BACKGROUND: Current techniques in total knee replacement (TKR) vary greatly. Cementing techniques in TKR are no exception. Identification of current trends would aid ongoing research into future developments. METHODS: A questionnaire was sent to all orthopaedic surgeons in Queensland, Australia. A range of factors influencing cementing techniques for the tibial plateau were investigated. RESULTS: Eighty-five percent of questionnaires were returned. Ninety-one percent of surgeons regularly cement the tibial plateau, 90% use some form of lavage prior to cement application, 95% of surgeons apply cement by hand only. Techniques aimed at increasing cement penetration (cement gun, intraosseous suction) are used infrequently. CONCLUSIONS: In contrast to total hip replacement, measures are not often taken to ensure that there is penetration of cement or a complete cement mantle into the tibial plateau in TKR. This may be because of a perceived lack of evidence in modern literature. This study also illustrates the wide variation in technique in a relatively common orthopaedic operation.
BACKGROUND: Current techniques in total knee replacement (TKR) vary greatly. Cementing techniques in TKR are no exception. Identification of current trends would aid ongoing research into future developments. METHODS: A questionnaire was sent to all orthopaedic surgeons in Queensland, Australia. A range of factors influencing cementing techniques for the tibial plateau were investigated. RESULTS: Eighty-five percent of questionnaires were returned. Ninety-one percent of surgeons regularly cement the tibial plateau, 90% use some form of lavage prior to cement application, 95% of surgeons apply cement by hand only. Techniques aimed at increasing cement penetration (cement gun, intraosseous suction) are used infrequently. CONCLUSIONS: In contrast to total hip replacement, measures are not often taken to ensure that there is penetration of cement or a complete cement mantle into the tibial plateau in TKR. This may be because of a perceived lack of evidence in modern literature. This study also illustrates the wide variation in technique in a relatively common orthopaedic operation.
Authors: Ulf J Schlegel; Jan Siewe; Karl S Delank; Peer Eysel; Klaus Püschel; Michael M Morlock; Anne Gebert de Uhlenbrock Journal: Int Orthop Date: 2010-10-16 Impact factor: 3.075
Authors: Claudio Glowalla; Max Ertl; Ulrich Lenze; Igor Lazic; Rainer Burgkart; Jan J Lang; Rudiger VON Eisenhart-Rothe; Florian Pohlig Journal: In Vivo Date: 2022 Mar-Apr Impact factor: 2.155
Authors: Nipun Sodhi; Sarah E Dalton; Anton Khlopas; Assem A Sultan; Gannon L Curtis; Matthew A Harb; Qais Naziri; Jared M Newman; John W Barrington; Michael A Mont Journal: Ann Transl Med Date: 2017-12
Authors: Anders M Refsum; Uy V Nguyen; Jan-Erik Gjertsen; Birgitte Espehaug; Anne M Fenstad; Regina K Lein; Peter Ellison; Paul J Høl; Ove Furnes Journal: Acta Orthop Date: 2019-08-27 Impact factor: 3.717