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

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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)

Main Theme:

Edited by:

Guy Daculsi and Pierre Layrolle

Pages:

1307-1310

Citation:

S. C. Kim et al., "Total Knee Replacement for Rheumatoid Arthritis by Using Improved Cement Technique by Interposing Hydroxyapatite Granules", Key Engineering Materials, Vols. 361-363, pp. 1307-1310, 2008

Online since:

November 2007

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$38.00

[1] Oonishi H, Kushitani S, Aono M, et al.: Interface bioactive bone cement by using PMMA and hydroxyapatite granules. Bioceramics, vol 1, 102-107, Oonishi and Aoki (ed) Ishiyaku-Euro America, Tokyo, (1989).

DOI: https://doi.org/10.1016/0021-9290(90)90123-k

[2] Oonishi H: Interfacial reactions to bioactive and non-bioactive bone cements. P. 321. In Davis JE (ed): The bone biomaterial interface. University of Toronto Press, Toronto, (1991).

DOI: https://doi.org/10.3138/9781442671508-033

[3] Oonishi H, Kadoya Y, Iwaki H, et al.: Total hip arthroplasty with a modified cementing technique using hydroxyapatite granules. J. of Arthroplasty, 16: 784, (2001).

DOI: https://doi.org/10.1054/arth.2001.23724

[4] Oonishi H, Kadoya Y, Iwaki H, et al.: Hydroxyapatite granules interposed at bone-cement interface in total hip replacements: Histological study on retrieved specimens. J appl Biomat 53: 174, (2000).

DOI: https://doi.org/10.1002/(sici)1097-4636(2000)53:2<174::aid-jbm7>3.0.co;2-o

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