Advertisement

Quando non usare il cemento

  • F. P. Di Carlo
  • S. Franzese
  • V. Di Carlo
  • M. P. Germano

Estratto

Risale alla fine degli anni’ 70,primi anni’ 80 l’introduzione degli impianti protesici non cementati, prima di anca, in seguito di ginocchio. I risultati ottenuti non furono però entusiasmanti: il disegno non ideale della protesi, l’usura del polietilene con conseguente osteolisi periprotesica e importanti quadri di metallosi furono di volta in volta indicati come la causa del fallimento dell’impianto [1, 2, 3, 4]. Tali inconvenienti hanno,almeno nelle fasi iniziali, influito negativamente sulla ricerca e sullo sviluppo di protesi non cementate insieme all’evoluzione migliorativa dei disegni protesici cementati, all’affinamento delle modalità di cementazione, alla pubblicazione in letteratura di lavori di revisione clinica a più di 10 anni di pazienti operati con impianti cementati i cui risultati venivano classificati eccellenti e/o comunque buoni [3, 5, 6, 7].

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliografia

  1. 1.
    Cuckler JM, Lemons J, Tamarapalli JR (2003) Polyethylene damage on the non articular surface of modular total knee prosthesis. Clin Orthop 410:248–253PubMedCrossRefGoogle Scholar
  2. 2.
    Nomble PC, Conditt MA, Thompson MT (2003) Extra-articular abrasive wear on cemented and cementless total knee arthroplasty. Clin Orthop 416:120–128CrossRefGoogle Scholar
  3. 3.
    Reilly MA, Walker PS (1982) Effects of tibial component on load transfer in upper tibia. Clin Orthop 165:273–282PubMedGoogle Scholar
  4. 4.
    Wasielewski RC, Park N, Williams I (2001) Tibial insert undersurface as a contributing source of polyethylene wear. Clin Orthop 388:10–17CrossRefGoogle Scholar
  5. 5.
    Gill GS, Joshi HB, Mills DM (1999) Total condylar knee arthroplasty. 16-to 21-year results. Clin Orthop (367):210–215PubMedGoogle Scholar
  6. 6.
    Gill GS, Joshi HB (2001) Long result of kinematic condylar knee replacement: an analysis of 404 knees. J Bone Joint Surg Br 83:355–358PubMedCrossRefGoogle Scholar
  7. 7.
    Laskin RS (2001) The genesis total knee prosthesis: a 10-year follow-up study. Clin Orthop (388):95–102PubMedCrossRefGoogle Scholar
  8. 8.
    Callaghan JJ, Squire MW, Goetz DD et al (2000) Cemented rotating-platform total knee replacement. A nine to twelve-year follow-up study. J Bone Joint Surg Am 82:705–711PubMedCrossRefGoogle Scholar
  9. 9.
    Hofman AA, Evanich JD, Ferguson RP (2001) Ten to 14 year clinical follow-up of the cementless natural knee system. Clin Orthop (388):85–94CrossRefGoogle Scholar
  10. 10.
    Ritter MA, Berend ME, Mending JB (2001) Long term follow-up of anatomic graduated components posterior cruciate retaining total knee replacement. Clin Orthop (388):51–57PubMedCrossRefGoogle Scholar
  11. 11.
    Whiteside LA (2001) Long-term follow-up of the bone-ingrowth Ortholoc knee system without a metal-backed patella. Clin Orthop (388):77–84PubMedCrossRefGoogle Scholar
  12. 12.
    Walker PS, Greene D, Reilly DT (1981) Fixation of tibial component of knee prothesis. J Bone Joint Surg Am 63:258–267PubMedGoogle Scholar
  13. 13.
    Fuiko R, Zembisch A, Loyoddin M (2003) Osteointegration and implant position after cementless total knee replacement. Clin Orthop 408:201–208PubMedCrossRefGoogle Scholar
  14. 14.
    Onsten I, Nordqvist A, Calsson AS, Besjakov J (1998) Hydroxyapatite augmentation of the porous coating improves fixation of tibial components. A randomized RSA study in 116 patients. J Bone Joint Surg Br 80:417–425PubMedCrossRefGoogle Scholar
  15. 15.
    Forster MC (2003) Survival analysis of primary cemented total knee arthroplasty: which design last? J Arthroplasty 18:265–270PubMedCrossRefGoogle Scholar
  16. 16.
    Chockalingam S, Scott G (2000) The outcome of cemented vs. cementless fixation of a femoral component in total knee replacement (TKR) with identification of radiological sign for prediction of failure. Knee 7:233–238CrossRefGoogle Scholar
  17. 17.
    Duffy GP, Berry DJ, Rand JA (1998) Cemented versus cementless fixation knee arthroplasty. Clin Orthop (356):66–72PubMedCrossRefGoogle Scholar
  18. 18.
    Khaw FM, Kirk LM, Morris RW, Gregg PJ (2002) A randomised, controlled trial of cemented versus cementless press-fit condylar total knee replacement. Ten-year survival analysis. J Bone Joint Surg Am 84:658–666CrossRefGoogle Scholar
  19. 19.
    Bert J, McShane M (1988) It is necessary to cement the tibial stem in knee arthroplasty? Clin Orthop (356):73–78Google Scholar
  20. 20.
    Ritter M, Herbst S, Keating M (1994) Radiolucency at the bone cement interface in total knee replacement. The effect of bone surface preparation and cement technique. J Bone Joint Surg Am 76:60–65PubMedGoogle Scholar
  21. 21.
    Berman A, Parmet J, Harding S (1998) Emboli observed with use of transoesophageal echocardiomiography immediately after tourniquet release during total knee arthroplasty with cement. J Bone Joint Surg Am 80:389–396PubMedGoogle Scholar
  22. 22.
    Seki T, Omori G, Koga Y et al (1999) Is bone density in the distal femur affected by use of cement and by femoral component design in total knee arthroplasty? J Orthop Sci 4:180–186PubMedCrossRefGoogle Scholar
  23. 23.
    Krackow KA, Hungerford DS (1988) Uncemented total knee arthroplasty: a two to eight years survey and analysis of multi-center, multi-system result. Am J Knee Surgery 1:42Google Scholar
  24. 24.
    Watanabe H, Akizuki S, Takizawa T (2004) Survival analysis of a cementless, cruciate-retaining total knee arthroplasty. Clinical and radiographic assessment 10 to 13 years after surgery. J Bone Joint Surg Br 86:824–829PubMedCrossRefGoogle Scholar
  25. 25.
    Sansone V, da Gama Malcher M (2004) Mobile-bearing total knee prosthesis: a 5-to 9-year follow-up of the first 110 consecutive arthroplasties. J Arthroplasty 19:678–685PubMedCrossRefGoogle Scholar
  26. 26.
    Bassett RW (1998) Result of 1000 Performance knees; cementless versus cemented fixation. J Arthroplasty 13:409–413PubMedCrossRefGoogle Scholar
  27. 27.
    Sumner DR, Berzins A, Turner TM, Igloria R (1994) Requirements for successful total knee replacements. Design considerations. J Biomech 27:929–939PubMedCrossRefGoogle Scholar
  28. 28.
    Walker PS (1989) Requirements for successful total knee replacements. Design considerations. Orthop Clin North Am 20:15–29PubMedGoogle Scholar
  29. 29.
    Stern SH, Wills RD, Gilbert JL (1997) The effect of tibial stem design on component micromotion in knee arthroplasty. Clin Orthop (345):44–52PubMedGoogle Scholar
  30. 30.
    Voltz R, Nisbet J, Lee W (1995) The mechanical stability of various noncemented tibial components. Clin Orthop 226:38–42Google Scholar
  31. 31.
    Sumner DR, Berzins A, Turner TM, Igloria R (1994) Initial in vitro stability of the tibial component in a canine model of cementless total knee replacement. J Biomech 27:929–939PubMedCrossRefGoogle Scholar
  32. 32.
    Sato M, Slamovich EB, Webster TJ (2004) Enhanced osteoblast adhesion on hydrothermally-treated hydroxyapatite/titania/poly(lactide-co-glycolide) sol-gel titanium coatings. Biomaterials 26:1349–1357CrossRefGoogle Scholar
  33. 33.
    Bellemans J (1999) Osteointegration in porous coated knee arthroplasty. The influence of component coating type in sheep. Acta Orthop Scand 288[Suppl]:1–35Google Scholar
  34. 34.
    Soballe K, Hansen E (1990) Hydroxyapatite coating enhances fixation of porous coated implants. A comparison in dogs between press-fit and non interference fit. Acta Orthop Scand 61:299–306PubMedGoogle Scholar
  35. 35.
    Xie J, Baumann MJ, McCabe LR (2004) Osteoblasts respond to hydroxyapatite surfaces with immediate changes in gene expression. J Biomed Mater Res 71:108–117CrossRefGoogle Scholar
  36. 36.
    Rand JA (1991) Cement or cementless fixation in total knee arthroplasty? Clin Orthop (273):52–62PubMedGoogle Scholar
  37. 37.
    Li MG, Nilsson KG (2000) The effect of the preoperative bone quality on the fixation of the tibial component in total knee arthroplasty. J Arthroplasty 15:744–753PubMedCrossRefGoogle Scholar
  38. 38.
    Petersen MM, Nielsen PT, Lebech A (1999) Preoperative bone mineral density of the proximal tibia and migration of the tibial component after uncemented total knee arthroplasty. J Arthroplasty 14:77–81PubMedCrossRefGoogle Scholar
  39. 39.
    Cho P, Schneider GB, Krizan K, Keller JC (2004) Examination of the bone-implant interface in experimentally induced osteoporotic bone. Implant Dent 13:79–87PubMedCrossRefGoogle Scholar
  40. 40.
    Sugita T, Umehara J, Sato K (1999) Influence of tibial bone quality on loosening of the tibial component in total knee arthroplasty for rheumatoid arthritis: long-term results. Orthopedics 22:213–215268PubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 2005

Authors and Affiliations

  • F. P. Di Carlo
    • 1
  • S. Franzese
    • 1
  • V. Di Carlo
    • 1
  • M. P. Germano
    • 2
  1. 1.Struttura ComplessaOrtopedia e TraumatologiaItaly
  2. 2.Struttura Complessa, Radiologia IIAzienda Ospedaliero-Universitaria Policlinico RiunitiFoggia

Personalised recommendations