  • Transforming growth factor-beta in osteolytic breast cancer bone metastases.

    abstract::Breast cancers frequently metastasize to the skeleton and cause bone destruction. Tumor cells secrete factors that stimulate osteoclasts. The consequent osteolytic resorption releases active factors from the bone matrix, in particular transforming growth factor-beta (TGF-beta). The released factors then stimulate tumo...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/01.blo.0000093055.96273.69

    authors: Guise TA,Chirgwin JM

    更新日期:2003-10-01 00:00:00

  • A clinical and radiographical analysis of 127 anterior cruciate insufficient knees.

    abstract::The progression from chronic anterior cruciate instability to degeneration of the knee has been well documented in animal studies. However, the literature is unclear as to the overall consequences with respect to the development of osteoarthritis. The long-term consequences of the anterior cruciate insufficient knee w...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Sherman MF,Warren RF,Marshall JL,Savatsky GJ

    更新日期:1988-02-01 00:00:00

  • The rise of academic orthopaedic surgery during the past 44 years.

    abstract::In accepting this invitation to write a prefatory chapter as a mini professional autobiography, it has become all too obvious that this has touched a few nerve endings that had healed many years ago. Contemplating personal experiences, thoughts, and philosophies and then writing them should have a purpose. During thes...

    journal_title:Clinical orthopaedics and related research

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Duthie RB

    更新日期:1994-03-01 00:00:00

  • Arthroscopic rotator cuff repair: transition from mini-open to all-arthroscopic.

    abstract::Rotator cuff repair is one of the most common surgical procedures done in the shoulder. Traditionally, repair has required an open incision with release of a portion of the deltoid from the acromion. In the past decade, an arthroscopically-assisted, mini-open approach has gained popularity. This has been facilitated b...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Yamaguchi K,Ball CM,Galatz LM

    更新日期:2001-09-01 00:00:00

  • Propionibacterium acnes vertebral osteomyelitis: seek and ye shall find?

    abstract::The pathogenic potential of Propionibacterium acnes in implant-associated spine infections is increasingly recognized. However, the clinical findings and outcomes associated with this pathogen in nonimplant-associated spine infections are unknown. We retrospectively reviewed nine male patients who met our strict case ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/BLO.0b013e318073c25d

    authors: Kowalski TJ,Berbari EF,Huddleston PM,Steckelberg JM,Osmon DR

    更新日期:2007-08-01 00:00:00

  • Acetabular reconstruction with bone impaction grafting and a cemented cup: 20 years' experience.

    abstract::Acetabular bone stock loss compromises the outcome in primary and revision total hip arthroplasty. In 1979, a biologic method was introduced with tightly impacted cancellous allografts in combination with a cemented polyethylene cup for acetabular reconstruction. With this technique, it is possible to replace the loss...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200112000-00023

    authors: Schreurs BW,Slooff TJ,Gardeniers JW,Buma P

    更新日期:2001-12-01 00:00:00

  • Avulsion fracture of the tibial attachment of the posterior cruciate ligament. Indications and results of delayed repair.

    abstract::In a series of delayed repair in 8 instances of avulsion fracture of the tibial attachment of the posterior cruciate ligament, 6 were isolated avulsion fractures of the tibial attachment of the posterior cruciate ligament and 2 were associated with the fractures of the tibial condyle. Staple fixation was used exclusiv...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Torisu T

    更新日期:1979-09-01 00:00:00

  • The fate of cemented total hip arthroplasty in young patients.

    abstract::Forty-four cemented hip replacements in patients under 45 years of age were assessed clinically and radiologically five to ten years after implantation. Four of five hips were pain-free and provided excellent function, and one in seven hips required revision but have since fared well. The results for osteoarthritic hi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: White SH

    更新日期:1988-06-01 00:00:00

  • Polyethylene particle morphology in synovial fluid of failed knee arthroplasty.

    abstract::Synovial fluid from the knees of 16 patients undergoing revision knee arthroplasty for aseptic failure was subjected to base digestion and ultrafiltration. Filtered particles were scanned using scanning electron microscopy and analyzed with an image program. Polyethylene particles were identified visually and confirme...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199902000-00018

    authors: Peterson C,Benjamin JB,Szivek JA,Anderson PL,Shriki J,Wong M

    更新日期:1999-02-01 00:00:00

  • What middle phalanx base fracture characteristics are most reliable and useful for surgical decision-making?

    abstract:BACKGROUND:Fracture-dislocations of the proximal interphalangeal joint are vexing because subluxation and articular damage can lead to arthrosis and the treatments are imperfect. Ideally, a surgeon could advise a patient, based on radiographs, when the risk of problems merits operative intervention, but it is unclear i...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-015-4394-7

    authors: Janssen SJ,Molleman J,Guitton TG,Ring D,Science Of Variation Group.

    更新日期:2015-12-01 00:00:00

  • Survival data for 648 patients with osteosarcoma treated at one institution.

    abstract::During the past 30 years, the orthopaedic oncology group at the Massachusetts General Hospital has treated 648 patients with osteosarcoma centrally located in the bone. Using records maintained in a specifically designed computer system, a study was done to assess the factors that seemed to influence the survival outc...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000145991.65770.e6

    authors: Mankin HJ,Hornicek FJ,Rosenberg AE,Harmon DC,Gebhardt MC

    更新日期:2004-12-01 00:00:00

  • Pitfalls of proximal tibial osteotomy.

    abstract::Proximal tibial osteotomy for degenerative genu varus and valgus has an excellent success rate with proper patient selection and technical proficiency. The following are some infrequently recognized pitfalls. Excessive bone loss prevents two plateau weight-bearing after osteotomy, introduces a "teeter effect," and is ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-197501000-00034

    authors: Kettelkamp DB,Leach RE,Nasca R

    更新日期:1975-01-01 00:00:00

  • Do patients with ewing's sarcoma continue with sports activities after limb salvage surgery of the lower extremity?

    abstract:BACKGROUND:Limb salvage surgery has evolved to become the standard method of treating sarcomas of the extremities with acceptable oncologic results. However, little information exists relative to the activity level or ability to participate in sports after tumor reconstructions. QUESTIONS/PURPOSES:The aims of the stud...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-014-3622-x

    authors: Hobusch GM,Lang N,Schuh R,Windhager R,Hofstaetter JG

    更新日期:2015-03-01 00:00:00

  • Clinical experiences in free flap transfer.

    abstract::In this series of 62 free flap transfers, 48 (80%) have been successful. There have been a significant number of vascular complications, 39% of which the majority were arterial thrombosis. Fifty per cent of those which thrombosed were salvaged on exploration and revision of the vessels. The frequency of complications ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Morrison WA,O'Brien BM,MacLeod A

    更新日期:1978-06-01 00:00:00

  • Regional differences in matrix formation in the healing flexor tendon.

    abstract::In 20 white leghorn chickens, the effect of proximity (proximal vs. distal) to the repair site and the effect of sheath excision versus sheath repair on biochemical matrix formation in the healing zone 2 flexor tendon were studied. In 14 animals, the profundus tendon of the long toe on both feet was lacerated and repa...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Kain CC,Russell JE,Rouse AM,Manske PR

    更新日期:1988-04-01 00:00:00

  • Resection of the forefoot in rheumatoid arthritis.

    abstract::A long-term review of 272 resections of the metatarsal heads and bases of the phalanges in 128 patients with severe rheumatoid feet is presented. The longest follow-up is 11 years and the average follow-up was 4.7 years. Recurrent deformity and callus formation was usually due to a long metatarsal shaft. The operation...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-197505000-00036

    authors: Marmor L

    更新日期:1975-05-01 00:00:00