سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Ng, Hannah, Tan, Gabriel, Tan, Ryan, Kau, Chung Yuan. (1400). Incidence of Radiolucent Lines after Cemented Total Knee Arthroplasty. , 10(1), 85-91. doi: 10.22038/abjs.2021.54610.2723
Hannah Jia Hui Ng; Gabriel Kai Yang Tan; Ryan Gabriel Tan; Chung Yuan Kau. "Incidence of Radiolucent Lines after Cemented Total Knee Arthroplasty". , 10, 1, 1400, 85-91. doi: 10.22038/abjs.2021.54610.2723
Ng, Hannah, Tan, Gabriel, Tan, Ryan, Kau, Chung Yuan. (1400). 'Incidence of Radiolucent Lines after Cemented Total Knee Arthroplasty', , 10(1), pp. 85-91. doi: 10.22038/abjs.2021.54610.2723
Ng, Hannah, Tan, Gabriel, Tan, Ryan, Kau, Chung Yuan. Incidence of Radiolucent Lines after Cemented Total Knee Arthroplasty. , 1400; 10(1): 85-91. doi: 10.22038/abjs.2021.54610.2723

Incidence of Radiolucent Lines after Cemented Total Knee Arthroplasty

The Archives of Bone and Joint Surgery
مقاله 13، دوره 10، شماره 1، فروردین 2022، صفحه 85-91    اصل مقاله (718.84 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2021.54610.2723
نویسندگان
Hannah Jia Hui Ng* 1؛ Gabriel Kai Yang Tan2؛ Ryan Gabriel Tan3؛ Chung Yuan Kau1
1Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore
2Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
3Yong Loo Lin School Of Medicine, National University of Singapore
چکیده
Background: Cemented Total Knee Arthroplasty (TKA) provides excellent long-term survival rates and functional results, however, radiolucent lines (RLLs) often appear during early post-operative follow-up and their incidence and clinical significance are unknown. The primary aim was to establish the incidence, location, frequency, and time taken for RLLs to appear within the first year after a primary cemented TKA with an anatomic tibial baseplate (Smith and Nephew, LEGION Total Knee System). Methods: This was a retrospective analysis of 135 primary cemented TKA in 131 patients over three years. We compared demographics, serial radiographs, and early clinical and functional outcomes. Results: There were 65 TKAs (48%) in 62 patients who had RLLs within the first year post-operatively. Most were females (58.8%). Mean age was 68.3 ± 7.9 years. There were 88 RLLs, with the most and second commonest location at the medial tibial baseplate (38%) and anterior femoral flange (23%). 89% were in the bone-cement interface. The largest average length of RLLs were at the anterior flange of the femoral component (1.98 ± 1.33 mm). The average time to development was 6.5 ± 4.1 months. None of these patients had infections nor required revision. Patients with RLLs did not do worse in functional and clinical scoring at 1-year. Conclusion: There was a 48% incidence of physiological RLLs after cemented TKA, with the highest occurrence at the medial tibial baseplate at 38%. These radiolucent lines did not affect early post-operative clinical and functional outcomes of patients. Level of evidence: III
کلیدواژه‌ها
Radiolucency؛ Total Knee Arthroplasty؛ Total Knee Replacement؛ Cemented
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