Results after Cementless Medial Oxford Unicompartmental Knee Replacement – Incidence of Radiolucent Lines
Fuente
Este artículo es originalmente publicado en:
https://www.ncbi.nlm.nih.gov/pubmed/28103308
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0170324
De:
Panzram B1, Bertlich I1, Reiner T1, Walker T1, Hagmann S1, Weber MA2, Gotterbarm T1.
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Abstract
PURPOSE:
Tibial radiolucent lines (RL) are commonly seen in cemented unicompartmental knee replacement (UKR). In the postoperative course, they can be misinterpreted as signs of loosening, thus leading to unnecessary revision. Since 2004, a cementless OUKR is available. First studies and registry data have shown equally good clinical results of cementless OUKR compared to the cemented version and a significantly reduced incidence of RL in cementless implants.
CONCLUSIONS:
After cementless implantation RL were limited to the tibia, partial and never progressive. During short term follow-up the incidence of RL decreased significantly. RL seem to have no influence on clinical outcome and revision.
Resumen
PROPÓSITO:
Las líneas radiolúcidas tibiales (RL) se observan comúnmente en el reemplazo de rodilla unicompartimental cementado (UKR). En el postoperatorio, pueden ser mal interpretados como signos de aflojamiento, lo que conduce a una revisión innecesaria. Desde 2004, un OUKR sin cemento está disponible. Los primeros estudios y datos de registro han mostrado resultados clínicos igualmente buenos de OUKR sin cemento en comparación con la versión cementada y una incidencia significativamente reducida de RL en implantes sin cemento.
CONCLUSIONES:
Después de la implantación sin cemento RL se limitaron a la tibia, parcial y nunca progresiva. Durante el seguimiento a corto plazo la incidencia de RL disminuyó significativamente. RL parecen no tener influencia en el resultado clínico y la revisión.
- PMID: 28103308 DOI: 10.1371/journal.pone.0170324
- [PubMed – in process]