18 Causes and Diagnosis of Aseptic Loosening After Total Knee Replacement View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2015

AUTHORS

Carlos Higuera , Javad Parvizi

ABSTRACT

Aseptic loosening after TKR is the most common cause of late failure and revision. The main culprit of aseptic loosening is increased wear of early generation polyethylene, especially in thin and low-conformity inserts, associated with some implant designs such as discontinuous porous-coating cementless components. Additionally, surgical factors such as malalignment, malposition, and uncorrected instability may contribute to aseptic loosening. It is crucial to maintain the integrity of the implant-bone interface to avoid debris penetration into the bone. Counseling of patients at risk, particularly young and active individuals with elevated body mass index, should play a role on the prevention of this condition. When aseptic loosening is the cause of an unsatisfactory outcome and warrants revision, a detailed history, physical exam, and additional test should be obtained thoroughly to avoid misdiagnosis and adverse revision results. More... »

PAGES

225-237

References to SciGraph publications

Book

TITLE

The Unhappy Total Knee Replacement

ISBN

978-3-319-08098-7
978-3-319-08099-4

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-319-08099-4_23

DOI

http://dx.doi.org/10.1007/978-3-319-08099-4_23

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1011236334


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80 schema:description Aseptic loosening after TKR is the most common cause of late failure and revision. The main culprit of aseptic loosening is increased wear of early generation polyethylene, especially in thin and low-conformity inserts, associated with some implant designs such as discontinuous porous-coating cementless components. Additionally, surgical factors such as malalignment, malposition, and uncorrected instability may contribute to aseptic loosening. It is crucial to maintain the integrity of the implant-bone interface to avoid debris penetration into the bone. Counseling of patients at risk, particularly young and active individuals with elevated body mass index, should play a role on the prevention of this condition. When aseptic loosening is the cause of an unsatisfactory outcome and warrants revision, a detailed history, physical exam, and additional test should be obtained thoroughly to avoid misdiagnosis and adverse revision results.
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