کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6208598 | 1603974 | 2016 | 5 صفحه PDF | دانلود رایگان |
BackgroundPrimary total knee arthroplasty (TKA) in morbidly obese patients has been associated with greater postoperative complications. Cementless TKA has the potential for biologic fixation which may provide more durable long-term stability.MethodsThis was a multicenter review of 298 TKAs in 292 morbidly obese patients (body mass index, >40) undergoing TKA, with 154 TKAs (149 patients) in the cemented and 144 TKAs (143 patients) in the cementless group.ResultsThere were significantly more revisions in the cemented group (n = 20) than in the cementless group (n = 1; 13.0% vs 0.7%). There was a significantly higher incidence of aseptic loosening in the cemented cohort vs the cementless cohort (9 vs 0 TKAs). All revisions in the cementless cohort were due to infection (0.7%).ConclusionCementless fixation may be an alternative in the morbidly obese patient undergoing primary TKA.
Journal: The Journal of Arthroplasty - Volume 31, Issue 8, August 2016, Pages 1727-1731