Subscribe to RSS
DOI: 10.1055/s-0041-1731355
Estudo radiográfico em pacientes submetidos à artroplastia total de joelho não cimentada: Segmento mínimo de 2 anos[*]
Article in several languages: português | EnglishResumo
Objetivo Avaliar radiograficamente a existência de sinais de soltura precoce das artroplastias totais de joelho não cimentadas Score (Amplitude Surgical SAS, Valence, France), verificadas com um tempo de seguimento que variou de 2 a 5,75 anos (média de 3,75 anos).
Métodos Investigação longitudinal descritiva de caráter observacional, não comparativa, realizada através de estudo radiográfico estático de controle anual, de uma série de casos, em um único centro, todos operados pelo mesmo cirurgião (S.M.). Foram incluídas todas as artroplastias não cimentadas que se enquadraram nos critérios de inclusão e exclusão realizadas no período de março de 2012 a outubro de 2014.
Resultados Dentre as 46 artroplastias de joelho não cimentadas avaliadas em 40 pacientes, não foram verificados sinais radiográficos de soltura precoce.
Conclusão A artroplastia não cimentada promove ótima osteointegração, não havendo soltura precoce, sendo fundamental que a técnica cirúrgica seja perfeitamente respeitada.
* Trabalho realizado no Serviço de Cirurgia do Joelho do Instituto de Fraturas, Ortopedia e Reabilitação (IFOR), São Bernardo do Campo, SP, Brasil.
Publication History
Received: 03 April 2020
Accepted: 01 December 2020
Article published online:
28 October 2021
© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referências
- 1 Silva PMGO. Prótese total do joelho – a história da arte: revisão bibliográfica [dissertação]. Covilhã: Universidade da Beira Interior; 2010
- 2 Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007; 89 (04) 780-785
- 3 Harwin SF, Elmallah RK, Jauregui JJ, Cherian JJ, Mont MA. Outcomes of a newer-generation cementless total knee arthroplasty design. Orthopedics 2015; 38 (10) 620-624
- 4 Harwin SF, Kester MA, Malkani AL, Manley MT. Excellent fixation achieved with cementless posteriorly stabilized total knee arthroplasty. J Arthroplasty 2013; 28 (01) 7-13
- 5 Lombardi Jr AV, Berasi Jr CC, Berend KR. Evolution of tibial fixation in total knee arthroplasty. J Arthroplasty 2007; 22 (04, Suppl 1): 25-29
- 6 Naudie DD, Ammeen DJ, Engh GA, Rorabeck CH. Wear and osteolysis around total knee arthroplasty. J Am Acad Orthop Surg 2007; 15 (01) 53-64
- 7 O'Rourke MR, Callaghan JJ, Goetz DD, Sullivan PM, Johnston RC. Osteolysis associated with a cemented modular posterior-cruciate-substituting total knee design : five to eight-year follow-up. J Bone Joint Surg Am 2002; 84 (08) 1362-1371
- 8 Noble PC, Conditt MA, Thompson MT. et al. Extraarticular abrasive wear in cemented and cementless total knee arthroplasty. Clin Orthop Relat Res 2003; (416) 120-128
- 9 Bert JM, McShane M. Is it necessary to cement the tibial stem in cemented total knee arthroplasty?. Clin Orthop Relat Res 1998; (356) 73-78
- 10 Clarke MT, Green JS, Harper WM, Gregg PJ. Cement as a risk factor for deep-vein thrombosis. Comparison of cemented TKR, uncemented TKR and cemented THR. J Bone Joint Surg Br 1998; 80 (04) 611-613
- 11 Nilsson KG, Kärrholm J, Carlsson L, Dalén T. Hydroxyapatite coating versus cemented fixation of the tibial component in total knee arthroplasty: prospective randomized comparison of hydroxyapatite-coated and cemented tibial components with 5-year follow-up using radiostereometry. J Arthroplasty 1999; 14 (01) 9-20
- 12 Gao F, Henricson A, Nilsson KG. Cemented versus uncemented fixation of the femoral component of the NexGen CR total knee replacement in patients younger than 60 years: a prospective randomised controlled RSA study. Knee 2009; 16 (03) 200-206
- 13 Nakama GY, Peccin MS, Almeida GJ, Lira Neto OdeA, Queiroz AA, Navarro RD. Cemented, cementless or hybrid fixation options in total knee arthroplasty for osteoarthritis and other non-traumatic diseases. Cochrane Database Syst Rev 2012; 10 (10) CD006193
- 14 Aebli N, Krebs J, Schwenke D, Hii T, Wehrli U. Progression of radiolucent lines in cementless twin-bearing low-contact-stress knee prostheses: a retrospective study. J Arthroplasty 2004; 19 (06) 783-789
- 15 Ewald FC. The Knee Society total knee arthroplasty roentgenographic evaluation and scoring system. Clin Orthop Relat Res 1989; (248) 9-12
- 16 Tai CC, Cross MJ. Five- to 12-year follow-up of a hydroxyapatite-coated, cementless total knee replacement in young, active patients. J Bone Joint Surg Br 2006; 88 (09) 1158-1163
- 17 Hungerford DS, Kenna RV, Krackow KA. The porous-coated anatomic total knee. Orthop Clin North Am 1982; 13 (01) 103-122
- 18 Rorabeck CH, Bourne RB, Lewis PL, Nott L. The Miller-Galante knee prosthesis for the treatment of osteoarthrosis. A comparison of the results of partial fixation with cement and fixation without any cement. J Bone Joint Surg Am 1993; 75 (03) 402-408
- 19 Regnér L, Carlsson L, Kärrholm J, Herberts P. Ceramic coating improves tibial component fixation in total knee arthroplasty. J Arthroplasty 1998; 13 (08) 882-889
- 20 Tírico LEP, Pasqualin T, Pécora JO, Gobbi RG, Pécora JR, Demange MK. Study on implant stability in cementless total knee arthroplasty. Acta Ortop Bras 2012; 20 (04) 230-234
- 21 Brown TE, Harper BL, Bjorgul K. Comparison of cemented and uncemented fixation in total knee arthroplasty. Orthopedics 2013; 36 (05) 380-387
- 22 Bagsby DT, Issa K, Smith LS. et al. Cemented vs Cementless Total Knee Arthroplasty in Morbidly Obese Patients. J Arthroplasty 2016; 31 (08) 1727-1731
- 23 Stähelin T, Kessler O, Pfirrmann C, Jacob HA, Romero J. Fluoroscopically assisted stress radiography for varus-valgus stability assessment in flexion after total knee arthroplasty. J Arthroplasty 2003; 18 (04) 513-515