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Bioengineering | Free Full-Text | Comparative Study of

Background: Our study addresses the lack of consensus on measuring leg length discrepancy (LLD) after total hip arthroplasty (THA). We will assess the inter …

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High Rates of Aseptic Loosening in Modern

Total knee arthroplasty (TKA) is one of the most commonly performed surgical procedures in the United States. There are concerns and reports of early aseptic loosening due to debonding at the cement-implant interface in a specific posterior-stabilized femoral design. This study describes failure at the cement-implant interface …

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Factors affecting aseptic loosening in primary total knee replacements

Worldwide registry data show failure of total knee replacements on the order of less than 1% per year [17,18,19].Aseptic loosening in most series makes up the bulk of failures, ranging from 22.8 to 31.2% [3, 23].Much has been written about balance, alignment, size disparity and rotational aspects to help replicate the native anatomy and …

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Detection of aseptic loosening in total knee replacements: a …

Total knee arthroplasty (TKA) is an effective surgery for osteoarthritis [].Last year, over 55,000 operations were performed in Australia [].Aseptic loosening is the most common reason for revision of primary total knee replacements in Australia and remains the major factor limiting the survival of joint replacements.

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Causes and Diagnosis of Aseptic Loosening After Total Knee Replacement

This is more common on constrained implants and it is time related. Mechanical loosening in hinge components evident with radiolucent lines occurs as early as 2 years after the procedure [].This may be related with an increased congruity and constrain of the articular surface, which decreases the load on the surrounding soft …

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Loosening of the total knee arthroplasty: detection by

Pain after total knee arthroplasty is a common clinical problem in orthopedics, and prosthetic loosening, often requiring surgical revision, is usually the etiology. Since standard clinical and radiographic diagnostic measures have not proven totally satisfactory, a study of the utility of bone scintigraphy to assess stability of the knee prosthesis was …

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What to Expect After Knee Replacement Surgery | U.S. News

Because total knee replacement surgery is more invasive than partial knee replacement, recovery generally takes longer. ... that the new parts fail for a variety of reasons, such as loosening ...

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Patient education: Total knee replacement (Beyond the …

Total knee replacement, also known as total knee arthroplasty, is a surgical procedure in which parts of the knee joint are replaced with artificial (prosthetic) ... These include loosening of the implants, infection, fractures of the bone around the implants, and instability. When early failures occur, revision surgery may be necessary.

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Why does my knee replacement feel loose? Should I see my …

Total knee replacement (TKR) is a very common surgery. [1] Typically, 80% or more of people who have had a knee replacement are satisfied with their surgery. [1] [2] A knee replacement often helps people improve their mobility, reduce pain, and improve their quality of life. [1] [3] However, some people continue to experience …

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Bone scan in painful knee arthroplasty: obsolete or actual …

The main role of scintigraphy in painful joint arthroplasty is diagnose the loosening causes, especially aseptic failure from infection. ... The finding of a "hot patella" on a bone scan in patients with anterior knee pain following total knee replacement suggests a problem related to the patellofemoral joint . The biological response to ...

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Early aseptic loosening of primary total knee arthroplasty …

The cause of early aseptic loosening in total knee arthroplasty (TKA) is uncertain, although several possibilities could be offered. We report that osteonecrosis of the knee should be considered as a possible cause or contributing etiologic factor for early aseptic loosening following primary TKA.

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How to Interpret Postoperative X‐rays after Total Knee Arthroplasty

Radiological study of alignment after total knee replacement. Short radiographs or long radiographs? Int Orthop, 1991, 15: 209–210. [Google Scholar] ... The role of nuclear medicine techniques in differentiation between septic and aseptic loosening of total hip and knee arthroplasty. Tijdschr Nucl Geneesk, 2012, 34: 988–994. [Google ...

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Migration of the femoral component and clinical outcomes after total

Loosening is considered as a main cause of implant failure in total knee replacement (TKR). Among the predictive signs of loosening, migration is the most investigated quantitative parameter. Several studies focused on the migration of the tibial component in TKR, while no reviews have been focused on the migration of the femoral …

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Diagnostic algorithm in aseptic TKA failure

Lim et al. investigated 122 cases of aseptic TKA pain and showed that they were predominantly caused by aseptic loosening (n = 40). 14 In a further article, the rate of aseptic loosening was 23.1%, again making it the main reason for revision surgery. 15 Kenney et al. determined that, in the revisions performed 2 years after primary TKA ...

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Tibial Baseplate-Cement Interface Debonding in the ATTUNE Total Knee …

Acrylic bone cement is the most common method of fixation for primary total knee arthroplasty (TKA). Several studies have described good short-term outcomes; however, there have been reports of early failures due to tibial baseplate debonding at the implant-cement interface of The ATTUNE Knee System (DePuy Synthes, West Chester, …

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Minimally Invasive Total Knee Replacement

Minimally invasive total knee replacement uses a smaller incision than a traditional knee replacement, so it may lead to less pain and decreased recovery time. It is not yet clear …

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Diagnosis and Detection of Subtle Aseptic Loosening in Total …

Aseptic loosening is a common cause of revision total hip arthroplasty (rTHA), and with the rising number of primary THAs, revisions for aseptic loosening represent a significant burden for arthroplasty surgeons. Aseptic loosening remains a diagnostic and management challenge. Loosening can occur as a result of inadequate …

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Loosening of knee prosthesis | Radiology Case

Almasarei H, Loosening of knee prosthesis. Case study, Radiopaedia (Accessed on 22 Aug 2024) https://doi/10.53347/rID-56877

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Loosening of total knee arthroplasty – always aseptic?

When revision surgery is needed in total knee arthroplasty (TKA) the most frequent reasons are aseptic loosening (AL) and periprosthetic joint infection (PJI). …

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ATTUNE TOTAL KNEE REPLACEMENT: IS THERE EVIDENCE …

ATTUNE TOTAL KNEE REPLACEMENT: IS THERE EVIDENCE OF INCREASED TIBIAL COMPONENT LOOSENING? A RETROSPECTIVE ANALYSIS OF 10,202 KNEES ... Given the concerns of early tibial loosening with the ATTUNE knee system, this study aimed to compare revision rates and those specific to aseptic …

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TKA Aseptic Loosening

TKA Aseptic Loosening is a macrophage-induced inflammatory response that results in bone loss and implant loosening in the absence of an infection. Diagnosis can …

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TKA Revision

Unicompartmental Knee Replacement Knee Arthrodesis ... aseptic loosening is the second most common reason for revision TKA overall based on national database epidemiology studies. ... when compared to the standard medial parapatellar approach for revision total knee arthroplasties, the oblique rectus snip approach shows …

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Aseptic Loosening at the Tibia in Total Knee Arthroplasty: …

A novel percentage-based system for determining aseptic loosening of total knee arthroplasty tibial components. J Arthroplasty. 2017; 32: 2274-2278. Abstract; Full Text; Full Text PDF; ... Radiolucency at the bone-cement interface in total knee replacement. The effects of bone-surface preparation and cement technique. J Bone …

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The effect of obesity on mechanical failure after total knee

"Increased aseptic tibial failures in patients with a BMI ≥35 and well-aligned total knee arthroplasties" published in The Journal of Arthroplasty on July 2, 2015 draws the conclusion that the risk of revision total knee arthroplasties (TKA) due to aseptic tibial component loosening is two times greater in patients with a BMI ≥35 kg/m 2, …

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Suspected Metal Allergy and Femoral Loosening …

Metal sensitivity is increasingly prevalent and is associated with negative outcomes after total knee arthroplasty (TKA). Currently, there is no consensus on diagnostic criteria for TKA failure from immune …

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Loosening of total knee arthroplasty

Purpose: When revision surgery is needed in total knee arthroplasty (TKA) the most frequent reasons are aseptic loosening (AL) and periprosthetic joint infection (PJI). However preoperative distinction between AL and PJI remains challenging. Aim of this study is to determine the incidence of PJI in patients with suspected AL after TKA and to …

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Knee Replacement: Surgery Details & Recovery

Total knee replacement: Total knee replacement is the most common type of knee replacement. Your surgeon will replace all three areas of your knee joint — the inside (medial), outside (lateral) and under your kneecap (patellofemoral). ... including the device wearing down too soon or loosening. Scar tissue inside of your knee. Reduced range ...

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Femoral component loosening in high-flexion total knee replacement…

High-flexion total knee replacement (TKR) designs have been introduced to improve flexion after TKR. Although the early results of such designs were promising, recent literature has raised concerns about the incidence of early loosening of the femoral component. We compared the minimum force require …

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High rate of tibial debonding and failure in a popular knee replacement

Total knee arthroplasty (TKA) is a common and safe orthopaedic procedure. Zimmer Biomet's NexGen is the second most popular brand of implant used in the UK. The primary cause of revision after the first year is aseptic loosening. We present our experience ...

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Aseptic Tibial Implant Loosening After Total Knee Arthroplasty …

Aseptic loosening is a considerable complication that affects the longevity of total knee arthroplasty (TKA) implants. Surgeon technique may help minimize aseptic loosening after TKA. Meticulous cementation of the prosthesis and the bone surface during various stages of cement polymerization will maximize cement adherence to the prosthesis and ...

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High Rates of Aseptic Loosening After Revision Total Knee Arthroplasty

Inclusion criteria were a previously implanted total knee replacement and diagnosed PJI that was successfully treated at the time of discharge. PJI was ... Centricity Enterprise Web (v8.0.1400.511; GE Healthcare) was used for all measurements. Aseptic loosening was determined radiographically by assessing circumferential radiolucency ...

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18 Causes and Diagnosis of Aseptic Loosening After Total Knee Replacement

Request PDF | 18 Causes and Diagnosis of Aseptic Loosening After Total Knee Replacement | Aseptic loosening after TKR is the most common cause of late failure and revision. The main culprit of ...

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Knee Replacement Surgery Procedure | Johns Hopkins …

Knee replacement, also called knee arthroplasty or total knee replacement, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to …

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