Total Knee Replacement for Rheumatoid Arthritis by Using Improved Cement Technique by Interposing Hydroxyapatite Granules

Sok Chol Kim; Hironobu Oonishi; Hiroyuki Oonishi Jr.; Hirotsugu Ohashi

doi:10.4028/www.scientific.net/KEM.361-363.1307

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HomeKey Engineering MaterialsKey Engineering Materials Vols. 361-363Total Knee Replacement for Rheumatoid Arthritis by...

Total Knee Replacement for Rheumatoid Arthritis by Using Improved Cement Technique by Interposing Hydroxyapatite Granules

Abstract:

Improved cement technique by interposing less than two layers of hydroxyapatite (HA) granules between bone and bone cement at the cementing (Interface Bioactive Bone Cement : IBBC) have been performed in total knee replacement (TKR). Results of TKRs of the rheumatoid arthritis (RA) who used IBBC were evaluated. 54 knees of the RA could be followed up clinically and radiologically. As a control, clinical results of TKR with conventional cementing (Non-IBBC) were used. In IBBC cases, the appearance rate of the radiolucent lines on the tibial components and the periprosthetic osteolysis of the tibial components were significantly low. In IBBC, bone cement bound to HA mechanically immediately after surgery and HA granules bound to the bone physicochemically after bone ingrowth into the spaces around the HA granules. Thus, we believe that IBBC is a method combining the advantage of cementless HA coating and bone cement.

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Periodical:

Key Engineering Materials (Volumes 361-363)

Pages:

1307-1310

DOI:

https://doi.org/10.4028/www.scientific.net/KEM.361-363.1307

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Online since:

November 2007

Authors:

Sok Chol Kim, Hironobu Oonishi, Hiroyuki Oonishi Jr., Hirotsugu Ohashi

Keywords:

Hydroxyapatite (HAP), Rheumatoid Arthritis, Total Knee Replacement

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References

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