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Aseptic Tibial Implant Loosening After Total Knee Arthroplasty: Preventable?

Luke G MenkenJean FleuriscarTravis WeinerZachary P BerlinerJose A Rodriguez
Published in: The Journal of the American Academy of Orthopaedic Surgeons (2021)
Aseptic loosening is a considerable complication that affects the longevity of total knee arthroplasty (TKA) implants. Surgeon technique may help minimize aseptic loosening after TKA. Meticulous cementation of the prosthesis and the bone surface during various stages of cement polymerization will maximize cement adherence to the prosthesis and the bone, respectively. Pressurization of the cement in the canal and at the cut surface to achieve at least 2 mm of cement depth penetration has been reported to increase TKA implant longevity.
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