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Kaplan Joint Center, Department of Orthopaedics, Newton-Wellesley Hospital, Newton, Massachusetts, USA
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devastating complications of joint replacement surgery, and the potential of using antibiotic-infused bone cement (AIBC) in primary cemented fixation may be an argument for its clinical superiority. Our review has demonstrated no significant difference in
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is over 2000 mL. 7 To reduce PJI infection rate, some authors advocate using antibiotic-loaded bone cement (ALBC) for the cementation. However, it was demonstrated that routine use of ALBC does not change the PJI rate, though it may be useful in
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). Longer time intervals of over eight weeks should be avoided as the antibiotic bone cement spacer loses its antibiotic concentration. 73 Increased duration between resection and re-implantation was associated with a higher risk of re-infection after
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filled up with autologous or heterologous bone graft or with bone cement. To date there is insufficient evidence about the best method, but autologous bone graft use, probably the gold standard in young patients, is related to troublesome donor site pain
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retrospective studies. We expect that additional large studies (including RCTs) will further certify our conclusions in the future. Seventh, Klasan et al. and Park et al. used antibiotic-containing bone cement during the TKA, which is a possible confounding
Osteoarticular Surgery Research, La Paz Hospital Health Research Institute – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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techniques correlated. Therefore, before rTKA, the sole utilization of the X-ray is possible. 17 Treatment options for managing bone loss in revision total knee arthroplasty The treatment options for managing bone loss in rTKA include bone cement
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, Murray Hill, New Jersey, USA) to reconstruct chronic patella tendon rupture. The mesh is fixed onto the proximal tibia through a small trough and secured with bone cement and screw fixation. The mesh is then tunnelled through the patella tendon and
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reconstruction methods, such as bone cement and screws, autologous bone grafting, or metal augmentation. If the collateral ligament cannot be properly balanced, a VVC system can be an option. For types IIb and III, it is necessary to use blocks, wedges
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Clinique Orthopédique Duval, Laval, Quebec, Canada
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Clinique Orthopédique Duval, Laval, Quebec, Canada
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occur at the bone–cement interface, poor bone quality and younger age of the patients ( 72 ). The above-described low survival rate is in contradiction with Song et al. ’s retrospective study on 131 TKA in a hemophilic population that reported 5- and 10
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Exponent, Philadelphia, Pennsylvania, USA
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prior reported problems with high rates of patellar component failure. With increased concern about aseptic loosening, tension, and osteolysis at the bone–cement interface for cemented components, these studies suggest that uncemented patellar designs