Asociación entre el uso de la pistola de lavado pulsátil con la penetración del cemento óseo en reemplazos articulares de rodilla del servicio de ortopedia y traumatología en la clínica Foscal y Foscal Internacional
Por medio de este proyecto de investigación se busca definir las medidas de penetración e intrusión del cemento óseo al hueso trabecular a nivel de la tibia proximal en los pacientes que se les realice reemplazo articular. Determinando esta medida se evaluarían los factores asociados que podrían inf...
- Autores:
-
Molina Gómez, Rafael Andrés
- Tipo de recurso:
- Fecha de publicación:
- 2022
- Institución:
- Universidad Autónoma de Bucaramanga - UNAB
- Repositorio:
- Repositorio UNAB
- Idioma:
- spa
- OAI Identifier:
- oai:repository.unab.edu.co:20.500.12749/19049
- Acceso en línea:
- http://hdl.handle.net/20.500.12749/19049
- Palabra clave:
- Medical sciences
Health sciences
Orthopedics
Traumatology
Health services
Pulsating wash gun
Use
Emergency medicine
Arthroplasty
Knee prosthesis
Ciencias médicas
Ortopedia
Traumatología
Medicina de urgencias
Artroplastia
Prótesis de rodilla
Ciencias de la salud
Servicios de salud
Pistola de lavado pulsátil
Uso
- Rights
- License
- http://creativecommons.org/licenses/by-nc-nd/2.5/co/
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| dc.title.spa.fl_str_mv |
Asociación entre el uso de la pistola de lavado pulsátil con la penetración del cemento óseo en reemplazos articulares de rodilla del servicio de ortopedia y traumatología en la clínica Foscal y Foscal Internacional |
| dc.title.translated.spa.fl_str_mv |
Association between the use of the pulsatile lavage gun with the penetration of bone cement in knee joint replacements of the orthopedics and traumatology service at the Foscal clinic and Foscal Internacional |
| title |
Asociación entre el uso de la pistola de lavado pulsátil con la penetración del cemento óseo en reemplazos articulares de rodilla del servicio de ortopedia y traumatología en la clínica Foscal y Foscal Internacional |
| spellingShingle |
Asociación entre el uso de la pistola de lavado pulsátil con la penetración del cemento óseo en reemplazos articulares de rodilla del servicio de ortopedia y traumatología en la clínica Foscal y Foscal Internacional Medical sciences Health sciences Orthopedics Traumatology Health services Pulsating wash gun Use Emergency medicine Arthroplasty Knee prosthesis Ciencias médicas Ortopedia Traumatología Medicina de urgencias Artroplastia Prótesis de rodilla Ciencias de la salud Servicios de salud Pistola de lavado pulsátil Uso |
| title_short |
Asociación entre el uso de la pistola de lavado pulsátil con la penetración del cemento óseo en reemplazos articulares de rodilla del servicio de ortopedia y traumatología en la clínica Foscal y Foscal Internacional |
| title_full |
Asociación entre el uso de la pistola de lavado pulsátil con la penetración del cemento óseo en reemplazos articulares de rodilla del servicio de ortopedia y traumatología en la clínica Foscal y Foscal Internacional |
| title_fullStr |
Asociación entre el uso de la pistola de lavado pulsátil con la penetración del cemento óseo en reemplazos articulares de rodilla del servicio de ortopedia y traumatología en la clínica Foscal y Foscal Internacional |
| title_full_unstemmed |
Asociación entre el uso de la pistola de lavado pulsátil con la penetración del cemento óseo en reemplazos articulares de rodilla del servicio de ortopedia y traumatología en la clínica Foscal y Foscal Internacional |
| title_sort |
Asociación entre el uso de la pistola de lavado pulsátil con la penetración del cemento óseo en reemplazos articulares de rodilla del servicio de ortopedia y traumatología en la clínica Foscal y Foscal Internacional |
| dc.creator.fl_str_mv |
Molina Gómez, Rafael Andrés |
| dc.contributor.advisor.none.fl_str_mv |
Reyes González, Adriana Lucila Martínez Villalba Rodríguez, Diego |
| dc.contributor.author.none.fl_str_mv |
Molina Gómez, Rafael Andrés |
| dc.contributor.cvlac.spa.fl_str_mv |
Reyes González, Adriana Lucila [0000126469] |
| dc.contributor.orcid.spa.fl_str_mv |
Reyes González, Adriana Lucila [0000-0002-9852-9345] |
| dc.contributor.apolounab.spa.fl_str_mv |
Martínez Villalba Rodríguez, Diego [rodriguez-diego-martinez-villalba] |
| dc.subject.keywords.spa.fl_str_mv |
Medical sciences Health sciences Orthopedics Traumatology Health services Pulsating wash gun Use Emergency medicine Arthroplasty Knee prosthesis |
| topic |
Medical sciences Health sciences Orthopedics Traumatology Health services Pulsating wash gun Use Emergency medicine Arthroplasty Knee prosthesis Ciencias médicas Ortopedia Traumatología Medicina de urgencias Artroplastia Prótesis de rodilla Ciencias de la salud Servicios de salud Pistola de lavado pulsátil Uso |
| dc.subject.lemb.spa.fl_str_mv |
Ciencias médicas Ortopedia Traumatología Medicina de urgencias Artroplastia Prótesis de rodilla |
| dc.subject.proposal.spa.fl_str_mv |
Ciencias de la salud Servicios de salud Pistola de lavado pulsátil Uso |
| description |
Por medio de este proyecto de investigación se busca definir las medidas de penetración e intrusión del cemento óseo al hueso trabecular a nivel de la tibia proximal en los pacientes que se les realice reemplazo articular. Determinando esta medida se evaluarían los factores asociados que podrían influir en la diferencia de medidas. Si se evidencian situaciones que alteren la intrusión del cemento, se buscaría mejorar este para prevenir complicaciones mecánicas de los componentes protésicos. Disminuyendo las complicaciones en los pacientes, se disminuiría la tasa de revisiones protésicas y el costo total de los pacientes para las aseguradoras. Por medio de las radiografías de los postoperatorios de los reemplazos articulares de rodillas, se mediría la intrusión del cemento en el hueso trabecular, tanto para la tibia proximal y fémur distal. Analizando las medidas se evaluaría el impacto del lavado previo de la cementación por medio del uso de pistola de irrigación pulsátil, comparado con el lavado por medio de jeringa/irrigación por gravedad. La diferencia de intrusión ósea se espera que sea mayor en los pacientes lavados con pistolas de irrigación a presión pulsátil comparados con los otros métodos de lavado; teniendo un mayor índice de penetración en el hueso trabecular, los componentes protésicos se adhieren mejor con menores tasas de aflojamiento asociado. Se medirá el manto de cemento óseo en las radiografías de control postoperatorio de los pacientes, en milímetros. Si se encuentra este resultado en los pacientes evaluados; se podría determinar la necesidad y pertinencia para el uso y autorización de este tipo de pistolas para todos los procedimientos de reemplazo articular en rodilla. Actualmente se conocen las técnicas de cementación y mezclado durante la intervención en el reemplazo articular; Las pistolas de irrigación pulsátil también se utilizan en otras situaciones como método para lavado de heridas y fracturas expuestas, demostrando sus beneficios locales con el barrido macroscópico de la contaminación; la mayor contraparte evidente con el uso de la pistola de lavado pulsátil, que en ocasiones obstaculiza su uso, es el alto costo del propio instrumento; para nuestro proyecto los efectos y resultados del lavado con pistola queremos con el uso de este en el lavado y medición de intrusión ósea con la colocación de las prótesis y el manto correspondiente de cemento. Conociendo los resultados en nuestra institución y grupo de pacientes,se establecería la pertinencia y necesidad de uso de la pistola de irrigación pulsátil para favorecer la intrusión del cemento en el hueso, para así evitar y disminuir la tasa de aflojamiento aséptico en los reemplazos articulares de rodilla. Correlacionando estos factores se pueden prevenir mayores costos en el manejo del aflojamiento y consecuentes revisiones de prótesis primarias. Ya que no se cuentan con registros o estudios locales – nacionales en la literatura actual que determinen la penetración del cemento óseo en los reemplazos articulares, el proyecto con sus resultados aportarían cambios y ajustes que determinarán una mejor sobrevida para las prótesis con la consecuente estabilización de los componentes protésicos por la interdigitación del cemento, y disminución de la tasa de aflojamiento que es una de las causas principales para revisión de artroplastias primarias de rodilla. |
| publishDate |
2022 |
| dc.date.issued.none.fl_str_mv |
2022 |
| dc.date.accessioned.none.fl_str_mv |
2023-02-20T14:13:30Z |
| dc.date.available.none.fl_str_mv |
2023-02-20T14:13:30Z |
| dc.type.eng.fl_str_mv |
Thesis |
| dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/masterThesis |
| dc.type.local.spa.fl_str_mv |
Tesis |
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info:eu-repo/semantics/acceptedVersion |
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http://purl.org/redcol/resource_type/TM |
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acceptedVersion |
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http://hdl.handle.net/20.500.12749/19049 |
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instname:Universidad Autónoma de Bucaramanga - UNAB |
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reponame:Repositorio Institucional UNAB |
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repourl:https://repository.unab.edu.co |
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instname:Universidad Autónoma de Bucaramanga - UNAB reponame:Repositorio Institucional UNAB repourl:https://repository.unab.edu.co |
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JORDAN JM, HELMICK CG, RENNER JB, LUTA G, DRAGOMIR AD, WOODARD J, et al. Prevalence of Hip Symptoms and Radiographic and Symptomatic Hip Osteoarthritis in African Americans and Caucasians: The Johnston County Osteoarthritis Project. J Rheumatol [Internet]. 2009 Apr [cited 2022 May 5];36(4):809–15. Available from: http://www.jrheum.org/lookup/doi/10.3899/jrheum.080677 Kahlenberg CA, Nwachukwu BU, McLawhorn AS, Cross MB, Cornell CN, Padgett DE. Patient Satisfaction After Total Knee Replacement: A Systematic Review. HSS J. 2018;14(2):192–201. Brown GA. AAOS clinical practice guideline: Treatment of osteoarthritis of the knee: Evidence-based guideline, 2nd edition. J Am Acad Orthop Surg. 2013;21(9):577–9. . Sheth NP, Husain A, Nelson CL. Surgical Techniques for Total Knee Arthroplasty: Measured Resection, Gap Balancing, and Hybrid. J Am Acad Orthop Surg. 2017;25(7):499–508. Jaffe WL, Dundon JM, Camus T. Alignment and balance methods in total knee arthroplasty. J Am Acad Orthop Surg. 2018;26(20):709–16. Ritter MA, Herbst SA, Keating EM, Faris PM. Radiolucency at the Bone-Cement Total Interface Knee. J Bone Jt Surg. 1994;76-A:60–5. Heidari B. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I. Casp J Intern Med. 2011;2(2):205–12. Refsum AM, Nguyen U V., Gjertsen JE, Espehaug B, Fenstad AM, Lein RK, et al. Cementing technique for primary knee arthroplasty: a scoping review. Acta Orthop. 2019;90(6):582–9. Schlegel UJ, Siewe J, Delank KS, Eysel P, Püschel K, Morlock MM, et al. Pulsed lavage improves fixation strength of cemented tibial components. Int Orthop. 2011;35(8):1165–9. Cassar-Gheiti AJ, McColgan R, Kelly M, Cassar-Gheiti TM, Kenny P, Murphy CG. Current concepts and outcomes in cemented femoral stem design and cementation techniques: The argument for a new classification system. EFORT Open Rev. 2020;5(4):241–52. Pujol N, Verdot FX, Chambat P. Qualité du scellement tibial dans les arthroplasties totales du genou : scellement en un ou deux temps des pièces tibiale et fémorale. Étude prospective comparative. Rev Chir Orthop Reparatrice Appar Mot. 2008;94(3):241–6. Vanlommel J, Luyckx JP, Labey L, Innocenti B, De Corte R, Bellemans J. Cementing the Tibial Component in Total Knee Arthroplasty. Which Technique is the Best? J Arthroplasty [Internet]. 2011;26(3):492–6. Available from: http://dx.doi.org/10.1016/j.arth.2010.01.107 Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM. Why are total knee arthroplasties failing today? Clin Orthop Relat Res. 2002;404(404):7–13. Sharkey PF, Lichstein PM, Shen C, Tokarski AT, Parvizi J. Why are total knee arthroplasties failing today-has anything changed after 10 years? J Arthroplasty [Internet]. 2013;29(9):1774–8. Available from: http://dx.doi.org/10.1016/j.arth.2013.07.024 Scheele C, Pietschmann MF, Schröder C, Grupp T, Holderied M, Jansson V, et al. Effect of lavage and brush preparation on cement penetration and primary stability in tibial unicompartmental total knee arthroplasty: An experimental cadaver study. Knee [Internet]. 2017;24(2):402–8. Available from: http://dx.doi.org/10.1016/j.knee.2016.09.015 Nagel K, Bishop NE, Schlegel UJ, Püschel K, Morlock MM. The Influence of Cement Morphology Parameters on the Strength of the Cement-Bone Interface in Tibial Tray Fixation. J Arthroplasty [Internet]. 2017;32(2):563-569.e1. Available from: http://dx.doi.org/10.1016/j.arth.2016.08.013 Schlegel UJ, Püschel K, Morlock MM, Nagel K. An in vitro comparison of tibial tray cementation using gun pressurization or pulsed lavage. Int Orthop. 2014;38(5):967–71. Dinh NL, Chong AC, Walden JK, Adrian SC, Cusick RP. Intrusion Characteristics of High Viscosity Bone Cements for the Tibial Component of a Total Knee Arthroplasty Using Negative Pressure Intrusion Cementing Technique. Iowa Orthop J. 2016;36:161–6. Clarius M, Hauck C, Seeger JB, James A, Murray DW, Aldinger PR. Pulsed lavage reduces the Versión 1.0 , 01/07/2022 39 incidence of radiolucent lines under the tibial tray of Oxford unicompartmental knee arthroplasty : PPulsed lavage versus syringe lavage. Int Orthop. 2009;33(6):1585–90. Kalteis T, Pförringer D, Herold T, Handel M, Renkawitz T, Plitz W. An experimental comparison of different devices for pulsatile high-pressure lavage and their relevance to cement intrusion into cancellous bone. Arch Orthop Trauma Surg. 2007;127(10):873–7. Bert JM, McShane M. Is it necessary to cement the tibial stem in cemented total knee arthroplasty? Clin Orthop Relat Res. 1998;356(356):73–8. Papas PV, Congiusta D, Cushner FD. Cementless versus Cemented Fixation in Total Knee Arthroplasty. J Knee Surg. 2019;32(7):596–9. Lespasio MJ, Piuzzi NS, Husni ME, Muschler GF, Guarino AJ, Mont MA. Knee Osteoarthritis : A Primer. 2017;1–7. Roos EM, Arden NK. Strategies for the prevention of knee osteoarthritis. Nat Rev Rheumatol [Internet]. 2016;12(2):92–101. Available from: http://dx.doi.org/10.1038/nrrheum.2015.135 Greene MA, Loeser RF. Aging-related inflammation in osteoarthritis. Osteoarthr Cartil. 2015;23(11):1966–71. Coggon D, Reading I, Croft P, McLaren M, Barrett D, Cooper C. Knee osteoarthritis and obesity. Int J Obes. 2001;25(5):622–7. Martinez-Cano JP, Zamudio-Castilla L, Chica J, Martinez-Arboleda JJ, Sanchez-Vergel A, Martinez-Rondanelli A. Body mass index and knee arthroplasty. J Clin Orthop Trauma. 2020;11:S711–6. Wluka AE, Lombard CB, Cicuttini FM. Tackling obesity in knee osteoarthritis. Nat Rev Rheumatol [Internet]. 2013;9(4):225–35. Available from: http://dx.doi.org/10.1038/nrrheum.2012.224 Injury K, Injury K, Survey KO, Knee L, Scale S, Knee O, et al. Measures of Knee Function. 2011;63(November):208–28. Brown TD, Johnston RC, Saltzman CL, Marsh JL, Buckwalter JA. Posttraumatic osteoarthritis: A first estimate of incidence, prevalence, and burden of disease. J Orthop Trauma. 2006;20(10):739–44. Oo WM, Linklater JM, Hunter DJ. Imaging in knee osteoarthritis. Curr Opin Rheumatol. 2017;29(1):86–95. Kohn MD, Sassoon AA, Fernando ND. Classifications in Brief. Clin Orthop Relat Res. 2016;83(Cmc). Wright RW, Ross JR, Haas AK, Huston LJ, Garofoli EA, Harris D, et al. Osteoarthritis classification scales: Interobserver reliability and arthroscopic correlation. J Bone Jt Surg - Am Vol. 2014;96(14):1145–51. Zhang W, Doherty M, Peat G, Bierma-Zeinstra SMA, Arden NK, Bresnihan B, et al. EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis. Ann Rheum Dis. 2010;69(3):483–9. Vaishya R, Pariyo GB, Agarwal AK, Vijay V. Non-operative management of osteoarthritis of the knee joint. J Clin Orthop Trauma [Internet]. 2016;7(3):170–6. Available from: http://dx.doi.org/10.1016/j.jcot.2016.05.005 Kan HS, Chan PK, Chiu KY, Yan CH, Yeung SS, Ng YL, et al. Non-surgical treatment of knee osteoarthritis. Hong Kong Med J. 2019;25(2):127–33. Regnaux JP, Lefevre-Colau MM, Trinquart L, Nguyen C, Boutron I, Brosseau L, et al. Highintensity versus low-intensity physical activity or exercise in people with hip or knee osteoarthritis. Cochrane Database Syst Rev. 2015;2015(10). Hagen KB. Canes for knee osteoarthritis: Is a randomised trial necessary? Ann Rheum Dis. 2012;71(2):159–60. Duivenvoorden T, Brouwer R, Rw B, Tm VR, Ap V, Jan V, et al. Duivenvoorden_et_al-2015- The_Cochrane_library.sup-2. The Cochrane [Internet]. 2015;(3):54 pág. Available from: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004020.pub3/pdf da Costa BR, Reichenbach S, Keller N, Nartey L, Wandel S, Jüni P, et al. Effectiveness of nonsteroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: a network meta-analysis. Lancet [Internet]. 2017;390(10090):e21–33. Available from: http://dx.doi.org/10.1016/S0140-6736(17)31744-0 Evaniew N, Simunovic N, Karlsson J. Cochrane in CORR®: Viscosupplementation for the treatment of osteoarthritis of the knee. Clin Orthop Relat Res. 2014;472(7):2028–34. Weick JW, Bawa HS, Dirschl DR. Hyaluronic acid injections for treatment of advanced osteoarthritis of the knee: Utilization and Cost in a National Population Sample. J Bone Jt Surg - Am Vol. 2016;98(17):1429–35. Jüni P, Hari R, Rutjes AWS, Fischer R, Silletta MG, Reichenbach S, et al. Intra-articular corticosteroid for knee osteoarthritis. Cochrane Database Syst Rev. 2015;2015(10). Chahla J, Piuzzi NS, Mitchell JJ, Dean CS, Pascual-Garrido C, LaPrade RF, et al. Intra-articular cellular therapy for osteoarthritis and focal cartilage defects of the knee: A systematic review of the literature and study quality analysis. J Bone Jt Surg - Am Vol. 2016;98(18):1511–21. Anitua E, Sánchez M, Aguirre JJ, Prado R, Padilla S, Orive G. Efficacy and safety of plasma rich in growth factors intra-articular infiltrations in the treatment of knee osteoarthritis. Arthrosc - J Arthrosc Relat Surg [Internet]. 2014;30(8):1006–17. Available from: http://dx.doi.org/10.1016/j.arthro.2014.05.021 Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KDJ. Patient satisfaction after total knee arthroplasty: Who is satisfied and who is not? Clin Orthop Relat Res. Versión 1.0 , 01/07/2022 41 2010;468(1):57–63. Oussedik S, Abdel MP, Victor J, Pagnano MW, Haddad FS. Alignment in total knee arthroplasty. Bone Jt J. 2020;102 B(3):276–9. the anteroposterior axis for femoral rotational alignment in valgus TKA.pdf. Abdel MP. Measured resection versus gap balancing for total knee arthroplasty. Clin Orthop Relat Res. 2014;472(7):2016–22. Arora M, Chan EKS, Gupta S, Diwan AD. Polymethylmethacrylate bone cements and additives: A review of the literature. World J Orthop. 2013;4(2):67–74. Monzón RA, Coury JG, Disse GD, Lum ZC. Bone Cement in Total Hip and Knee Arthroplasty. JBJS Rev. 2019;7(12):1–7. Jaeblon T. Polymethylmethacrylate: Properties and contemporary uses in orthopaedics. J Am Acad Orthop Surg. 2010;18(5):297–305. Webb JCJ, Spencer RF. The role of polymethylmethacrylate bone cement in modern orthopaedic surgery. J Bone Jt Surg - Ser B. 2007;89(7):851–7. Navarro M, Michiardi A, Castaño O, Planell JA. Biomaterials in orthopaedics. J R Soc Interface. 2008;5(27):1137–58. van IJperen W, Van Quickenborne D, Buyl R, Scheerlinck T. Cement mantle thickness does not influence serum or local gentamicin concentrations in hybrid total hip arthroplasty: a randomised controlled trial. HIP Int. 2018;28(4):415–21. Dunne NJ, Orr JF. Influence of mixing techniques on the physical properties of acrylic bone cement. Biomaterials. 2001;22(13):1819–26. Harris WH, O’Connor DO, Burke DW, Greer JA. Comparison and optimization of three centrifugation systems for reducing porosity of simplex P bone cement. J Arthroplasty. 1989;4(1):15–20. Gergely RCR, Toohey KS, Jones ME, Small SR, Berend ME. Towards the optimization of the preparation procedures of PMMA bone cement. J Orthop Res. 2016;34(6):915–23. Vertullo CJ, Zbrojkiewicz D, Vizesi F, Walsh WR. Thermal Analysis of the Tibial Cement Interface with Modern Cementing Technique. Open Orthop J. 2016;10(1):19–25. Kopec M, Milbrandt JC, Duellman T, Mangan D, Allan DG. Effect of hand packing versus cement gun pressurization on cement mantle in total knee arthroplasty. Can J Surg. 2009;52(6):490–4. Boruah S, Chen AF, Muratoglu OK, Varadarajan KM. Does bone penetration of cement differ by cement type and application time-point? Med Eng Phys [Internet]. 2022;101(May 2021):103768. Available from: https://doi.org/10.1016/j.medengphy.2022.103768 Versión 1.0 , 01/07/2022 Yao S, Zhang W, Ma J, Wang J. Effect of tourniquet application on cement penetration in primary total knee arthroplasty: a meta-analysis. Arthroplasty. 2021;3(1). Donaldson AJ, Thomson HE, Harper NJ, Kenny NW. Bone cement implantation syndrome. Br J Anaesth. 2009;102(1):12–22. Curatolo CJ, Anderson MR. Bone cement implantation syndrome. Decis Orthop Reg Anesthesiol A Case-Based Approach. 2015;35(1):118–22. Parmet JL, Horrow JC, Pharo G, Collins L, Berman AT, Rosenberg H. The incidence of venous emboli during extramedullary guided total knee arthroplasty. Anesth Analg. 1995;81(4):757– 62. Olsen F, Hård Af Segerstad M, Nellgård B, Houltz E, Ricksten SE. The role of bone cement for the development of intraoperative hypotension and hypoxia and its impact on mortality in hemiarthroplasty for femoral neck fractures. Acta Orthop. 2020;91(3):293–8. Schlegel UJ, Bishop NE, Püschel K, Morlock MM, Nagel K. Comparison of different cement application techniques for tibial component fixation in TKA. Int Orthop. 2015;39(1):47–54. Niki Y, Matsumoto H, Otani T, Tomatsu T, Toyama Y. How Much Sterile Saline Should be Used for Efficient Lavage During Total Knee Arthroplasty? Effects of Pulse Lavage Irrigation on Removal of Bone and Cement Debris. J Arthroplasty. 2007;22(1):95–9. Lu C, Song M, Chen J, Li C, Lin W, Ye G, et al. Does tourniquet use affect the periprosthetic bone cement penetration in total knee arthroplasty? A meta-analysis. J Orthop Surg Res. 2020;15(1):1–7. O’Dowd JA, Park KJ, Clyburn TA, Sullivan TC, Lambert BS, Incavo SJ. Cement use in total knee arthroplasty: 40 versus 80 grams. Knee [Internet]. 2021;31:110–7. Available from: https://doi.org/10.1016/j.knee.2021.05.002 Yao S, Zhang W, Ma J, Wang J. Effect of tourniquet application on cement penetration in primary total knee arthroplasty: a meta-analysis. Arthroplasty. 2021;3(1):1–13. Abdel MP, Morrey ME, Jensen MR, Morrey BF. Increased long-term survival of posterior cruciate-retaining versus posterior cruciate-stabilizing total knee replacements. J Bone Jt Surg - Ser A. 2011;93(22):2072–8. 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 Jt Surg - Ser A. 2007;89(4):780– 5. Hampton CB, Berliner ZP, Nguyen JT, Mendez L, Smith SS, Joseph AD, et al. Aseptic Loosening at the Tibia in Total Knee Arthroplasty: A Function of Cement Mantle Quality? J Arthroplasty. 2020;35(6):S190–6. z SM, Gawel HA, Patel JD. History and systematic review of wear and osteolysis outcomes for first-generation highly crosslinked polyethylene. Clin Orthop Relat Res. Versión 1.0 , 01/07/2022 43 2011;469(8):2262–77 Ko DO, Lee S, Kim KT, Lee J Il, Kim JW, Yi SM. Cement mantle thickness at the bone cement interface in total knee arthroplasty: Comparison of ps150 rp and lps-flex knee implants. Knee Surg Relat Res. 2017;29(2):115–21. Knappe K, Stadler C, Innmann MM, Schonhoff M, Gotterbarm T, Renkawitz T, et al. Does additive pressurized carbon dioxide lavage improve cement penetration and bond strength in cemented arthroplasty? J Clin Med. 2021;10(22). Knappe K, Bitsch RG, Schonhoff M, Walker T, Renkawitz T, Jaeger S. Pulsatile lavage systems with high impact pressure and high flow produce cleaner cancellous bone prior to cementation in cemented arthroplasty. J Clin Med. 2022;11(1). Glowalla C, Ertl M, Lenze U, Lazic I, Burgkart R, Lang JJ, et al. Pulsatile Lavage During Cementation of Total Knee Arthroplasty - Is Fixation Impaired? A Cadaver Study. In Vivo (Brooklyn). 2022;36(2):672–7. Verburg H, Van Zeeland Koobs L, Niesten DD, Pilot P, Mathijssen N. Reliability of two different measuring techniques with computer tomography for penetration and distribution of cement in the proximal tibia after total knee arthroplasty. BMC Musculoskelet Disord. 2020;21(1):1–8. Lutz MJ, Halliday BR. Survey of current cementing techniques in total knee replacement. ANZ J Surg. 2002;72(6):437–9. Waanders D, Janssen D, Mann KA, Verdonschot N. The mechanical effects of different levels of cement penetration at the cement-bone interface. J Biomech [Internet]. 2010;43(6):1167–75. Available from: http://dx.doi.org/10.1016/j.jbiomech.2009.11.033 Kizilkurt T, Bayram S, Ekinci M, Ayik Ö, Ergin ÖN, Öztürk İ. Comparing the effect of tourniquet and tranexamic acid on the tibial cement mantle thickness in total knee arthroplasty. Eur J Orthop Surg Traumatol. 2022;32(2):263–8. |
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Reyes González, Adriana Lucila8378e5e2-3556-40ca-a7fa-4a1a56314986Martínez Villalba Rodríguez, Diego6f915485-6890-4ef9-adc1-39ce0675e040Molina Gómez, Rafael Andrésd4ecf24e-68e6-4901-b92c-b61102db8637Reyes González, Adriana Lucila [0000126469]Reyes González, Adriana Lucila [0000-0002-9852-9345]Martínez Villalba Rodríguez, Diego [rodriguez-diego-martinez-villalba]Floridablanca (Santander, Colombia)20222023-02-20T14:13:30Z2023-02-20T14:13:30Z2022http://hdl.handle.net/20.500.12749/19049instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.coPor medio de este proyecto de investigación se busca definir las medidas de penetración e intrusión del cemento óseo al hueso trabecular a nivel de la tibia proximal en los pacientes que se les realice reemplazo articular. Determinando esta medida se evaluarían los factores asociados que podrían influir en la diferencia de medidas. Si se evidencian situaciones que alteren la intrusión del cemento, se buscaría mejorar este para prevenir complicaciones mecánicas de los componentes protésicos. Disminuyendo las complicaciones en los pacientes, se disminuiría la tasa de revisiones protésicas y el costo total de los pacientes para las aseguradoras. Por medio de las radiografías de los postoperatorios de los reemplazos articulares de rodillas, se mediría la intrusión del cemento en el hueso trabecular, tanto para la tibia proximal y fémur distal. Analizando las medidas se evaluaría el impacto del lavado previo de la cementación por medio del uso de pistola de irrigación pulsátil, comparado con el lavado por medio de jeringa/irrigación por gravedad. La diferencia de intrusión ósea se espera que sea mayor en los pacientes lavados con pistolas de irrigación a presión pulsátil comparados con los otros métodos de lavado; teniendo un mayor índice de penetración en el hueso trabecular, los componentes protésicos se adhieren mejor con menores tasas de aflojamiento asociado. Se medirá el manto de cemento óseo en las radiografías de control postoperatorio de los pacientes, en milímetros. Si se encuentra este resultado en los pacientes evaluados; se podría determinar la necesidad y pertinencia para el uso y autorización de este tipo de pistolas para todos los procedimientos de reemplazo articular en rodilla. Actualmente se conocen las técnicas de cementación y mezclado durante la intervención en el reemplazo articular; Las pistolas de irrigación pulsátil también se utilizan en otras situaciones como método para lavado de heridas y fracturas expuestas, demostrando sus beneficios locales con el barrido macroscópico de la contaminación; la mayor contraparte evidente con el uso de la pistola de lavado pulsátil, que en ocasiones obstaculiza su uso, es el alto costo del propio instrumento; para nuestro proyecto los efectos y resultados del lavado con pistola queremos con el uso de este en el lavado y medición de intrusión ósea con la colocación de las prótesis y el manto correspondiente de cemento. Conociendo los resultados en nuestra institución y grupo de pacientes,se establecería la pertinencia y necesidad de uso de la pistola de irrigación pulsátil para favorecer la intrusión del cemento en el hueso, para así evitar y disminuir la tasa de aflojamiento aséptico en los reemplazos articulares de rodilla. Correlacionando estos factores se pueden prevenir mayores costos en el manejo del aflojamiento y consecuentes revisiones de prótesis primarias. Ya que no se cuentan con registros o estudios locales – nacionales en la literatura actual que determinen la penetración del cemento óseo en los reemplazos articulares, el proyecto con sus resultados aportarían cambios y ajustes que determinarán una mejor sobrevida para las prótesis con la consecuente estabilización de los componentes protésicos por la interdigitación del cemento, y disminución de la tasa de aflojamiento que es una de las causas principales para revisión de artroplastias primarias de rodilla.Resumen del proyecto ...........................................................................................................pág.4 1. Justificación…………………………………………………………………………………………………………………..pág.6 2. Marco teórico………………………………………………………………………………………………………………..pág.8 2.1 Gonartrosis………………………………………………………………………………………………………………….pág.8 2.1.1 Fisiopatología……………………………………………………………………………………………………………pág.9 2.1.2 Prevalencia……………………………………………………………………………………………………………….pág.9 2.1.3 Causas y factores de riesgo………………………………………………………………………………………pág.9 2.1.4 Sintomatología…………………………………………………………………………………………………………pág.10 2.1.5 Diagnóstico y clasificación………………………………………………………………………………………..pág.10 2.1.6 Opciones de tratamiento………………………………………………………………………………………….pág.11 2.1.7 Opciones de tratamiento quirúrgico…………………………………………………………………………pág.12 2.1.7.1 Reemplazo total de rodilla…………………………………………………………………………………….pág.13 2.1.7.1.1 Técnicas y principios…………………………………………………………………………………………..pág.14 2.1.7.1.2 Cementación………………………………………………………………………………………………………pág.14 2.1.7.1.3 Penetración del cemento……………………………………………………………………………………pág.15 2.1.7.1.4 Complicaciones…………………………………………………………………………………………………..pág.16 3. Estado del arte………………………………………………………………………………………………………………pág.17 4. Objetivos……………………………………………………………………………………………………………………….pág.21 4.1 Objetivo General…………………………………………………………………………………………………………pág.21 4.2 Objetivos Específicos…………………………………………………………………………………………………..pág.21 5. Metodología………………………………………………………………………………………………………………… pág.22 5.1 Tipo de estudio…………………………………………………………………………………………………………... pág.22 5.2 Población……………………………………………………………………………………………………………………. pág.22 5.3 Criterios de inclusión………………………………………………………………………………………………….. pág.22 5.4 Criterios de exclusión…………………………………………………………………………………………………. pág.22 5.5 Cálculo de tamaño de muestra…………………………………………………………………………………… pág.22 5.6 Muestreo……………………………………………………………………………………………………………………. pág.23 5.7 Recolección de la información……………………………………………………………………………………. pág.23 Versión 1.0 , 01/07/2022 3 5.8 Variables…...................................................................................................................... pág.23 5.9 Plan de análisis de datos…………………………………………………………………………………………… pág.27 5.10 Consideraciones éticas………………………………............................................................... pág.27 6. Resultados esperados………………………………………………………………………………………………… pág.28 6.1 Relacionados con la generación de nuevo conocimiento………….................................. pág.28 6.2 Conducentes al fortalecimiento de la capacidad científica institucional……….............. pág.28 6.3 Dirigidos a la apropiación social del conocimiento…………………………………………………… pág.28 7. Impactos esperados…………………………………………………………………………………………………… pág.29 8. Resultados ………………………………………………………………………………………………………………… pág.30 8.1 Datos demográficos y análisis descriptivo de variables…………………………………………… pág.30 8.2 Análisis Bivariado……………………………………………………………………………………………………. pág.31 9. Discusión………………………………………………………………………………………………………………….. pág.34 10. Conclusiones…………………………………………………………………………………………………………… pág.36 11. Referencias bibliográficas………………………………………………………………………………………… pág.37 12. Anexos………………………………………………………………………………………………………………………. pág.44 12.1 Cronograma de actividades……………………………………………………………………………………… pág.45 12.2 Presupuesto…………………………………………………………………………………………………………….. pág.45EspecializaciónThrough this research project, it is sought to define the measures of penetration and intrusion bone cement to the trabecular bone at the level of the proximal tibia in patients who undergo joint replacement. Determining this measure, the associated factors that could influence the difference in measurements. If there are situations that alter the intrusion of the cement, it would seek to improve it to prevent mechanical complications of prosthetic components. decreasing the complications in patients, the rate of prosthetic revisions and the total cost of patients for insurers. Through the postoperative radiographs of knee joint replacements, it is possible to would measure the intrusion of the cement into the trabecular bone, both for the proximal tibia and distal femur. Analyzing the measures, the impact of the previous washing of the cementation would be evaluated by means of the use of pulsatile irrigation gun, compared with lavage via syringe/spray irrigation gravity. The difference in bone intrusion is expected to be greater in patients lavaged with guns. pulsatile pressure irrigation compared to the other lavage methods; having a higher rate penetration into trabecular bone, prosthetic components adhere better with minor associated loosening rates. The bone cement mantle will be measured in the control radiographs postoperative period of patients, in millimeters. If this result is found in patients evaluated; the need and relevance for the use and authorization of this type could be determined of guns for all knee joint replacement procedures. Cementing and mixing techniques are currently known during the intervention in the joint replacement; Pulsatile irrigation guns are also used in other situations such as method for washing wounds and exposed fractures, demonstrating its local benefits with the macroscopic sweep of contamination; the most obvious counterpart to the use of the pistol of pulsatile lavage, which sometimes hinders its use, is the high cost of the instrument itself; for our project the effects and results of washing with a gun we want with the use of this in the washing and measurement of bone intrusion with the placement of the prostheses and the corresponding mantle of cement. Knowing the results in our institution and group of patients, the relevance would be established. and the need to use the pulsatile irrigation gun to favor the intrusion of the cement into the bone, in order to avoid and reduce the rate of aseptic loosening in joint replacements of knee. By correlating these factors, higher costs can be prevented in the management of the loosening and consequent revisions of primary prostheses. Since there are no records or local-national studies in the current literature that determine the penetration of bone cement in joint replacements, the project with its The results would contribute changes and adjustments that will determine a better survival for the prostheses. with the consequent stabilization of the prosthetic components by the interdigitation of the cement, and decrease in the loosening rate, which is one of the main causes for revision of primary knee arthroplasties.application/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2Asociación entre el uso de la pistola de lavado pulsátil con la penetración del cemento óseo en reemplazos articulares de rodilla del servicio de ortopedia y traumatología en la clínica Foscal y Foscal InternacionalAssociation between the use of the pulsatile lavage gun with the penetration of bone cement in knee joint replacements of the orthopedics and traumatology service at the Foscal clinic and Foscal InternacionalThesisinfo:eu-repo/semantics/masterThesisTesisinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/redcol/resource_type/TMEspecialista en Ortopedia y TraumatologíaUniversidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludEspecialización en Ortopedia y TraumatologíaMedical sciencesHealth sciencesOrthopedicsTraumatologyHealth servicesPulsating wash gunUseEmergency medicineArthroplastyKnee prosthesisCiencias médicasOrtopediaTraumatologíaMedicina de urgenciasArtroplastiaPrótesis de rodillaCiencias de la saludServicios de saludPistola de lavado pulsátilUsoJORDAN JM, HELMICK CG, RENNER JB, LUTA G, DRAGOMIR AD, WOODARD J, et al. Prevalence of Hip Symptoms and Radiographic and Symptomatic Hip Osteoarthritis in African Americans and Caucasians: The Johnston County Osteoarthritis Project. J Rheumatol [Internet]. 2009 Apr [cited 2022 May 5];36(4):809–15. Available from: http://www.jrheum.org/lookup/doi/10.3899/jrheum.080677Kahlenberg CA, Nwachukwu BU, McLawhorn AS, Cross MB, Cornell CN, Padgett DE. Patient Satisfaction After Total Knee Replacement: A Systematic Review. HSS J. 2018;14(2):192–201.Brown GA. AAOS clinical practice guideline: Treatment of osteoarthritis of the knee: Evidence-based guideline, 2nd edition. J Am Acad Orthop Surg. 2013;21(9):577–9.. Sheth NP, Husain A, Nelson CL. Surgical Techniques for Total Knee Arthroplasty: Measured Resection, Gap Balancing, and Hybrid. J Am Acad Orthop Surg. 2017;25(7):499–508.Jaffe WL, Dundon JM, Camus T. Alignment and balance methods in total knee arthroplasty. J Am Acad Orthop Surg. 2018;26(20):709–16.Ritter MA, Herbst SA, Keating EM, Faris PM. Radiolucency at the Bone-Cement Total Interface Knee. J Bone Jt Surg. 1994;76-A:60–5.Heidari B. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I. Casp J Intern Med. 2011;2(2):205–12.Refsum AM, Nguyen U V., Gjertsen JE, Espehaug B, Fenstad AM, Lein RK, et al. Cementing technique for primary knee arthroplasty: a scoping review. Acta Orthop. 2019;90(6):582–9.Schlegel UJ, Siewe J, Delank KS, Eysel P, Püschel K, Morlock MM, et al. Pulsed lavage improves fixation strength of cemented tibial components. Int Orthop. 2011;35(8):1165–9.Cassar-Gheiti AJ, McColgan R, Kelly M, Cassar-Gheiti TM, Kenny P, Murphy CG. Current concepts and outcomes in cemented femoral stem design and cementation techniques: The argument for a new classification system. EFORT Open Rev. 2020;5(4):241–52.Pujol N, Verdot FX, Chambat P. Qualité du scellement tibial dans les arthroplasties totales du genou : scellement en un ou deux temps des pièces tibiale et fémorale. Étude prospective comparative. Rev Chir Orthop Reparatrice Appar Mot. 2008;94(3):241–6.Vanlommel J, Luyckx JP, Labey L, Innocenti B, De Corte R, Bellemans J. Cementing the Tibial Component in Total Knee Arthroplasty. Which Technique is the Best? J Arthroplasty [Internet]. 2011;26(3):492–6. Available from: http://dx.doi.org/10.1016/j.arth.2010.01.107Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM. Why are total knee arthroplasties failing today? Clin Orthop Relat Res. 2002;404(404):7–13.Sharkey PF, Lichstein PM, Shen C, Tokarski AT, Parvizi J. Why are total knee arthroplasties failing today-has anything changed after 10 years? J Arthroplasty [Internet]. 2013;29(9):1774–8. Available from: http://dx.doi.org/10.1016/j.arth.2013.07.024Scheele C, Pietschmann MF, Schröder C, Grupp T, Holderied M, Jansson V, et al. Effect of lavage and brush preparation on cement penetration and primary stability in tibial unicompartmental total knee arthroplasty: An experimental cadaver study. Knee [Internet]. 2017;24(2):402–8. Available from: http://dx.doi.org/10.1016/j.knee.2016.09.015Nagel K, Bishop NE, Schlegel UJ, Püschel K, Morlock MM. The Influence of Cement Morphology Parameters on the Strength of the Cement-Bone Interface in Tibial Tray Fixation. J Arthroplasty [Internet]. 2017;32(2):563-569.e1. Available from: http://dx.doi.org/10.1016/j.arth.2016.08.013Schlegel UJ, Püschel K, Morlock MM, Nagel K. An in vitro comparison of tibial tray cementation using gun pressurization or pulsed lavage. Int Orthop. 2014;38(5):967–71.Dinh NL, Chong AC, Walden JK, Adrian SC, Cusick RP. Intrusion Characteristics of High Viscosity Bone Cements for the Tibial Component of a Total Knee Arthroplasty Using Negative Pressure Intrusion Cementing Technique. Iowa Orthop J. 2016;36:161–6.Clarius M, Hauck C, Seeger JB, James A, Murray DW, Aldinger PR. Pulsed lavage reduces the Versión 1.0 , 01/07/2022 39 incidence of radiolucent lines under the tibial tray of Oxford unicompartmental knee arthroplasty : PPulsed lavage versus syringe lavage. Int Orthop. 2009;33(6):1585–90.Kalteis T, Pförringer D, Herold T, Handel M, Renkawitz T, Plitz W. An experimental comparison of different devices for pulsatile high-pressure lavage and their relevance to cement intrusion into cancellous bone. Arch Orthop Trauma Surg. 2007;127(10):873–7.Bert JM, McShane M. Is it necessary to cement the tibial stem in cemented total knee arthroplasty? Clin Orthop Relat Res. 1998;356(356):73–8.Papas PV, Congiusta D, Cushner FD. Cementless versus Cemented Fixation in Total Knee Arthroplasty. J Knee Surg. 2019;32(7):596–9.Lespasio MJ, Piuzzi NS, Husni ME, Muschler GF, Guarino AJ, Mont MA. Knee Osteoarthritis : A Primer. 2017;1–7.Roos EM, Arden NK. Strategies for the prevention of knee osteoarthritis. Nat Rev Rheumatol [Internet]. 2016;12(2):92–101. Available from: http://dx.doi.org/10.1038/nrrheum.2015.135Greene MA, Loeser RF. Aging-related inflammation in osteoarthritis. Osteoarthr Cartil. 2015;23(11):1966–71.Coggon D, Reading I, Croft P, McLaren M, Barrett D, Cooper C. Knee osteoarthritis and obesity. Int J Obes. 2001;25(5):622–7.Martinez-Cano JP, Zamudio-Castilla L, Chica J, Martinez-Arboleda JJ, Sanchez-Vergel A, Martinez-Rondanelli A. Body mass index and knee arthroplasty. J Clin Orthop Trauma. 2020;11:S711–6.Wluka AE, Lombard CB, Cicuttini FM. Tackling obesity in knee osteoarthritis. Nat Rev Rheumatol [Internet]. 2013;9(4):225–35. Available from: http://dx.doi.org/10.1038/nrrheum.2012.224Injury K, Injury K, Survey KO, Knee L, Scale S, Knee O, et al. Measures of Knee Function. 2011;63(November):208–28.Brown TD, Johnston RC, Saltzman CL, Marsh JL, Buckwalter JA. Posttraumatic osteoarthritis: A first estimate of incidence, prevalence, and burden of disease. J Orthop Trauma. 2006;20(10):739–44.Oo WM, Linklater JM, Hunter DJ. Imaging in knee osteoarthritis. Curr Opin Rheumatol. 2017;29(1):86–95.Kohn MD, Sassoon AA, Fernando ND. Classifications in Brief. Clin Orthop Relat Res. 2016;83(Cmc).Wright RW, Ross JR, Haas AK, Huston LJ, Garofoli EA, Harris D, et al. Osteoarthritis classification scales: Interobserver reliability and arthroscopic correlation. J Bone Jt Surg - Am Vol. 2014;96(14):1145–51.Zhang W, Doherty M, Peat G, Bierma-Zeinstra SMA, Arden NK, Bresnihan B, et al. EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis. Ann Rheum Dis. 2010;69(3):483–9.Vaishya R, Pariyo GB, Agarwal AK, Vijay V. Non-operative management of osteoarthritis of the knee joint. J Clin Orthop Trauma [Internet]. 2016;7(3):170–6. Available from: http://dx.doi.org/10.1016/j.jcot.2016.05.005Kan HS, Chan PK, Chiu KY, Yan CH, Yeung SS, Ng YL, et al. Non-surgical treatment of knee osteoarthritis. Hong Kong Med J. 2019;25(2):127–33.Regnaux JP, Lefevre-Colau MM, Trinquart L, Nguyen C, Boutron I, Brosseau L, et al. Highintensity versus low-intensity physical activity or exercise in people with hip or knee osteoarthritis. Cochrane Database Syst Rev. 2015;2015(10).Hagen KB. Canes for knee osteoarthritis: Is a randomised trial necessary? Ann Rheum Dis. 2012;71(2):159–60.Duivenvoorden T, Brouwer R, Rw B, Tm VR, Ap V, Jan V, et al. Duivenvoorden_et_al-2015- The_Cochrane_library.sup-2. The Cochrane [Internet]. 2015;(3):54 pág. Available from: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004020.pub3/pdfda Costa BR, Reichenbach S, Keller N, Nartey L, Wandel S, Jüni P, et al. Effectiveness of nonsteroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: a network meta-analysis. Lancet [Internet]. 2017;390(10090):e21–33. Available from: http://dx.doi.org/10.1016/S0140-6736(17)31744-0Evaniew N, Simunovic N, Karlsson J. Cochrane in CORR®: Viscosupplementation for the treatment of osteoarthritis of the knee. Clin Orthop Relat Res. 2014;472(7):2028–34.Weick JW, Bawa HS, Dirschl DR. Hyaluronic acid injections for treatment of advanced osteoarthritis of the knee: Utilization and Cost in a National Population Sample. J Bone Jt Surg - Am Vol. 2016;98(17):1429–35.Jüni P, Hari R, Rutjes AWS, Fischer R, Silletta MG, Reichenbach S, et al. Intra-articular corticosteroid for knee osteoarthritis. Cochrane Database Syst Rev. 2015;2015(10).Chahla J, Piuzzi NS, Mitchell JJ, Dean CS, Pascual-Garrido C, LaPrade RF, et al. Intra-articular cellular therapy for osteoarthritis and focal cartilage defects of the knee: A systematic review of the literature and study quality analysis. J Bone Jt Surg - Am Vol. 2016;98(18):1511–21.Anitua E, Sánchez M, Aguirre JJ, Prado R, Padilla S, Orive G. Efficacy and safety of plasma rich in growth factors intra-articular infiltrations in the treatment of knee osteoarthritis. Arthrosc - J Arthrosc Relat Surg [Internet]. 2014;30(8):1006–17. Available from: http://dx.doi.org/10.1016/j.arthro.2014.05.021Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KDJ. Patient satisfaction after total knee arthroplasty: Who is satisfied and who is not? Clin Orthop Relat Res. Versión 1.0 , 01/07/2022 41 2010;468(1):57–63.Oussedik S, Abdel MP, Victor J, Pagnano MW, Haddad FS. Alignment in total knee arthroplasty. Bone Jt J. 2020;102 B(3):276–9.the anteroposterior axis for femoral rotational alignment in valgus TKA.pdf.Abdel MP. Measured resection versus gap balancing for total knee arthroplasty. Clin Orthop Relat Res. 2014;472(7):2016–22.Arora M, Chan EKS, Gupta S, Diwan AD. Polymethylmethacrylate bone cements and additives: A review of the literature. World J Orthop. 2013;4(2):67–74.Monzón RA, Coury JG, Disse GD, Lum ZC. Bone Cement in Total Hip and Knee Arthroplasty. JBJS Rev. 2019;7(12):1–7.Jaeblon T. Polymethylmethacrylate: Properties and contemporary uses in orthopaedics. J Am Acad Orthop Surg. 2010;18(5):297–305.Webb JCJ, Spencer RF. The role of polymethylmethacrylate bone cement in modern orthopaedic surgery. J Bone Jt Surg - Ser B. 2007;89(7):851–7.Navarro M, Michiardi A, Castaño O, Planell JA. Biomaterials in orthopaedics. J R Soc Interface. 2008;5(27):1137–58.van IJperen W, Van Quickenborne D, Buyl R, Scheerlinck T. Cement mantle thickness does not influence serum or local gentamicin concentrations in hybrid total hip arthroplasty: a randomised controlled trial. HIP Int. 2018;28(4):415–21.Dunne NJ, Orr JF. Influence of mixing techniques on the physical properties of acrylic bone cement. Biomaterials. 2001;22(13):1819–26.Harris WH, O’Connor DO, Burke DW, Greer JA. Comparison and optimization of three centrifugation systems for reducing porosity of simplex P bone cement. J Arthroplasty. 1989;4(1):15–20.Gergely RCR, Toohey KS, Jones ME, Small SR, Berend ME. Towards the optimization of the preparation procedures of PMMA bone cement. J Orthop Res. 2016;34(6):915–23.Vertullo CJ, Zbrojkiewicz D, Vizesi F, Walsh WR. Thermal Analysis of the Tibial Cement Interface with Modern Cementing Technique. Open Orthop J. 2016;10(1):19–25.Kopec M, Milbrandt JC, Duellman T, Mangan D, Allan DG. Effect of hand packing versus cement gun pressurization on cement mantle in total knee arthroplasty. Can J Surg. 2009;52(6):490–4.Boruah S, Chen AF, Muratoglu OK, Varadarajan KM. Does bone penetration of cement differ by cement type and application time-point? Med Eng Phys [Internet]. 2022;101(May 2021):103768. Available from: https://doi.org/10.1016/j.medengphy.2022.103768 Versión 1.0 , 01/07/2022Yao S, Zhang W, Ma J, Wang J. Effect of tourniquet application on cement penetration in primary total knee arthroplasty: a meta-analysis. Arthroplasty. 2021;3(1).Donaldson AJ, Thomson HE, Harper NJ, Kenny NW. Bone cement implantation syndrome. Br J Anaesth. 2009;102(1):12–22.Curatolo CJ, Anderson MR. Bone cement implantation syndrome. Decis Orthop Reg Anesthesiol A Case-Based Approach. 2015;35(1):118–22.Parmet JL, Horrow JC, Pharo G, Collins L, Berman AT, Rosenberg H. The incidence of venous emboli during extramedullary guided total knee arthroplasty. Anesth Analg. 1995;81(4):757– 62.Olsen F, Hård Af Segerstad M, Nellgård B, Houltz E, Ricksten SE. The role of bone cement for the development of intraoperative hypotension and hypoxia and its impact on mortality in hemiarthroplasty for femoral neck fractures. Acta Orthop. 2020;91(3):293–8.Schlegel UJ, Bishop NE, Püschel K, Morlock MM, Nagel K. Comparison of different cement application techniques for tibial component fixation in TKA. Int Orthop. 2015;39(1):47–54.Niki Y, Matsumoto H, Otani T, Tomatsu T, Toyama Y. How Much Sterile Saline Should be Used for Efficient Lavage During Total Knee Arthroplasty? Effects of Pulse Lavage Irrigation on Removal of Bone and Cement Debris. J Arthroplasty. 2007;22(1):95–9.Lu C, Song M, Chen J, Li C, Lin W, Ye G, et al. Does tourniquet use affect the periprosthetic bone cement penetration in total knee arthroplasty? A meta-analysis. J Orthop Surg Res. 2020;15(1):1–7.O’Dowd JA, Park KJ, Clyburn TA, Sullivan TC, Lambert BS, Incavo SJ. Cement use in total knee arthroplasty: 40 versus 80 grams. Knee [Internet]. 2021;31:110–7. Available from: https://doi.org/10.1016/j.knee.2021.05.002Yao S, Zhang W, Ma J, Wang J. Effect of tourniquet application on cement penetration in primary total knee arthroplasty: a meta-analysis. Arthroplasty. 2021;3(1):1–13.Abdel MP, Morrey ME, Jensen MR, Morrey BF. Increased long-term survival of posterior cruciate-retaining versus posterior cruciate-stabilizing total knee replacements. J Bone Jt Surg - Ser A. 2011;93(22):2072–8.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 Jt Surg - Ser A. 2007;89(4):780– 5.Hampton CB, Berliner ZP, Nguyen JT, Mendez L, Smith SS, Joseph AD, et al. Aseptic Loosening at the Tibia in Total Knee Arthroplasty: A Function of Cement Mantle Quality? J Arthroplasty. 2020;35(6):S190–6.z SM, Gawel HA, Patel JD. History and systematic review of wear and osteolysis outcomes for first-generation highly crosslinked polyethylene. Clin Orthop Relat Res. Versión 1.0 , 01/07/2022 43 2011;469(8):2262–77Ko DO, Lee S, Kim KT, Lee J Il, Kim JW, Yi SM. Cement mantle thickness at the bone cement interface in total knee arthroplasty: Comparison of ps150 rp and lps-flex knee implants. Knee Surg Relat Res. 2017;29(2):115–21.Knappe K, Stadler C, Innmann MM, Schonhoff M, Gotterbarm T, Renkawitz T, et al. Does additive pressurized carbon dioxide lavage improve cement penetration and bond strength in cemented arthroplasty? J Clin Med. 2021;10(22).Knappe K, Bitsch RG, Schonhoff M, Walker T, Renkawitz T, Jaeger S. Pulsatile lavage systems with high impact pressure and high flow produce cleaner cancellous bone prior to cementation in cemented arthroplasty. J Clin Med. 2022;11(1).Glowalla C, Ertl M, Lenze U, Lazic I, Burgkart R, Lang JJ, et al. Pulsatile Lavage During Cementation of Total Knee Arthroplasty - Is Fixation Impaired? A Cadaver Study. In Vivo (Brooklyn). 2022;36(2):672–7.Verburg H, Van Zeeland Koobs L, Niesten DD, Pilot P, Mathijssen N. Reliability of two different measuring techniques with computer tomography for penetration and distribution of cement in the proximal tibia after total knee arthroplasty. BMC Musculoskelet Disord. 2020;21(1):1–8.Lutz MJ, Halliday BR. Survey of current cementing techniques in total knee replacement. ANZ J Surg. 2002;72(6):437–9.Waanders D, Janssen D, Mann KA, Verdonschot N. The mechanical effects of different levels of cement penetration at the cement-bone interface. J Biomech [Internet]. 2010;43(6):1167–75. Available from: http://dx.doi.org/10.1016/j.jbiomech.2009.11.033Kizilkurt T, Bayram S, Ekinci M, Ayik Ö, Ergin ÖN, Öztürk İ. Comparing the effect of tourniquet and tranexamic acid on the tibial cement mantle thickness in total knee arthroplasty. 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