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Cementless versus cemented Oxford unicompartmental knee arthroplasty: early results of a non-designer user group
Purpose Although fewer tibial radiolucent lines are observed in cementless Oxford unicompartmental knee arthroplasty (UKA) compared with cemented Oxford UKA, an independent comparative study on this topic is lacking. Methods In this multicentre retrospective study, a cohort of 60 consecutive cases o...
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| Published in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2017-03, Vol.25 (3), p.703-709 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| container_volume | 25 |
| creator | Kerens, B. Schotanus, M. G. M. Boonen, B. Boog, P. Emans, P. J. Lacroix, H. Kort, N. P. |
| description | Purpose
Although fewer tibial radiolucent lines are observed in cementless Oxford unicompartmental knee arthroplasty (UKA) compared with cemented Oxford UKA, an independent comparative study on this topic is lacking.
Methods
In this multicentre retrospective study, a cohort of 60 consecutive cases of cementless Oxford UKA is compared with a cohort of 60 consecutive cases of cemented Oxford UKA. Radiolucent lines, survival, perioperative data and clinical results were compared.
Results
No complete tibial radiolucent lines were observed in either group. Seventeen per cent of partial tibial radiolucent lines were observed in the cementless group versus 21 % in the cemented group (n.s.). The percentage of tibial radiolucent zones was 4 versus 9 %, respectively (
p
= 0.036). Survival rates were 90 % at 34 months for the cementless group and 84 % at 54 months for the cemented group (n.s.). Mean operation time was 10 min shorter in the cementless group (
p
|
| doi_str_mv | 10.1007/s00167-016-4149-3 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1877847278</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1877847278</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-591eb66e809b84b195149e55a68cb12387f72a2741954048593a39c54a99b9d93</originalsourceid><addsrcrecordid>eNqNkU2LFDEQhoMo7jj6A7xIwIuXaD47iTcZdBUW9qLnkO6uHmft7rSpzrLz7804q4ggeKmkqp56Q-Ul5LngrwXn9g1yLhrLamBaaM_UA7IRWilmlbYPyYZ7LZnkprkgTxBvOK9X7R-TC2lFI4S3G7LsYIJ5HQGR3kLGgrT7WYGeXt8NKfe0zIcuTUvM66keR_ptBqA1_ZrTMkZcj28pxDweaQYs44o0DTTSOc2sBzzsZ8i0YA37nMrylDwa4ojw7P7cki8f3n_efWRX15efdu-uWKe5WZnxAtqmAcd963QrvKkLgjGxcV0rpHJ2sDJKq2tHc-2MV1H5zujofet7r7bk1Vl3yel7AVzDdMAOxjHOkAoG4ax12krr_gOVTWO9rF-7JS__Qm9SyXNd5CSopDPKm0qJM9XlhJhhCEs-TDEfg-Dh5Fw4OxdqCCfngqozL-6VSztB_3vil1UVkGcAa2veQ_7j6X-q_gBmkaMu</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1873285395</pqid></control><display><type>article</type><title>Cementless versus cemented Oxford unicompartmental knee arthroplasty: early results of a non-designer user group</title><source>EBSCOhost SPORTDiscus with Full Text</source><source>Springer Nature</source><source>Wiley-Blackwell Read & Publish Collection</source><creator>Kerens, B. ; Schotanus, M. G. M. ; Boonen, B. ; Boog, P. ; Emans, P. J. ; Lacroix, H. ; Kort, N. P.</creator><creatorcontrib>Kerens, B. ; Schotanus, M. G. M. ; Boonen, B. ; Boog, P. ; Emans, P. J. ; Lacroix, H. ; Kort, N. P.</creatorcontrib><description>Purpose
Although fewer tibial radiolucent lines are observed in cementless Oxford unicompartmental knee arthroplasty (UKA) compared with cemented Oxford UKA, an independent comparative study on this topic is lacking.
Methods
In this multicentre retrospective study, a cohort of 60 consecutive cases of cementless Oxford UKA is compared with a cohort of 60 consecutive cases of cemented Oxford UKA. Radiolucent lines, survival, perioperative data and clinical results were compared.
Results
No complete tibial radiolucent lines were observed in either group. Seventeen per cent of partial tibial radiolucent lines were observed in the cementless group versus 21 % in the cemented group (n.s.). The percentage of tibial radiolucent zones was 4 versus 9 %, respectively (
p
= 0.036). Survival rates were 90 % at 34 months for the cementless group and 84 % at 54 months for the cemented group (n.s.). Mean operation time was 10 min shorter in the cementless group (
p
< 0.001), and clinical results were not significantly different.
Conclusions
Although no significant differences in radiolucent lines were found between both groups, they appear to be more common in the cemented group. This confirms previous results from reports by prosthesis designers. The presence of radiolucent lines after cemented Oxford UKA does not correlate with clinical outcome or survival.
Level of evidence
III.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-016-4149-3</identifier><identifier>PMID: 27161197</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Arthritis ; Arthroplasty, Replacement, Knee - methods ; Bone Cements ; Case-Control Studies ; Designers ; Female ; Humans ; Hydroxyapatite ; Interfaces ; Joint replacement surgery ; Kaplan-Meier Estimate ; Knee ; Knee Prosthesis ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Osteoarthritis, Knee - surgery ; Patients ; Polymethyl methacrylate ; Postoperative Complications - diagnostic imaging ; Prostheses ; Prosthesis Design ; Retrospective Studies ; Tibia - diagnostic imaging ; Treatment Outcome</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017-03, Vol.25 (3), p.703-709</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2016</rights><rights>Knee Surgery, Sports Traumatology, Arthroscopy is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-591eb66e809b84b195149e55a68cb12387f72a2741954048593a39c54a99b9d93</citedby><cites>FETCH-LOGICAL-c405t-591eb66e809b84b195149e55a68cb12387f72a2741954048593a39c54a99b9d93</cites><orcidid>0000-0003-1269-6909</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27161197$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kerens, B.</creatorcontrib><creatorcontrib>Schotanus, M. G. M.</creatorcontrib><creatorcontrib>Boonen, B.</creatorcontrib><creatorcontrib>Boog, P.</creatorcontrib><creatorcontrib>Emans, P. J.</creatorcontrib><creatorcontrib>Lacroix, H.</creatorcontrib><creatorcontrib>Kort, N. P.</creatorcontrib><title>Cementless versus cemented Oxford unicompartmental knee arthroplasty: early results of a non-designer user group</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
Although fewer tibial radiolucent lines are observed in cementless Oxford unicompartmental knee arthroplasty (UKA) compared with cemented Oxford UKA, an independent comparative study on this topic is lacking.
Methods
In this multicentre retrospective study, a cohort of 60 consecutive cases of cementless Oxford UKA is compared with a cohort of 60 consecutive cases of cemented Oxford UKA. Radiolucent lines, survival, perioperative data and clinical results were compared.
Results
No complete tibial radiolucent lines were observed in either group. Seventeen per cent of partial tibial radiolucent lines were observed in the cementless group versus 21 % in the cemented group (n.s.). The percentage of tibial radiolucent zones was 4 versus 9 %, respectively (
p
= 0.036). Survival rates were 90 % at 34 months for the cementless group and 84 % at 54 months for the cemented group (n.s.). Mean operation time was 10 min shorter in the cementless group (
p
< 0.001), and clinical results were not significantly different.
Conclusions
Although no significant differences in radiolucent lines were found between both groups, they appear to be more common in the cemented group. This confirms previous results from reports by prosthesis designers. The presence of radiolucent lines after cemented Oxford UKA does not correlate with clinical outcome or survival.
Level of evidence
III.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthritis</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Bone Cements</subject><subject>Case-Control Studies</subject><subject>Designers</subject><subject>Female</subject><subject>Humans</subject><subject>Hydroxyapatite</subject><subject>Interfaces</subject><subject>Joint replacement surgery</subject><subject>Kaplan-Meier Estimate</subject><subject>Knee</subject><subject>Knee Prosthesis</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Patients</subject><subject>Polymethyl methacrylate</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Prostheses</subject><subject>Prosthesis Design</subject><subject>Retrospective Studies</subject><subject>Tibia - diagnostic imaging</subject><subject>Treatment Outcome</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqNkU2LFDEQhoMo7jj6A7xIwIuXaD47iTcZdBUW9qLnkO6uHmft7rSpzrLz7804q4ggeKmkqp56Q-Ul5LngrwXn9g1yLhrLamBaaM_UA7IRWilmlbYPyYZ7LZnkprkgTxBvOK9X7R-TC2lFI4S3G7LsYIJ5HQGR3kLGgrT7WYGeXt8NKfe0zIcuTUvM66keR_ptBqA1_ZrTMkZcj28pxDweaQYs44o0DTTSOc2sBzzsZ8i0YA37nMrylDwa4ojw7P7cki8f3n_efWRX15efdu-uWKe5WZnxAtqmAcd963QrvKkLgjGxcV0rpHJ2sDJKq2tHc-2MV1H5zujofet7r7bk1Vl3yel7AVzDdMAOxjHOkAoG4ax12krr_gOVTWO9rF-7JS__Qm9SyXNd5CSopDPKm0qJM9XlhJhhCEs-TDEfg-Dh5Fw4OxdqCCfngqozL-6VSztB_3vil1UVkGcAa2veQ_7j6X-q_gBmkaMu</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Kerens, B.</creator><creator>Schotanus, M. G. M.</creator><creator>Boonen, B.</creator><creator>Boog, P.</creator><creator>Emans, P. J.</creator><creator>Lacroix, H.</creator><creator>Kort, N. P.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1269-6909</orcidid></search><sort><creationdate>20170301</creationdate><title>Cementless versus cemented Oxford unicompartmental knee arthroplasty: early results of a non-designer user group</title><author>Kerens, B. ; Schotanus, M. G. M. ; Boonen, B. ; Boog, P. ; Emans, P. J. ; Lacroix, H. ; Kort, N. P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-591eb66e809b84b195149e55a68cb12387f72a2741954048593a39c54a99b9d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthritis</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Bone Cements</topic><topic>Case-Control Studies</topic><topic>Designers</topic><topic>Female</topic><topic>Humans</topic><topic>Hydroxyapatite</topic><topic>Interfaces</topic><topic>Joint replacement surgery</topic><topic>Kaplan-Meier Estimate</topic><topic>Knee</topic><topic>Knee Prosthesis</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Patients</topic><topic>Polymethyl methacrylate</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Prostheses</topic><topic>Prosthesis Design</topic><topic>Retrospective Studies</topic><topic>Tibia - diagnostic imaging</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kerens, B.</creatorcontrib><creatorcontrib>Schotanus, M. 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P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Physical Education Index</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kerens, B.</au><au>Schotanus, M. G. M.</au><au>Boonen, B.</au><au>Boog, P.</au><au>Emans, P. J.</au><au>Lacroix, H.</au><au>Kort, N. P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cementless versus cemented Oxford unicompartmental knee arthroplasty: early results of a non-designer user group</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>25</volume><issue>3</issue><spage>703</spage><epage>709</epage><pages>703-709</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
Although fewer tibial radiolucent lines are observed in cementless Oxford unicompartmental knee arthroplasty (UKA) compared with cemented Oxford UKA, an independent comparative study on this topic is lacking.
Methods
In this multicentre retrospective study, a cohort of 60 consecutive cases of cementless Oxford UKA is compared with a cohort of 60 consecutive cases of cemented Oxford UKA. Radiolucent lines, survival, perioperative data and clinical results were compared.
Results
No complete tibial radiolucent lines were observed in either group. Seventeen per cent of partial tibial radiolucent lines were observed in the cementless group versus 21 % in the cemented group (n.s.). The percentage of tibial radiolucent zones was 4 versus 9 %, respectively (
p
= 0.036). Survival rates were 90 % at 34 months for the cementless group and 84 % at 54 months for the cemented group (n.s.). Mean operation time was 10 min shorter in the cementless group (
p
< 0.001), and clinical results were not significantly different.
Conclusions
Although no significant differences in radiolucent lines were found between both groups, they appear to be more common in the cemented group. This confirms previous results from reports by prosthesis designers. The presence of radiolucent lines after cemented Oxford UKA does not correlate with clinical outcome or survival.
Level of evidence
III.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27161197</pmid><doi>10.1007/s00167-016-4149-3</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-1269-6909</orcidid></addata></record> |
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| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017-03, Vol.25 (3), p.703-709 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1877847278 |
| source | EBSCOhost SPORTDiscus with Full Text; Springer Nature; Wiley-Blackwell Read & Publish Collection |
| subjects | Aged Aged, 80 and over Arthritis Arthroplasty, Replacement, Knee - methods Bone Cements Case-Control Studies Designers Female Humans Hydroxyapatite Interfaces Joint replacement surgery Kaplan-Meier Estimate Knee Knee Prosthesis Male Medicine Medicine & Public Health Middle Aged Orthopedics Osteoarthritis, Knee - surgery Patients Polymethyl methacrylate Postoperative Complications - diagnostic imaging Prostheses Prosthesis Design Retrospective Studies Tibia - diagnostic imaging Treatment Outcome |
| title | Cementless versus cemented Oxford unicompartmental knee arthroplasty: early results of a non-designer user group |
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