Higher bone cement volume in total knee arthroplasty lowers the risk of postoperative radiolucent lines
Purpose The aim of this multicenter study was to analyze the potential impact of patient demographics and cementation technique towards the development of radiolucent lines (RLLs) in primary total knee arthroplasty (TKA). It was hypothesized that cementation techniques, including higher cement volum...
Gespeichert in:
| Hauptverfasser: | , , , , , , , , , , , , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
15 January 2025
|
| In: |
Knee surgery, sports traumatology, arthroscopy
Year: 2025, Jahrgang: 33, Heft: 6, Pages: 2179-2186 |
| ISSN: | 1433-7347 |
| DOI: | 10.1002/ksa.12582 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1002/ksa.12582 Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/ksa.12582 
|
| Verfasserangaben: | Maximilian Keintzel, Maria A. Smolle, Kevin Staats, Christoph Böhler, Reinhard Windhager, Amir Koutp, Andreas Leithner, Stefanie Donner, Carsten Perka, Tobias Reiner, Tobias Renkawitz, Alexandra Leica, Manuel Sava, Michael Hirschmann, Patrick Sadoghi |
MARC
| LEADER | 00000naa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1931920885 | ||
| 003 | DE-627 | ||
| 005 | 20250728190111.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 250728s2025 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1002/ksa.12582 |2 doi | |
| 035 | |a (DE-627)1931920885 | ||
| 035 | |a (DE-599)KXP1931920885 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Keintzel, Maximilian |e VerfasserIn |0 (DE-588)1372607420 |0 (DE-627)1931920990 |4 aut | |
| 245 | 1 | 0 | |a Higher bone cement volume in total knee arthroplasty lowers the risk of postoperative radiolucent lines |c Maximilian Keintzel, Maria A. Smolle, Kevin Staats, Christoph Böhler, Reinhard Windhager, Amir Koutp, Andreas Leithner, Stefanie Donner, Carsten Perka, Tobias Reiner, Tobias Renkawitz, Alexandra Leica, Manuel Sava, Michael Hirschmann, Patrick Sadoghi |
| 264 | 1 | |c 15 January 2025 | |
| 300 | |b Illustrationen | ||
| 300 | |a 8 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 28.07.2025 | ||
| 520 | |a Purpose The aim of this multicenter study was to analyze the potential impact of patient demographics and cementation technique towards the development of radiolucent lines (RLLs) in primary total knee arthroplasty (TKA). It was hypothesized that cementation techniques, including higher cement volume, double-layer cementation technique and hardening in full extension, reduce RLL incidence by improving stability, whereas demographic factors such as age, BMI and smoking may increase RLL risk by affecting bone quality and mechanical loading. Methods Altogether, 776 patients (median age: 70.7 years; 39.2% males) underwent TKA at five tertiary orthopaedic centres between 11/2013 and 04/2023. X-rays were analyzed retrospectively for the evaluation of RLLs taken between 6 and 36 months from surgery. RLLs on anterior-posterior and lateral X-rays taken at a median of 14 months (range: 6-36) from primary surgery were evaluated using the Knee Society roentgenographic evaluation and scoring system. Potential associations of demographics and cementation technique on the occurrence of RLLs during follow-up were analyzed with uni- and multivariate logistic regression models. Results The overall incidence of RLLs around the TKA amounted to 37.4% (n = 290), with the tibial component (29.4%) being more commonly affected than the femoral component (15.0%). Patient age, gender, BMI and smoking habits were not significantly associated with higher incidence of RLLs (p > 0.05). The amount of cement used (odds ratio: 0.99; 95% confidence interval: 0.98-0.99; p = 0.028) was independently associated with a lower incidence of RLLs, irrespective of the double- versus single-layer cementation technique, cement hardening in full extension and time required for the X-ray. Conclusions No influence of demographic data on the incidence of RLL was found, yet specific cementation techniques appeared beneficial. Future studies with longer follow-up periods are required to provide further insight into the herein-made preliminary findings and to assess potential associations with long-term aseptic loosening rates. Level of Evidence Level III, retrospective observational study. | ||
| 650 | 4 | |a aseptic loosening | |
| 650 | 4 | |a cementation technique | |
| 650 | 4 | |a radiolucent lines | |
| 650 | 4 | |a total knee arthroplasty | |
| 700 | 1 | |a Smolle, Maria A. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Staats, Kevin |e VerfasserIn |4 aut | |
| 700 | 1 | |a Böhler, Christoph |e VerfasserIn |4 aut | |
| 700 | 1 | |a Windhager, Reinhard |e VerfasserIn |4 aut | |
| 700 | 1 | |a Koutp, Amir |e VerfasserIn |4 aut | |
| 700 | 1 | |a Leithner, Andreas |e VerfasserIn |4 aut | |
| 700 | 1 | |a Donner, Stefanie |e VerfasserIn |4 aut | |
| 700 | 1 | |a Perka, Carsten |e VerfasserIn |4 aut | |
| 700 | 1 | |a Reiner, Tobias |d 1982- |e VerfasserIn |0 (DE-588)1038723787 |0 (DE-627)766370356 |0 (DE-576)392759853 |4 aut | |
| 700 | 1 | |a Renkawitz, Tobias |d 1976- |e VerfasserIn |0 (DE-588)129303615 |0 (DE-627)392614979 |0 (DE-576)297588028 |4 aut | |
| 700 | 1 | |a Leica, Alexandra |e VerfasserIn |4 aut | |
| 700 | 1 | |a Sava, Manuel |e VerfasserIn |4 aut | |
| 700 | 1 | |a Hirschmann, Michael |e VerfasserIn |4 aut | |
| 700 | 1 | |a Sadoghi, Patrick |e VerfasserIn |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Knee surgery, sports traumatology, arthroscopy |d Berlin : Springer, 1993 |g 33(2025), 6 vom: Juni, Seite 2179-2186 |h Online-Ressource |w (DE-627)268761787 |w (DE-600)1473170-8 |w (DE-576)094425191 |x 1433-7347 |7 nnas |a Higher bone cement volume in total knee arthroplasty lowers the risk of postoperative radiolucent lines |
| 773 | 1 | 8 | |g volume:33 |g year:2025 |g number:6 |g month:06 |g pages:2179-2186 |g extent:8 |a Higher bone cement volume in total knee arthroplasty lowers the risk of postoperative radiolucent lines |
| 856 | 4 | 0 | |u https://doi.org/10.1002/ksa.12582 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |
| 856 | 4 | 0 | |u https://onlinelibrary.wiley.com/doi/abs/10.1002/ksa.12582 |x Verlag |z kostenfrei |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20250728 | ||
| 993 | |a Article | ||
| 994 | |a 2025 | ||
| 998 | |g 129303615 |a Renkawitz, Tobias |m 129303615:Renkawitz, Tobias |d 50000 |e 50000PR129303615 |k 0/50000/ |p 11 | ||
| 998 | |g 1038723787 |a Reiner, Tobias |m 1038723787:Reiner, Tobias |d 910000 |d 911460 |d 50000 |e 910000PR1038723787 |e 911460PR1038723787 |e 50000PR1038723787 |k 0/910000/ |k 1/910000/911460/ |k 0/50000/ |p 10 | ||
| 999 | |a KXP-PPN1931920885 |e 4750225517 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"person":[{"given":"Maximilian","role":"aut","family":"Keintzel","display":"Keintzel, Maximilian"},{"display":"Smolle, Maria A.","family":"Smolle","given":"Maria A.","role":"aut"},{"family":"Staats","display":"Staats, Kevin","given":"Kevin","role":"aut"},{"family":"Böhler","display":"Böhler, Christoph","given":"Christoph","role":"aut"},{"display":"Windhager, Reinhard","family":"Windhager","role":"aut","given":"Reinhard"},{"role":"aut","given":"Amir","display":"Koutp, Amir","family":"Koutp"},{"role":"aut","given":"Andreas","family":"Leithner","display":"Leithner, Andreas"},{"role":"aut","given":"Stefanie","display":"Donner, Stefanie","family":"Donner"},{"given":"Carsten","role":"aut","family":"Perka","display":"Perka, Carsten"},{"given":"Tobias","role":"aut","family":"Reiner","display":"Reiner, Tobias"},{"display":"Renkawitz, Tobias","family":"Renkawitz","given":"Tobias","role":"aut"},{"given":"Alexandra","role":"aut","family":"Leica","display":"Leica, Alexandra"},{"role":"aut","given":"Manuel","display":"Sava, Manuel","family":"Sava"},{"given":"Michael","role":"aut","display":"Hirschmann, Michael","family":"Hirschmann"},{"given":"Patrick","role":"aut","display":"Sadoghi, Patrick","family":"Sadoghi"}],"language":["eng"],"title":[{"title":"Higher bone cement volume in total knee arthroplasty lowers the risk of postoperative radiolucent lines","title_sort":"Higher bone cement volume in total knee arthroplasty lowers the risk of postoperative radiolucent lines"}],"note":["Gesehen am 28.07.2025"],"origin":[{"dateIssuedDisp":"15 January 2025","dateIssuedKey":"2025"}],"type":{"media":"Online-Ressource","bibl":"article-journal"},"relHost":[{"corporate":[{"role":"isb","display":"European Society of Sports Traumatology, Knee Surgery and Arthroscopy"}],"language":["eng"],"part":{"volume":"33","extent":"8","pages":"2179-2186","year":"2025","text":"33(2025), 6 vom: Juni, Seite 2179-2186","issue":"6"},"titleAlt":[{"title":"KSSTA"},{"title":"official journal of the ESSKA ; organ of ESSKA, European Society of Sports Traumatology, Knee Surgery and Arthroscopy"}],"pubHistory":["1.1993 -"],"note":["Erscheint unregelmäßig","Gesehen am 26.09.2024","Teils ungezählte Beil.: Supplement"],"origin":[{"publisherPlace":"Berlin ; Heidelberg ; Berlin ; Heidelberg ; New York, NY","dateIssuedDisp":"1993-","publisher":"Springer ; Springer","dateIssuedKey":"1993"}],"title":[{"title":"Knee surgery, sports traumatology, arthroscopy","title_sort":"Knee surgery, sports traumatology, arthroscopy","subtitle":"KSSTA ; official journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA)"}],"type":{"bibl":"periodical","media":"Online-Ressource"},"disp":"Higher bone cement volume in total knee arthroplasty lowers the risk of postoperative radiolucent linesKnee surgery, sports traumatology, arthroscopy","recId":"268761787","physDesc":[{"extent":"Online-Ressource"}],"id":{"zdb":["1473170-8"],"issn":["1433-7347"],"eki":["268761787"]}}],"recId":"1931920885","physDesc":[{"noteIll":"Illustrationen","extent":"8 S."}],"name":{"displayForm":["Maximilian Keintzel, Maria A. Smolle, Kevin Staats, Christoph Böhler, Reinhard Windhager, Amir Koutp, Andreas Leithner, Stefanie Donner, Carsten Perka, Tobias Reiner, Tobias Renkawitz, Alexandra Leica, Manuel Sava, Michael Hirschmann, Patrick Sadoghi"]},"id":{"eki":["1931920885"],"doi":["10.1002/ksa.12582"]}} | ||
| SRT | |a KEINTZELMAHIGHERBONE1520 | ||