Techniques for improving the initial strength of the tibial tray-cement interface bond
| العنوان: | Techniques for improving the initial strength of the tibial tray-cement interface bond |
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| المؤلفون: | Fabrizio Billi, Aaron Kavanaugh, H Schmalzried, Thomas P. Schmalzried |
| المصدر: | The Bone & Joint Journal. :53-58 |
| بيانات النشر: | British Editorial Society of Bone & Joint Surgery, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Initial strength, Interface bond, Total knee arthroplasty, Methylmethacrylate, 03 medical and health sciences, 0302 clinical medicine, Materials Testing, Humans, Polymethyl Methacrylate, Medicine, Orthopedics and Sports Medicine, 030212 general & internal medicine, Femoral component, Arthroplasty, Replacement, Knee, Cementation, Cement, Orthodontics, 030222 orthopedics, Tibia, Tibial tray, business.industry, Bone Cements, Equipment Failure Analysis, Surgery, Implant, Knee Prosthesis, business |
| الوصف: | Aims Loosening of the tibial component after total knee arthroplasty (TKA) is a common indication for revision. Increasing the strength of the initial tibial implant/cement interface is desirable. There is little information about the surgical techniques that lead to the highest strength. We investigated the effects of eight variables on the strength of the initial tibial baseplate/cement interface. Materials and Methods A total of 48 tibial trays were cemented into acrylic holders using cement from two manufacturers, at three different times (early, normal, and late) using two techniques: cementing the tibial plateau or the plateau and the keel; and involving two conditions of contamination with marrow fat (at the metal/cement and cement/cement interfaces). Push-out tests were performed with load continuously recorded. Results Compared with normal conditions, early cementing increased the mean strength of the interface when using the two cements, Simplex and Palacos, by 48% and 72%, respectively. Late cementing reduced the strength by 47% and 73%, respectively. Cementing the keel increased the mean strength by 153% and 147%, respectively, for the two cements. Contamination of the metal/cement interface with fat reduced the mean strength by 99% and 94% for the two cements but adding cement to the underside of the tibial tray prior to insertion resulted in the mean strength being lowered by only 65% and 43%, respectively. Conclusion In order to maximize the strength of the tibial tray/cement interface, cement should be applied to the component soon after mixing, contamination of the interface should be avoided, and the keel and the plateau should be cemented. |
| تدمد: | 2049-4408 2049-4394 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::77a63a052b739fd14724d0b413878bd1Test https://doi.org/10.1302/0301-620x.101b1.bjj-2018-0500.r1Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....77a63a052b739fd14724d0b413878bd1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20494408 20494394 |
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