Cementless Total Knee Arthroplasty: Is it Safe in Demineralized Bone?

There is concern for cementless total knee arthroplasty (TKA) in patients with decreased bone mineral density (BMD) due to the potential increase in complications, namely failed in-growth or future aseptic loosening. Some data suggest that advances in cementless prostheses mitigate these risks; howe...

Full description

Saved in:
Bibliographic Details
Published inThe Orthopedic clinics of North America Vol. 55; no. 3; p. 333
Main Authors Deans, Christopher, Zitsch, Bradford, Kildow, Beau J, Garvin, Kevin L
Format Journal Article
LanguageEnglish
Published United States 01.07.2024
Subjects
Arthroplasty, Replacement, Knee - adverse effects
Arthroplasty, Replacement, Knee - methods
Bone Density
Humans
Knee Prosthesis - adverse effects
Osteoporosis - complications
Prosthesis Design
Prosthesis Failure
Osteoporosis
Total knee arthroplasty
Arthroplasty
Demineralized bone
Cementless total knee
Online AccessGet more information

Cover

More Information
Summary:There is concern for cementless total knee arthroplasty (TKA) in patients with decreased bone mineral density (BMD) due to the potential increase in complications, namely failed in-growth or future aseptic loosening. Some data suggest that advances in cementless prostheses mitigate these risks; however this is not yet born out in long-term registry data. It is crucial to expand our understanding of the prevalence and etiology of osteoporosis in TKA patients, survivorship of cementless implants in decreased BMD, role of bone-modifying agents, indications and technical considerations for cementless TKA in patients with decreased BMD. The purpose of this study is to review current literature and expert opinion on such topics.
ISSN:1558-1373
DOI:10.1016/j.ocl.2024.02.003