Total Knee Replacement for Rheumatoid Arthritis by Using Improved Cement Technique by Interposing Hydroxyapatite Granules

2007 ◽  
Vol 361-363 ◽  
pp. 1307-1310
Author(s):  
Sok Chol Kim ◽  
Hironobu Oonishi ◽  
Hiroyuki Oonishi Jr. ◽  
Hirotsugu Ohashi
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Replacement ◽  
Bone Cement ◽  
Knee Replacement ◽  
Bone Ingrowth ◽  
Clinical Results ◽  
Periprosthetic Osteolysis ◽  
Ha Coating ◽  
Appearance Rate ◽  
Total Knee

Improved cement technique by interposing less than two layers of hydroxyapatite (HA) granules between bone and bone cement at the cementing (Interface Bioactive Bone Cement : IBBC) have been performed in total knee replacement (TKR). Results of TKRs of the rheumatoid arthritis (RA) who used IBBC were evaluated. 54 knees of the RA could be followed up clinically and radiologically. As a control, clinical results of TKR with conventional cementing (Non-IBBC) were used. In IBBC cases, the appearance rate of the radiolucent lines on the tibial components and the periprosthetic osteolysis of the tibial components were significantly low. In IBBC, bone cement bound to HA mechanically immediately after surgery and HA granules bound to the bone physicochemically after bone ingrowth into the spaces around the HA granules. Thus, we believe that IBBC is a method combining the advantage of cementless HA coating and bone cement.

Clinical Results of Total Knee Arthroplasty by Using Improved Cement Technique by Interposing Hydroxyapatite Granules

2007 ◽  
Vol 330-332 ◽  
pp. 819-822
Author(s):  
Sok Chol Kim ◽  
Hironobu Oonishi ◽  
Hiroyuki Oonishi Jr. ◽  
Hirotsugu Ohashi
Keyword(s):  
Total Knee Arthroplasty ◽  
Bone Cement ◽  
Knee Arthroplasty ◽  
Bone Ingrowth ◽  
Clinical Results ◽  
Periprosthetic Osteolysis ◽  
Radiolucent Lines ◽  
Ha Coating ◽  
Appearance Rate ◽  
Total Knee

Improved cement technique by interposing less than two layers of hydroxyapatite (HA) granules between bone and bone cement at the cementing (Interface Bioactive Bone Cement : IBBC) have been performed in total knee arthroplasty (TKA). 140 knees (120 patients) could be followed up clinically and radiologically. As a control, clinical results of TKA with conventional cementing (Non-IBBC) were used. In IBBC cases, the appearance rate of the radiolucent lines on the tibial components and the periprosthetic osteolysis of the tibial components were significantly low. In IBBC, bone cement bound to HA mechanically immediately after surgery and HA granules bound to the bone physicochemically after bone ingrowth into the spaces around the HA granules. Thus, we believe that IBBC is a method combining the advantage of cementless HA coating and bone cement.

scholarly journals Study of amikacin sulfate-impregnated bone cement on total knee replacement.

1986 ◽  
Vol 17 (4) ◽  
pp. 727-734
Author(s):  
Yoshito ETO ◽  
Naoki OKAYAMA ◽  
Hisatoshi FURUSAWA ◽  
Ikuo NAGAYA
Keyword(s):  
Total Knee Replacement ◽  
Bone Cement ◽  
Knee Replacement ◽  
Total Knee ◽  
Amikacin Sulfate

Long-term outcome of total knee replacement in patients with rheumatoid arthritis

2008 ◽  
Vol 75 (2) ◽  
pp. 163-166 ◽  
Author(s):  
Klemmens Trieb ◽  
Maximillian Schmid ◽  
Thomas Stulnig ◽  
Wolfgang Huber ◽  
Axel Wanivenhaus
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Total Knee

Total Knee Replacement Arthroplasty in Rheumatoid Arthritis

1990 ◽  
Vol 25 (5) ◽  
pp. 1430
Author(s):  
Sang Cheol Seong ◽  
Choong Hee Won ◽  
Kang Sup Yoon ◽  
Bong Goo Yeo ◽  
Dae Geun Jeon
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Replacement Arthroplasty ◽  
Knee Replacement Arthroplasty ◽  
Total Knee

Clinical Results of Cementless Total Knee Replacement

1994 ◽  
Vol 29 (1) ◽  
pp. 191
Author(s):  
Myung Sang Moon ◽  
Young Kyun Woo ◽  
Soon Yong Kwon ◽  
Sung Chul Kim ◽  
Doo Hoon Sun ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Clinical Results ◽  
Total Knee

Comparative study of total knee replacement in rheumatoid arthritis and osteoarthritis

1993 ◽  
Vol 28 (6) ◽  
pp. 1972
Author(s):  
Young Lim ◽  
Jin Goo Kim ◽  
Jae Youl Choi ◽  
Jeong Kook Seo ◽  
Han Suk Ko ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Replacement ◽  
Comparative Study ◽  
Knee Replacement ◽  
Total Knee

scholarly journals Bicompartmental Knee Arthroplasty (BKA) in comparison to unicompartmental (UKA), Patellofemoral (PFA) ans total knee arthroplasty (TKA) – Early Clinical Results

2019 ◽  
Vol 7 (6_suppl4) ◽  
pp. 2325967119S0023
Author(s):  
Johannes Holz ◽  
Stefan Schneider ◽  
Ansgar Ilg ◽  
Rene Kaiser
Keyword(s):  
Total Knee Arthroplasty ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Knee Arthroplasty ◽  
Patient Reported Outcomes ◽  
Clinical Results ◽  
Single Center ◽  
Patient Reported ◽  
Total Knee ◽  
Bicompartmental Arthroplasty

Aims and Objectives: The purpose was to evaluate the clinical outcomes of patients with knee osteoarthritis treated with bicompartmental arthroplasty (BKA) in comparison to unicompartmental (UKA), patellofemoral (PFA) and total knee arthroplasty (TKA) in a single center. Materials and Methods: This is a prospective study analyzing a consecutive series of 396 patients from two surgeons in a single center. In 191 men and 205 women either partial or total knee replacement were performed. Their mean age at surgery was 63±6,85 years and mean BMI 29,55±5,00 kg/m2. In 238 patients UKA, in 125 TKA, in 21 PFA and in 11 patients BKA was performed. Implants were cemented and made of cobalt chrome in partial knee and zirconium oxide in total knee replacement. Demographics and patient reported outcomes (VAS, KOOS, Oxford Knee Score (OKS)) were collected preoperatively and 3,6 and 12 months postoperatively. A total of 202 patients have thus far completed the 12 months follow-up time point. Results: All mean KOOS and OKS scores improved significantly 1 year after surgery (p<0.05). Mean preoperative aggregated KOOS improved from 49,0±14,1 to 74,3±17,8 in UKA, from 44,1±12,9 to 67,5±9,4 in PFA, from 46,1±15,1 to 71,0±14,8 in TKA and from 45,7±13,8 to 72,6±9,7 in BKA (p<0.05). Mean preoperative aggregated OKS improved from 25,1±7,6) to 38,5±9,7 in UKA, from 23,0±7,6 to 36,8±3,8 in PFA, from 23,4±8,2 to 37,3±8,1 in TKA and from 22,9±9,6 to 37,0±1,5 in BKA (p<0.05). The mean pain level (VAS)decreased from pre-treatment to 12 months after surgery in UKA from 5,5 to 1,6, in PFA from 6,1 to 2,5, in TKA from 6,0 to 1,9 and in BKA from 6,6 to 2,6. One patient (0.4%) underwent revision (at 3 month for inlay dislocation). Conclusion: This study shows excellent early clinical results of patients treated with unicompartmental, bicompartmental and total knee arthroplasty. Adherence to strict indications lead to a significant improvement of patient reported outcomes and a low revision rate one year postoperatively. The reported results for BKA are comparable to those of patients treated with unicompartmental arthroplasty. We conclude that bicompartmental arthroplasty is a safe and reliable surgery for patients with bicompartmental osteoarthritis.

scholarly journals Functional outcome of total knee replacement for inflammatory arthritis of knee

2020 ◽  
pp. 221049172097184
Author(s):  
Madhan Jeyaraman ◽  
Dushyant Chaudhary
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Replacement ◽  
Functional Outcome ◽  
Knee Replacement ◽  
Inflammatory Arthritis ◽  
Bivariate Analysis ◽  
Inflammatory Disorder ◽  
Joint Movement ◽  
Functional Scores ◽  
Total Knee

Introduction: Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory disorder that involves symmetrical small and large joints. Despite DMARDs, biological agents and anti-inflammatory agents, severe damage to the joint cartilage occurs, mainly due to the growing synovium. Total knee replacement in RA has been an enormous boon to those who are suffering from pain and deformity because of severe restriction of knee joint movement. Objectives: To evaluate the clinical, functional and radiological outcomes after TKR for inflammatory arthropathy and to identify potential factors that affect the functional outcome after TKR for Rheumatoid Arthritis. Materials and Methods: Patients who underwent total knee arthroplasty for rheumatoid arthritis during the period 2011–2018 were recruited for the study after informed consent. The American Knee Society scores and functional scores were used for the functional outcome and assessment. Preoperative scores were obtained from previous medical records. Paired t test was done to determine the significance in changes between the preoperative and postoperative scores. Bivariate analysis using Spearman correlation and logistic regression analysis was performed to assess the influence of various factors on the postoperative knee scores. Results: The average age of patients at the time of TKR was 54 years, all were in stage IV disease, and the majority were women (n = 20). The significant improvement (p = 0.000) was observed between the preoperative (57.3) and postoperative (97.4) Knee Society scores, as well as improvement in functional scores from 36.3 preoperative to 85.2 points postoperatively after TKR. Steroid usage had a significant positive correlation. The duration of disease and involvement of the other joint had a significant negative correlation to postoperative functional scores. Conclusion: Total Knee Replacement has been proved as one of the most successful surgical interventions for reducing pain and enhancing physical function in inflammatory arthritis patients.

Influence of the post-operative axis on the clinical results of total knee replacement for severe varus deformities: does a slight residual varus improve the results?

2018 ◽  
Vol 43 (7) ◽  
pp. 1621-1626 ◽  
Author(s):  
Dominique Saragaglia ◽  
Loïc Sigwalt ◽  
Ramsay Refaie ◽  
Brice Rubens-Duval ◽  
Gabriel Lateur ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Clinical Results ◽  
Total Knee
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